Form St-9 - Virginia Retail Sales And Use Tax Return Page 6

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Form ST-9B
Virginia Schedule of
*VAST9B413888*
Local Sales and Use Taxes
Page 4
Name
Account Number
10-
Address
Filing Period (Enter month or quarter and year)
City, State, ZIP
Due Date (20th of month following end of period)
A
B
B1
C
D
E
F
G
Local Taxable Sales
Number of
Exempt State Sales
of Fuel for Domestic
Local Taxable Sales
Locality Name
Code
Locations In
Gross Sales
Personal Use
& Other Deductions
Consumption
(= C + D - E + F)
Locality
(If included in E)
Page 4 Subtotal

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