Form St-9 Co - Virginia Retail Sales And Use Tax Return - Consolidated Page 4

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*VAST9B111888*
Form ST-9B
Virginia Schedule of Local Sales
And Use Taxes
•
Do Not staple.
•
Transfer the amount in the total line of columns C, D, E, F and G below to the corresponding
items indicated on Form ST-9.
•
A list of Virginia counties and cities is printed on the reverse side.
Name
______________________________________________________
Address
______________________________________________________
Account Number
_______________________________
______________________________________________________
______________________________________________________
Filing Period (Year/Month)
______________________________
A
B
B1
C
D
E/F
G
Number
of
Exempt Sales &
Locality Name
Code
Gross Sales
Personal Use
Taxable Local Sales
Locations
Other Deductions
In Locality
Grand Total
Va. Dept. of Taxation ST-9CO B W
REV 04/10

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