Monthly Remittance Of Meals Tax - County Of Spotsylvania, Virginia
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1MONTHLY REMITTANCE OF MEALS TAX
DEBORAH F WILLIAMS
Account # ____________
COMMISSIONER OF THE REVENUE
PO BOX 175
SPOTSYLVANIA, VA 22553
540-582-7150
Owner’s Mailing Address
Business Address (No P O Boxes )
_______________________________________________
_______________________________________________
Owner’s Name
Trade Name
_______________________________________________
______________________________________________
Address
Address
_______________________________________________
_______________________________________________
City
State
Zip
City
State
Zip
_____ -_____-______
( ____) ____________________
___-_______________ ( ____) ____________________
SSN #
Phone #
Federal Id #
Phone #
!
SECTION A – CALCULATING TAXABLE GROSS
1. Total Gross Receipts for the Month of _________________, 20 ____ . . . . . . . . . . . . . . . . . . . . . . . . .
$ _____________________
2. Less Allowable Deductions (Attach List of Items) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
<$ _____________________>
3. Taxable Gross (Subtract Line 2 form Line ). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
$ _____________________
!
SECTION B – CALCULATING 4% TAX
4. 4% Tax Of Gross From Line 3 (If Late, Omit Section C & skip to Section D) . . . . . . . . . . . . . . . . . .
$ ____________________
!
SECTION C – DISCOUNT (If Late, Omit Section C and skip to Section D)
< $ ______________________>
5. Less 3% Sellers Discount of Line 4 (Only when paid on time) . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6. Total Tax Less Sellers Discount (Subtract Line 5 from Line 4) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
$ _____________________
!
SECTION D – PENALTY & INTEREST
7. PENALTY FOR LATE PAYMENT ON TAX DUE FROM LINE 4
1 to 30 days late – 10% (Minimum $2.00)
31 to 60 days late – 20%
Over 60 days – 25% maximum . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
$ ______________________
*Interest will accrue at a rate of 10% per annum.
!
SECTION E- TOTAL TAX DUE
_______________________
$
8. TOTAL TAX & PENALTY (Remember to include penalty from Line 7 if late) . . . . . . . . . . . . . . . . . .
___________________________________________________________________________________________________________
DECLARATION OF SELLER:
I hereby swear or affirm that the amounts listed above are true, correct and complete to the best of my knowledge and belief
for the period stated above.
Date ___________________
Signed by ________________________________________________________
Phone No________________
Title _____________________________________________________________
th
Instructions: The remittance is due on or before the 20
day of the month following the month being reported. Please return the
white and canary copies to the Commissioners Office with payment and retain the pink copy for your records.
Make check payable to: Treasurer, Spotsylvania County.
Mail to: Deborah F Williams, Commissioner of Revenue, PO Box 175, Spotsylvania, VA 22553
___________________________________________________________________________________________________________
FOR OFFICIAL USE ONLY
BPOL ACCT #
________________
CUSTOMER MAILING NO. ________________
DATE
____ /____/_____
CUSTOMER BUSINESS NO. ________________
REVIEWED _______________
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