Form St-Mab-4 - Sales Tax On Meals, Prepared Food And All Beverages Return
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1FOR AUGUST 2009 AND MONTHS THEREAFTER
ST-MAB-4
MASSACHUSETTS DEPARTMENT OF REVENUE
CITY/TOWN NAME:
SALES TAX ON MEALS, PREPARED FOOD AND ALL BEVERAGES RETURN
MM
YOU SHOULD FILE THIS FORM EVEN THOUGH NO TAX MAY BE DUE.
FEDERAL IDENTIFICATION NUMBER
BE SURE THIS RETURN
FOR MONTH
CITY/TOWN CODE
1a. GROSS RECEIPTS FROM THE
1a.
COVERS THE CORRECT
SALE OF MEALS, INCLUDING
PERIOD
FOOD AND NON-ALCOHOLIC
BEVERAGES (do not include
non-alcoholic beer)
1b. GROSS RECEIPTS FROM SALE
1b.
IF ANY
OF ALCOHOLIC BEVERAGES
(including non-alcoholic beer)
INFOR-
1. TOTAL GROSS RECEIPTS
1.
MATION IS
(add lines 1a and 1b)
INCORRECT,
2. TOTAL CHARGED FOR
2.
SEE
TAX-EXEMPT MEALS
INSTRUC-
3. TOTAL TAXABLE RECEIPTS
3.
TIONS.
(subtract line 2 from line 1)
Check here if this is a final return.
a. State
b. Local
4a. STATE TAX DUE
4a.
(line 3 x .0625)
4b. LOCAL TAX DUE
4b.
(line 3 x .055)
5. PENALTY AND
5a.
5b.
INTEREST
6. SUBTOTAL
6a.
6b.
Return is due with payment on or before the 20th day of the month following the month indicated above. Make check payable
(add lines 4 and 5 in
to Commonwealth of Massachusetts. Mail to: Mass. Dept. of Revenue, PO Box 7041, Boston, MA 02204-7041.
each column)
I declare under the penalties of perjury that this return (including any accompanying schedules and statements) has been
7. TOTAL AMOUNT DUE
7.
examined by me and to the best of my knowledge and belief is a true, correct and complete return.
WITH THIS RETURN
(add lines 6a and 6b)
Signature
Title
Date
1M 7/00 00-B02
printed on recycled paper
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