Form C.c.t.d. 10 - Regulatory Revenue Tax On Common Carriers By Motor Vehicle Report

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Form C.C.T.D. 10
Revised 12/2007
COMMONWEALTH OF VIRGINIA
STATE CORPORATION COMMISSION
REGULATORY REVENUE TAX ON COMMON CARRIERS BY MOTOR VEHICLE
INSTRUCTIONS
1.
This report must be made in DUPLICATE and returned to the State Corporation Commission,
Public Service Taxation Division, 4th Floor Tyler Building, 1300 East Main Street, Richmond,
Virginia 23219 or P.O. Box 1197, Richmond, Virginia 23218 on or before the FIFTEENTH DAY
OF APRIL by every common carrier by motor vehicle except urban and suburban bus lines.
2.
Common carriers who also do business as contract carriers must report their gross receipts
from both kinds of business.
Report all gross receipts earned by transporting passengers or freight from a point in Virginia to
3.
another point in Virginia.
(S.C.C. Company ID #)
REPORT
Name of Carrier
Address
I declare pursuant to the provisions of Title 58.1-2660 of the Code of Virginia that the total gross
receipts of the carrier named above derived from business done within the State during the calendar
year 2009 were $______________________________.
The undersigned executes this report as
of the taxpayer.
Dated
, 2010
Subscribed and sworn to before me this _________ day of ________________________, 2010
(Notary Public)
My Commission expires _______________________________, 20______

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