Meals Tax - City Of Lynchburg

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Account #
CITY OF LYNCHBURG
1. Meals Subject to Tax
COMMISSIONER OF THE REVENUE
BUSINESS ADDRESS.
PO BOX 858
LYNCHBURG, VA 24505
2. Meals Tax at 6.5%
(434) 455-3880
(Line 1 X 6.5%)
This return is due and payable
on or before the 20th day of the
MEALS TAX
3. Collection Fee
month following the month taxes
(Line 2 X 3%)
are collected.
MONTH
YEAR
4. Amount Due
(Line 2 minus Line 3)
MAILING ADDRESS
SIGNATURE
DATE
Please make check payable to City of Lynchburg
Please see reverse side for important information and instructions

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