Rds Gas Form - Monthly Gasoline / Motor Fuels Tax Return - 2016

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Monthly Gasoline / Motor Fuels Tax Return
Remit To:
Tax Division, PO Box 830725, Birmingham, AL 35283-0725
(800) 556-7274
Enter your check amount here:
$
__________________________________________
(Make Check Payable To: Tax Trust Account)
RDS Account #:
Please Mark the Period you are Filing on This Return
Year: 20___
Jan
Feb
Mar
Apr
May
June
July
Aug
Sept
Oct
Nov
Dec
Filing for Tax Period :
th
NOTE: This return must be postmarked by the 20
of the following month to be considered timely and avoid late penalties. See also
specific municipality notes.
50-91 Cities
Jurisdiction
Jurisdiction
# of Taxable
Tax Rate
Gross Tax Due
Discount OR Penalty &
Net Tax Due
Code
Gallons
Interest
9325
Ashville
See City of Ashville Gasoline/Diesel Tax Remittance Form
9664
No Discount
1¢
Athens
20% Penalty if Late
No Discount
15% Penalty if Late
Bridgeport – In City Limits
1¢
9411
6% interest per annum
Plus $20.00 citation fee
Bridgeport – In Police
No Discount
15% Penalty if Late
½¢
9411
Jurisdiction
6% interest per annum
Plus $20.00 citation fee
No Discount
Camden – In City Limits
2¢
9482
20% Penalty if Late
Camden – In Police
No Discount
1¢
9482
20% Penalty if Late
Jurisdiction
No Discount
Centreville – In City Limits
3¢
9681
20% Penalty if Late
Centreville – In Police
No Discount
1½¢
9681
20% Penalty if Late
Jurisdiction
No Discount
Clanton – In City Limits
1¢
9416
20% Penalty if Late
Clayhatchee—In City
No Discount
1¢
9614
Limits
15% Penalty if Late
Clayhatchee—In Police
No Discount
½¢
9614
15% Penalty if Late
Jurisdiction
No Discount
Creola – In City Limits
5¢
9737
Up to $500.00 penalty if late
Creola – In Police
No Discount
4¢
9737
Up to $500.00 penalty if late
Jurisdiction
No Discount
Cuba – In City Limits
1¢
9712
20% Penalty if Late
Cuba – In Police
No Discount
½¢
9712
20% Penalty if Late
Jurisdiction
No Discount
Detroit – In City Limits
1¢
9757
15% Penalty if Late
Detroit – In Police
No Discount
½¢
9757
15% Penalty if Late
Jurisdiction
No Discount
Dora – In City Limits
2¢
9346
20% Penalty if Late
No Discount
Evergreen – In City Limits
6¢
9432
10% Penalty if late
Evergreen – In Police
No Discount
3¢
9432
10% Penalty if late
Jurisdiction
See Town of Fyffe Gasoline/Diesel Tax Remittance Form
9441
Fyffe
No Discount
5¢
9480
Gurley
20% Penalty if Late
No Discount
2¢
9725
Leesburg- In City Limits
20% Penalty if Late
RDS Gas Form
Updated 6/2016
Page 1 of 3

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