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SALSALESCONSUMERES& USE TAX & USE TAX
MOMONTHLYUSE TAXTAXRETURNNTHLYRETURN TAX RETURN
MONTH COVERED BY THIS REPORTONTH COVERED BY THIS REPORTM MONTH COVERED BY THIS REPORT
OR R O OR
PERIOD COVERED BY THIS REPORTERIOD COVERED BY THIS REPORTP PERIOD COVERED BY THIS REPORT
www.cityofmobile.org/html/departments/revenuewww.cityofmobile.org/html/departments/revenuewww.cityofmobile.org/html/departments/revenuewww.cityofmobile.org/revenuewww.cityofmobile.org/revenue121214 From: F From: To:rom: To: To:
CITY OF MOBILE • DEPARTMENT 1519 • P.O. BOX 11407 • BIRMINGHAM, AL 35246-1519 • 251-208-7462CITY OF MOBILE • DEPARTMENT 1519 • P.O. BOX 11407 • BIRMINGHAM, AL 35246-1519 • 251-208-7462CITY OF MOBILE • P.O. BOX 2745 • MOBILE, AL 36652-2745 • PHONE (251) 208-7461ITY OF MOBILE • P.O. BOX 2745 • MOBILE, AL 36652-2745 • PHONE (251) 208-7461C CITY OF MOBILE • P.O. BOX 2745 • MOBILE, AL 36652-2745 • PHONE (251) 208-7461
FIGURES MAY BE ROUNDED TO NEAREST DOLLARIGURES MAY BE ROUNDED TO NEAREST DOLLARF FIGURES MAY BE ROUNDED TO NEAREST DOLLAR
IsIsIs thisthis aa finalfinal return return � � thisYYes Yes a final� �es NoNo.No..return IfI Ifyes,yes,attachattachexplanationexplanationandanddatedateclosedclosed_____/_____/_____f_____/_____/_____ yes, attach explanation and date closed _____/_____/_____
TAX DUE AT CITY RATE TAX DUE AT P/J RATEAX DUE AT CITY RATE TAX DUE AT P/J RATET TAX DUE AT CITY RATE TAX DUE AT P/J RATE
1. 1. 1. GGrossGrossReceipts/UseSales/Use TaxTaxross Sales/Use Tax Col.Col.ColCol.AAA---5%4% 4% Col.Col.Col.BB-2% B-2% - 2.25% Col.Col.Col.CC-2% C-2% - 2.5% Col.Col.Col.D-1%.D-1%D - 1.125%A - 4% Col. B-2% Col. C-2% Col. D-1%
(A) Total sales of new and used vehicles, semi-trailers(A) Gross sales of new and used vehicles, semi-trailers(A) Gross sales of new and used vehicles, semi-trailers
andandandtrucktrucktrucktrailerstrailers.trailers.delivered into Mobile, AL.
(B)(B)(B)TotalGrossGrosssalessalessalesofofofmachinesmachinesmachinesandandandreplacementreplacementreplacementpartspartspartsusedduseused
inininmanufacturingmanufacturingmanufacturingprocessprocess.process.delivered into Mobile, AL.
(C)(C)(C)TotalGrossGrosssalessalessalesfromfromfromplacesplacesplacesofofofamusement.t.amusemenamusement.
(D) Fair market value of properly purchased at wholesale(D) Fair market value of properly purchased at wholesale(D) Fair market value of properly purchased at wholesale
withdrawn for use or otherwise disposed of.withdrawn for use or otherwise disposed of.withdrawn for use or otherwise disposed of.
(E) Retail selling price of property used within the City or(E) Retail selling price of property used within the City or(E) Retail selling price of property used within the City or
PJ on which Mobile tax has not been paid.PJ on which Mobile tax has not been paid.PJ on which Mobile tax has not been paid.
(F) Total sales of liquid fuel, gaseous fuel and/or any other(F) Gross sales of liquid fuel, gaseous fuel and/or any other(F) Gross sales of liquid fuel, gaseous fuel and/or any other
fuel for use both on and off highways.fuel for use both on and off highways.fuel for use both on and off highways.
