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CITY OF TUSCUMBIA
ACCOUNTING DEPARTMENT
P. O. BOX 29
TUSCUMBIA, AL 35674
Phone: (256) 383-5463 Ext 3
Monthly Liquor Gross Receipts Tax Report
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Reporting Month |
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Company’s Name |
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Address |
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Phone
No. |
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Total Food Sales (if
restaurant) |
$ |
|
Total Gross Liquor Sales |
$ |
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Total Tax Due on Liquor
Sales - City Limits (Line 2 x .05) |
$ |
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Total Tax Due on Liquor
Sales - Police Jurisdiction (Line 2 X .0250) |
$ |
|
Late Penalty If Paid
After the Fifteenth Day (Line 3 or 4 x .15) |
$ |
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Total
Amount Due: |
$ |
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THE
INFORMATION FURNISHED HEREIN SHALL BE CONSIDERED
CONFIDENTIAL, AND SHALL NOT BE DEVULGED TO ANYONE OTHER THAN
THE CITY COUNCIL, CITY ATTORNEY, CITY CLERK, CITY ACCOUNTANT
AND LICENSE INSPECTOR. |
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I
certify that the information has been examined by me and is
true and correct. |
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Owner
or Manager
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Date
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