Rds Gas Form - Monthly Gasoline / Motor Fuels Tax Return (Page 3 of 3) in pdf

50-91 Counties

No Discount

3¢

7005

Blount County

25% Penalty if Late

No Discount

1¢

7010

Cherokee County

25% Penalty if Late

No Discount

2¢

7014

Clay County

10% Penalty if Late

No Discount

2¢

7024

Dallas County

10% Penalty if Late

No Discount

2¢

7032

Greene County

25% Penalty if Late

3¢

7036

Jackson County

No Discount

25% Penalty if Late

Lauderdale County

No Discount

4¢

7039

outside CL of Florence

25% Penalty if Late

Lauderdale County

No Discount

4¢

7139

25% Penalty if Late

inside CL of Florence

3% Discount

3¢

7045

Madison County

25% Penalty if Late

3% Discount

1¢

7048

Marshall County

10% Late Penalty

No Discount

3¢

7053

Perry County

25% Penalty if Late

No Discount

2¢

7060

Sumter County

25% Penalty if Late

No Discount

5% penalty for first month if late;

1¢

7063

Tuscaloosa County

Additional 5% for each additional

month or for any fraction thereof;

Up to maximum of 25% of tax due.

See Walker County Gasoline/Diesel Tax Remittance Form

7064

Walker County

No Discount

2¢

7066

Wilcox County

25% Penalty if Late

Total Tax

I declare, under penalties of perjury, that this return (and any accompanying schedules) has been examined by me and to the best of my knowledge is true, correct and complete.

Signed:_____________________________________________ Date:_____________________ Telephone:___________________________

Print Name:____________________________________ Email Address:__________________________ FEIN/SSN: ___________________

Disclaimer: 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: 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. Please see the full returned check policy at

RDS Gas Form

Updated 04/2014

Page 3 of 3