Remittance Form - City Of Foley printable pdf download

Remittance Form - City Of Foley

Remittance Form

City of Foley

Public Facilities Cooperative District

Tanger Outlet Center Project User Fees

Business Name:

Address:

City, State Zip

Project User Account #:

ADOR Sales Tax Number #:

(For identifying purposes only)

Reporting Period:

(A)

Enter Gross Sales from Line A:

(B)

Project User Fee Amount (

multiply

(C)

line B by .50%)

After the 20th of the Month

(D)

(multiply line C by 10% for Late Fee)

(Add Line C and D)

TOTAL DUE:

TOTAL AMOUNT ENCLOSED:

Project User Fees are Due on or Before the 20th day of the month next succeeding the month in which such fees are

collected. After the 20th a 10% late fee will be assessed on the Project User Fee.

By signing this report I am certifying that this report, including and 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:

Print Name:

Phone#:

MAIL THIS REMITTANCE TO:

REVENUE DEPARTMENT INFORMATION:

Date Paid:

CITY OF FOLEY

Amount Paid:

P.O. BOX 1750

Initials:

FOLEY, AL 36536

Receipt #:

For questions regarding this form, please contact the Revenue Department at (251)943-1545.

Remittance Form - City Of Foley