Monthly Liquor Return Form - Town Of Gurley, Alabama - 2011


Monthly Liquor Return
Town of Gurley, Alabama
Remittance Address:
Tax Trust Account
PO Box 830725
Birmingham, AL 35283-0725
(800) 556-7274
For the Month of ________________, 20_____
Telephone #: _______________________________________________
FEIN/SSN: _________________________________
RDS Account #:
RDS Internal Use
1 -
Total purchase price of liquor during period:
2 -
Amount of Tax Due & Remitted (at 6% of line #1 above):
(Make Check Payable To: Tax Trust Account)
This return, including any and all accompanying statements has been examined by me and is to the best of my knowledge and belief, a true and complete return, made
in good faith, for the period stated above
Taxpayer’s Signature____________________________________ Date:_____________________FEIN:_____________________
Print Taxpayer’s Name:__________________________________Telephone:___________________________________________
Paid Preparer’s Signature________________________________ Print Paid Preparer’s Name______________________________
Please note that the administration and rate changes on the RDS Advisory and RDS tax forms are updated once the required information has been received, verified, and validated in compliance
with RDS policy. Any information received before or after the publication of an RDS Advisory or tax form will not be guaranteed to appear on said forms until all such requirements have been met. RDS is not responsible for
incorrect information and/or improper use of the information provided. All updates are completed on a timely basis once the requirements have been met. For the most current RDS administration and/or rate information
provided, please visit our website at
RETURNED CHECK DISCLAIMER: When you make a payment by check, you authorize us to use information from your check to make a one-time electronic fund transfer from your checking account according to the
terms of your check or to process that transaction as a check. When we use your check to make an electronic fund transfer, funds may be withdrawn from your checking account as soon as the same day we receive your
payment, and you will not receive your check back from your financial institution. If there are insufficient funds in your checking account, you authorize us to charge a Returned Payment Fee in the amount set forth below
and collect that amount through an electronic fund transfer from your checking account, if permitted by applicable law. IF YOUR CHECK OR OTHER PAYMENT IS RETURNED UNPAID by your bank, we may, if permitted
by applicable law, charge a Returned Payment Fee of $ 50 in KY and VA; $40 in DE and MS; $ 35 in MD; $30 in AL, OH, SC, TN, and TX; $25 in AR, IL, MO, NC and WV; $20 in IN; the greater of 5% of the check or
(i) $30 in GA or (ii) $25 in LA; the greater of 5% of the check or (i) $25 if the check is under $50, (ii) $30 if the check is between $50 and $300 or (iii) $40 if the check is over $300 in FL. Effective July 1, 2010, each returned
item received by RDS due to insufficient funds will be electronically represented to the presenters’ bank no more than two times in an effort to obtain payment. RDS is not responsible for any additional bank fees that will
accrue due to the resubmission of the returned item.
Gurley Liquor Tax


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