Meals Tax Monthly Remittance - Spotsylvania County
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1SPOTSYLVANIA COUNTY
Commissioner of Revenue
Meals Tax
PO Box 175
9104 Courthouse Rd
Monthly Remittance
Spotsylvania VA 22553- 0175
Phone: (540) 507-7051
Fax: (540) 582-7190
email: cor@spotsylvania.va.us
Account # ____________
If account number is omitted, it could delay processing and may cause penalties.
INSTRUCTIONS
Enter account number above and complete Sections A, B & C below.
File on or before the 20
th
day of the month following the month being reported. In person – Deliver to our office by
th
of each month. By mail - Postmark on or before the 20
th
4:30 on the 20
of the month.
Make check payable to Treasurer, Spotsylvania County
Mail to: Attn: Meals Tax Division, Commissioner of Revenue, PO Box 175, Spotsylvania VA 22553-0175
A. Owner & Business Information
Owner’s Name
Phone
Mailing Address:
Block / Street Name
City
State
Zip
Trade Name
Phone
Physical Address:
Block / Street Name (No PO Boxes)
City
State
Zip
Social Security #
Federal ID
Email Address
B. Calculating Tax
$
1.
Total Gross Receipts for the Month of
Year
Select Month
Select Year
$ -
2.
Less Allowable Deductions (Attach List of Items) If Zero, enter “0.”
$
3.
Taxable Gross (Subtract Line 2 from Line 1)
$
4.
Calculate Tax - 4% Tax of Gross from Line 3 (Multiply line 3 by 4%)
$ -
5.
Less 3% Sellers Discount –
Only when paid on time
(Multiply line 4 by 3%)
$
6.
Total Tax Less Sellers Discount ( Subtract Line 5 from Line 4)
Penalty/Interest Information
1 to 30 days late
Multiply Line 6 by 10%
(please remember that if penalty is applied the 3%
7.
$
31 to 60 days late
Multiply Line 6 by 20%
discount is not applicable)
Over 60 days
Multiply Line 6 by 25%
Interest will accrue at a rate of 10% per year.
8.
Total Due (Tax plus Penalty if applicable) (Add Line 6 and Line 7)
$
0.00
C. Declaration Of Seller
I declare that the foregoing statement and figures are true, complete, and correct to best of my knowledge and belief.
_______________________________
__________________
Signature of Owner or Agent
Date
_______________________________
__________________
Title
Phone
(online form - -rev 12/1 /1 )
Date _____ / _____ / _____ by __________
Check # ________________________
CR #066
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