Sales, Lease, Rental And Use Tax Report Form - City Of Graysville, Alabama
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1
2Efiectlve
01/01/02
tr
Monthly
ACCOUNT
NO.
CITY OF GRAYSVILLE, ALABAMA
SALES, LEASE,
RENTAL
AND
USE
TAX REPORT
(This return
only tol the
business shown below)
MAIL
THIS
RETURN
WITH
REMITTANCE TO:
CITY OF
GRAYSVILLE
DEPARTMENT
OF
REVENUE
POST
OFFICE
BOX
130
GRAYSVILLE,
AL
35073
(205) 674-5643
(205) 674-5646
Fax
REPORTING PERIOD
tr
Check
here
if
this
is
a
final tax
return.
TOTAL
AMOUNT
ENCLOSED
$
Type
olTax/,TaxArea
Sales
Tax
Use
Tax
Amusement
Lease/Rental-General
Lease/Rental-Auto
Farm
Machinerv
&
Automotive Sales
This
return must be
postmarked
by
the 20th
day
ol the
month following the
reporting period
lor
which
you
are filing
to
be considered a
timely
return.
By signing
this report
I
am
certifying
that
this report,
including any accompanying schedules
or statements, has been examined
by
me
and
is
to the
best
of
my knowledge
and
belief, a
true
and
complete
report for
the period
stated.
Date
(1) TOTAL
TAX,
DUE
1
X
1/2
% osr
rnbilh
(4)i DISCOUNTT
{r
$rbmitted
prior !o
filinsdeadtlne}
,
Less
Discount
ot
|
1/211"
Itom
Tolal Tax
Fua
(5)
htFT
TAX DUE
t
-
ltem 4: if
delinnuenl
ttem$
1
TOTAL
AIi{OIJNT DUE
&
ENCLOSED
Signature
Title
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