A
D
R
LABAMA
EPARTMENT OF
EVENUE
B&L: FPST-4
9/12
B
& L
T
D
USINESS
ICENSE
AX
IVISION
Forest Products Severance Tax Supplemental Return
NOTE: This supplemental sheet is to be used with forms FPST-1 and FPST-3 to show county breakdown when products are severed in multiple counties.
Business Name _____________________________________________________
Folio No. ___________________
Account No. ________________________________________________________
COUNTY TAX
LINE ITEM NO. _________________
LINE ITEM NO. _________________
LINE ITEM NO. _________________
LINE ITEM NO. _________________
COUNTY
TOTAL
QUANTITY
TAX
QUANTITY
TAX
QUANTITY
TAX
QUANTITY
TAX
TOTALS
Returns must be submitted electronically at