City Of Orange Beach Tax Return Form - 2016

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CITY OF ORANGE BEACH
RETURN DUE ON OR BEFORE
TH
THE 20
OF EACH MONTH
Batch __________________
P.O. Box 1159  Orange Beach, AL 36561
251-981-6096  Fax 251-981-2551
Check __________________
City Account No ____________________
(REQUIRED - 5 Digits)
Amount _________________
TAX RETURN
Reporting Period ____________________
(REQUIRED)
Check here for address change
BUSINESS NAME
Check here if this is a FINAL tax return
ADDRESS
Total Amount Remitted
$
Make check payable to: CITY OF ORANGE BEACH
Type of Tax
Tax
(A)
(B)
(C)
(D)
(E)
(F)
Rate
Gross Receipts
Total
Net Taxable
Tax Due
Plus (+) Penalty
Amount Due
%
Deduction
& Interest
(see back)
Sale -General
3.0
Sale -General P.J.
1.5
Sale -Automotive
.50
Sale -Automotive P.J.
.25
Sale -Machine/Agriculture
1.0
Sale -Mach/Agriculture P.J.
.50
Lodging
5.0
Lodging P.J.
2.5
Use -General
3.0
Use -General P.J.
1.5
Use -Automotive
.50
Use -Automotive P.J.
.25
Use -Machine/Agriculture
1.0
Use -Mach/Agriculture P.J.
.50
Lease -General
3.0
Lease -General P.J.
1.5
Lease -Auto/Linens/etc
1.0
Lease -Auto/Linens/etc P.J.
.05
Auto Vehicles Withdrawn
No. ___________ x $5.00
(* P.J. – Police Jurisdiction)
th
This return must be postmarked by the 20
day of the month following the
Total Amount Due
__________
reporting period for which you are filing to be considered a timely return.
Overpayment Credit
__________
Net amount due
__________
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.
Signature & Title _____________________________________________________________________ Date __________
02/01/2016

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