Tuscaloosa County Use Tax Return
P.O. Box 20738
Tuscaloosa, AL 35402-0738
(205) 349-3870 Ext 226 Fax (205) 349-1924
Account #
Name
Month or Quarter
Address
Year
City
Phone
State
Zip
(
)Check here if this is a final return.
Out of Business
**Must use this original form.**
(A)
Type of Tax/Tax Area
Purchases
Date
(B)
(C)
Total Deductions
Net Taxable
(D )
Tax Rate
General Merchandise
Within the
City Limits
0.03
Police Jurisdiction
0.04
County
0.05
Within the
Within the
Automotive
Within the
City Limits
0.0075
Police Jurisdiction
0.01125
Within the
County
0.015
Machine
Within the
City Limits
0.01125
Within the
Police Jurisdiction
0.015
Within the
County
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.
(1) Total Tax
0.01875
(Total of Column E)
(2) Penalty
(Item 1 x 10%) *see back for explanation
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.
(4) Net Tax Due
(5) Credits or Debits
Date
Total Amount Due & Enclosed
Title
(3) Interest
(Item 1 x 1% per month delinquent)
Signature ___________________________________
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Total Tax
(Column C x Column D)
(Column A - Column B)
Within the
(E)
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