Tuscaloosa County Use Tax Return
P.O. Box 20738
Tuscaloosa, AL 35402-0738
(205) 349-3870 Ext 226,443,457,468,225,227
Business Name_____________________________
Month or Quarter ______________
Address__________________________________
Year_________________________
Phone__________________
City_______________________
State_____________________
(
)Check here if this is a final return.
Zip_______________________
Closing Date__________________
Account Number__________________________
**Must use this original form.**
(A)
(B)
(C)
(D )
(E)
Type of Tax/Tax Area
Gross Sales
Total Deductions
Net Taxable
Tax Rate
Total Tax
(Column A - Column B)
(Column C x Column D)
Coal Mining
Machinery
purchases made/delivered
Within the
City Limits
0.00375
Within the
Police Jurisdiction
0.005625
Within the
County
0.0075
(1) Total Tax
(Total of Column E)
(2) Penalty
(Item 1 x 10%) *see back for explanation
(3) Interest
(Item 1 x 1/2% per month delinquent)
(4) Total Tax Due
(5) Credits or Debits
Total Amount Due & Enclosed
This return must be postmarked by the 20th day of the month
following the reporting period for 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__________________ Title _________________
Signature ___________________________________