Form 2004tx - City Of Pell City Tax Return Form Page 2

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INDICATE ANY CHANGES BELOW
Business Name: ___________________________________
Physical Address: ____________________________________
Mailing Address: __________________________________
City: ______________________ State: _____ Zip: _________
Phone Number: _______________ Fax Number: ___________________ Contact Person: ______________________________
E-mail Address: __________________________________________________________________________________________
The following information relates to the timely filing of your Sales Tax returns and to the accurate completion of the STANDARD DEDUCTION
.
SUMMARY TABLE
*NOTE:
If total amount of taxable sales does not exceed $5000 per month during the preceding calendar year, a quarterly return may be filed on or before the
th
20
day of the month next succeeding the end of the quarter for which tax is due. This election must be made in writing and filed with the department no later
th
February 20
of each year. If such election is not timely made, and in accordance with the provisions of Ordinance No. 2001-1591 returns shall be due monthly.
If the total amount of taxable sales for which a person is liable does not exceed $250 during the preceding calendar year, the taxpayer may elect to file a yearly
th
return. In order to file yearly, the election shall be made in writing and shall be filed with the department no later than February 20
of each year. Such yearly
th
returns shall be filed no later than January 20
of each year. If such election is made, and in accordance with the provisions of Ordinance No. 2001-1591, returns
shall be due yearly.
1.
OTHER ALLOWABLE DEDUCTIONS shall include the following: taxable credit sales made during month not collected; sales in interstate commerce; sales
of fertilizer and seeds for planting used for agricultural purposes only; chicks and poults; sales of feedstuffs for animal consumption – not including dog and
cat food; and sales of prescription drugs.
MOTOR FUEL WORKSHEET
SOLD TO
GALLONS
SOLD TO
GALLONS
TOTAL GALLONS
STANDARD DEDUCTION SUMMARY TABLE
(SUMMARY BELOW MUST BE COMPLETED TO CORRESPOND WITH TOTAL DEDUCTIONS ON FRONT OF TAX REPORT)
WHOLE-
TYPE OF TAX
AUTO
LABOR/NON
SALES DELIV
SALES TO GOVT
GAS OR
OTHER ALLOWABLE
TOTAL
SALE
SALES
TRADE-INS TAXABLE SERV OUTSIDE JURIS. OR ITS AGENCIES LUBE OILS
DEDUCTIONS (1)
DEDUCTIONS
A. SALES TAX
1.
2.
B. USE TAX
1.
2.
C. RENT/LEASE
D. LODGING TAX
TOTAL
DEDUCTIONS
INSTRUCTIONS & INFORMATION CONCERNING THE COMPLETION OF THIS REPORT
TH
TO AVOID THE APPLICATION OF PENALTY AND/OR INTEREST AMOUNTS, THIS REPORT MUST BE FILED ON OR BEFORE THE 20
OF THE
MONTH FOLLOWING THE PERIOD FOR WHICH THE REPORT IS SUBMITTED. CANCELLATION POSTMARK WILL DETERMINE TIMELY FILING.
A REMITTANCE FOR THE TOTAL AMOUNT DUE PAYABLE TO THE CITY OF PELL CITY MUST BE SUBMITTED WITH THIS REPORT.
THIS REPORT SHOULD BE SUBMITTED ON A MONTHLY BASIS UNLESS YOU HAVE REQUESTED AND BEEN APPROVED FOR A DIFFERENT
FILING FREQUENCY. *
ANY CREDIT FOR PRIOR OVERPAYMENT MUST BE APPROVED IN ADVANCE BY THE TAXING JURISDICTION.
(COMPUTER GENERATED, DUPLICATED OR REPLICATED FORMS ARE ACCEPTABLE AS REMITTANCE FORMS)
Form 2010TX-05/01/2010
Page2

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