ANNUAL BUSINESS LICENSE TAX RETURN
FOR OFFICE USE ONLY
ID#_________________________ LOC#_______________________
OBL# _______________________ USER NAME _____________________
SOLE PROPRIETOR
FORM OF OWNERSHIP
PARTNERSHIP
CORPORATION
LLC
LLP
FEIN__________________________
SSN__________________________
OWNERSHIP NAME
DOING BUSINESS AS (DBA)
PERSON RESPONSIBLE FOR LICENSE
PHONE
EMAIL ADDRESS
MAILING ADDRESS
UNIT / SUITE
STATE
CITY
ZIP
+4
LOCATION ADDRESS
UNIT / SUITE
CITY
STATE
PHONE
ZIP
+4
DATE BUSINESS BEGAN
DATE APPLIED
PREVIOUS OWNER’S NAME
TAXPAYER NUMBER
TYPE OF BUSINESS
TYPE OF PRODUCT
SEE MUNICIPAL CODE FOR SCHEDULE NUMBERS, LICENSE FEES, LATE FEES, AND COMPUTATIONS. (CHAPTER 15)
GROSS RECEIPTS AND COMPUTATION PER SCHEDULE:
AMOUNT DUE PER SCHEDULE
SCH#
NAICS CODE
$
$
.
.
SCH#
NAICS CODE
$
$
.
SCH#
NAICS CODE
$
$
.
SCH#
NAICS CODE
$
$
.
SCH#
NAICS CODE
$
$
.
SCH#
NAICS CODE
$
$
USE THIS SPACE FOR ADJUSTMENT COMPUTATION ONLY:
.
YEAR
SCH#
$
$
.
YEAR
SCH#
$
$
.
YEAR
SCH#
$
$
.
YEAR
SCH#
$
$
$
.
ADJUSTMENT SUB TOTAL+/-
PENALTY COMPUTATION
TOTAL TAX DUE $
.
INTEREST(CALL FOR CURRENT RATE) $
1st 30 days penalty is 15% of the license fee
.
(State Code 11-51-93)
PENALTY $
.
After 30 days the penalty is 30% of the license fee
.
12 00
ISSUING FEE $
(State Code 11-51-93)
.
TOTAL AMOUNT DUE $
I swear and affirm that the above is a true and correct statement to the best of my knowledge and belief. THIS FORM MUST BE SIGNED.
SIGNATURE
DATE
TITLE
MAIL TO: CITY CLERK-TREASURER, P.O. BOX 308, HUNTSVILLE, AL., 35804-0308
RD
BUSINESS LICENSE BRING TO: 308 FOUNTAIN CIRCLE, 3
FLOOR, TELEPHONE (256) 427-5082
ND
CONTRACTORS LICENSE BRING TO: 320 FOUNTAIN CIRCLE 2
FLOOR TELEPHONE (256) 427-5331
Rev. 11/16
RENEWALS ARE DUE AND PAYABLE ON JANUARY 1, AND DELINQUENT AFTER JANUARY 31 OF EACH YEAR.