Form 12 - Sales & Use Tax Monthly Tax Return Page 2
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1
2ATTACH ADDITIONAL SHEETS IF NEEDED
SCHEDULE “C” - RETAIL DEALERS IN GASOLINE INFORMATION RETURN
Gallons of
-Other-
Gallons of diesel
Kerosene
name fuel &
purchased to be
retained for
purchased to be
report no. of gallons
Gallons of gasoline
Dollar Value of
Dollar Value of
Dollar Value
retained for
to be retained for
Name & Address of Supplier
and aircraft fuel
diesel purchased
Kerosene
of other
High-
High-
High-
High-
High-
Non
purchased
purchased
purchased
way
way
way
way
way
Highway
Use
Use
Use
Use
Use
Use
SCHEDULE “D” - SCHEDULE OF WHOLESALE SALES. WHOLESALE SALES ARE SALES FOR RESALE - ATTACH COPIES OF
INVOICES WHEN CLAIMING DEDUCTION.
Customer’s Retail
Sales Account
Customer’s Name
Address
Total Amount Sold
To Each Customer
Number
$
SCHEDULE “E” - SCHEDULE OF SALES TO CITY OF MOBILE DIRECT PAY PERMIT HOLDERS - ATTACH COPIES OF
INVOICES WHEN CLAIMING DEDUCTION.
City of Mobile
Total Amount Sold
Direct Pay Permit
Name of Permit Holder
Address
To Each Customer
Number
$
SCHEDULE “F” - OTHER ALLOWABLE DEDUCTIONS - EXPLAIN FULLY AND QUALIFY WITH COPIES OF INVOICES WHEN
CLAIMING DEDUCTION.
$
3.
SUMMARY OF DEDUCTIONS
Col. A
Col. B
Col. C
Col. D
(a) Taxable credit sales made during current month not collected
(b) Total wholesale sales (SALES FOR RESALE) both cash and credit - use SCHEDULE “D”
(c) Sales of lubricating oils and grease
(d) Sales of gasoline (RETAILER COMPLETE SCHEDULE “C” - DISTRIBUTORS COMPLETE
SCHEDULE A-1)
(e) Sales of fertilizer, seeds for planting purposes, baby chicks and poults
(f) Sales of foodstuffs for animal consumption - not including dog and cat food
(g) Sales to U.S. Gov., State of Alabama. Counties and incorporated cities and towns of Alabama
(h) Sales to firms holding a city of Mobile Direct Pay Permit _ must complete SCHEDULE “E” .
(j) Sales of prescription drugs
(l) Credit allowed for vehicles taken as part payment on sales - trade-ins
(m) OTHER ALLOWABLE DEDUCTIONS - (EXPLAIN FULLY ON SCHEDULE “F”)
4. TOTALS OF DEDUCTIONS - total of each column and enter on front
$
$
$
$
DEDUCTIONS NOT DOCUMENTED WILL BE DISALLOWED - - AMOUNT OWED PLUS PENALTY WILL BE ASSESSED
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