Form 12 - Sales & Use Tax Monthly Tax Return

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SALES & USE TAX
MONTHLY TAX RETURN
12
MONTH COVERED BY THIS REPORT
OR
PERIOD COVERED BY THIS REPORT
From:
To:
CITY OF MOBILE • DEPARTMENT 1519 • P.O. BOX 11407 • BIRMINGHAM, AL 35246-1519 • 251-208-7462
CITY OF MOBILE • P .O. BOX 2745 • MOBILE, AL 36652-2745 • PHONE (251) 208-7461
FIGURES MAY BE ROUNDED TO NEAREST DOLLAR
Is this a final return
Yes
No.
If yes, attach explanation and date closed _____/_____/_____
TAX DUE AT CITY RATE
TAX DUE AT P/J RATE
1. Gross Sales/Use Tax
Col. A - 5%
Col. A - 4%
Col. B - 2.25%
Col. B-2%
Col. C - 2.5%
Col. C-2%
Col. D - 1.125%
Col. D-1%
(A) Gross sales of new and used vehicles, semi-trailers
and truck trailers.
(B) Gross sales of machines and replacement parts used
in manufacturing process.
(C) Gross sales from places of amusement.
(D) Fair market value of properly purchased at wholesale
withdrawn for use or otherwise disposed of.
(E) Retail selling price of property used within the City or
PJ on which Mobile tax has not been paid.
(F) Gross sales of liquid fuel, gaseous fuel and/or any other
fuel for use both on and off highways.
(G) Gross sales of beer, liquor, wine and/or other alcoholic
beverages.
(H) Gross sales from all business not included above.
(I) Collections made during month on credit sales
heretofore claimed as deductions on sale of receivables.
2. TOTAL OF EACH COLUMN
(Lines A,B,C,D,E,F,G,H & I above)
LESS: TOTAL DEDUCTIONS-LINE 4 ON REVERSE SIDE
5. TOTAL OF AMOUNTS REMAINING AS MEASURE OF
TAX each column, line 2 minus line 4 from Reverse Side
6. AMOUNT OF TAX Each column (Line 5 x Applicable rate
shown at top of column).
7. Number of new vehicles withdrawn
____________ x $5.00 (Col.B) CITY
____________ x $2.50 (Col.D) PJ
8. AMOUNT OF TAX - Each Col.
9. Add ______________% Penalty - (SEE BELOW*)
10. TOTAL EACH COL.
$
$
$
$
$
TOTAL PAYMENT ENCLOSED WITH THIS REPORT
IF BUSINESS NAME IS IMPRINTED, THIS RETURN MAY BE USED ONLY BY THE BUSINESS NAMED.
*PENALT Y
OF
5%
PER
MONTH
WHEN
PAID
AF TER
20TH
OF
MONTH FOLLOWING THE PERIOD
Account Number:
-
COVERED.
This report, including accompanying schedules or
statements, has been examined by me and is to the
best of my knowledge and belief, a true and
complete report made in good faith for the period
________________ __________________________________________ _______________________________
stated.
Date
Signature
Title
REV. 9/3/2008
REV. 5/11/2010

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