Sellers Use Tax Report - City Of Hoover Page 2

INSTRUCTIONS AND INFORMATION CONCERNING THE COMPLETION OF THIS REPORT

• To avoid the application of penalty and/or interest amounts, this report must be filed on or before

the 20th 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 made payable to City of Hoover 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 City of Hoover.

• No duplicate or replicated forms acceptable except with prior approval of the City of Hoover.

• Seller must file timely returns, even though no taxes due.

Indicate Any Account Changes Below:

Business

Name:

PhysicatAddress:

MailingAddress:

City

Ownershlp

Fed 1.0.#

Phone

FAX

Contact Person

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Parent category: Financial