(G) Total sales of beer, liquor, wine and/or other alcoholic(G) Gross sales of beer, liquor, wine and/or other alcoholic(G) Gross sales of beer, liquor, wine and/or other alcoholic
beverages.beverages.beverages.
(H)(H)TotalGrosssalessalesoffromallbusinessall businessdeliverednot includedinto Mobile,aboveAL
(H) Gross sales from not included above.all business not included above. .
(I) Collections made during month on credit sales(I) Collections made during month on credit sales(I) Collections made during month on credit sales
heretofore claimed as deductions on sale of receivables.heretofore claimed as deductions on sale of receivables.heretofore claimed as deductions on sale of receivables.
2. TOTAL2. TOTAL OF EACH COLUMN2. TOTAL OF EACH COLUMNOF EACH COLUMN
(Lines A,B,C,D,E,F,G,H & I above)(Lines A,B,C,D,E,F,G,H & I above)(Lines A,B,C,D,E,F,G,H & I above)
LESS: TOTAL DEDUCTIONS-LINE 4 ON REVERSE SIDELESS: TOTAL DEDUCTIONS-LINE 4 ON REVERSE SIDELESS: TOTAL DEDUCTIONS-LINE 4 ON REVERSE SIDE
5. TOTAL OF AMOUNTS REMAINING AS MEASURE OF5. TOTAL OF AMOUNTS REMAINING AS MEASURE OF5. TOTAL OF AMOUNTS REMAINING AS MEASURE OF
TATATAX each column, line 2 minus line 4 from Reverse SideX each column, line 2 minus line 4 from Reverse SideX each column, line 2 minus line 4 from Reverse Side
6. 6. 6. AMOUNT OF TAAMOUNT OF TAAMOUNT OF TAX Each column (Line 5 x Applicable rateX Each column (Line 5 x Applicable rateX Each column (Line 5 x Applicable rate
shown at top of column).shown at top of column).shown at top of column).
7. Number of new vehicles withdrawn7. Number of new vehicles withdrawn7. Number of new vehicles withdrawn
____________ x $5.00 (Col.B) CITY____________ x $5.00 (Col.B) CITY____________ x $5.00 (Col.B) CITY
____________ x $2.50 (Col.D) PJ____________ x $2.50 (Col.D) PJ____________ x $2.50 (Col.D) PJ
8. AMOUNT OF TAX - Each Col.8. AMOUNT OF TAX - Each Col.8. AMOUNT OF TAX - Each Col.
9. Add ______________% Penalty - (SEE BELOW*)9. Add ______________% Penalty - (SEE BELOW*)9. Add ______________% Penalty - (SEE BELOW*)
10. TOTAL EACH COL.10. TOTAL EACH COL.10. TOTAL EACH COL. $ $ $ $ $ $ $ $ $ $$ $
TOTAL PAYMENT ENCLOSEOTAL PAYMENT ENCLOSET TOTAL PAYMENT ENCLOSED WWD D WITH THIS REPORTTH THIS REPORTI ITH THIS REPORT
$ $ $
IF BUSINESS NAME IS IMPRINTED,THIS RETURN MAY BE USED ONLY BYTHE BUSINESS NAMED.F BUSINESS NAME IS IMPRINTED,THIS RETURN MAY BE USED ONLY BYTHE BUSINESS NAMED.I IF BUSINESS NAME IS IMPRINTED,THIS RETURN MAY BE USED ONLY BYTHE BUSINESS NAMED.
*PENALT*PENALTY*PENALT Y YOF OF OF 5% 5% 5% PER PER PER MONTHMONTHMONTH
WHENWHENWHEN PAIDPAIDPAID AFTERAFTERAFTER 20TH20TH20TH OFOFOF
Account Number: - MONTH FOLLOWING THE PERIODMONTH FOLLOWING THE PERIODMONTH FOLLOWING THE PERIOD
COVERED.COVERED.COVERED.
This T This report,report,including including accompanying accompanying schedules schedulesorhis report, including accompanying schedules or or
statements, has been examined by me and is to thetatements, has been examined by me and is to thes statements, has been examined by me and is to the
best of my knowledge and belief, a true and est of my knowledge and belief, a true and b best of my knowledge and belief, a true and
com
________________________________ ________________ __________________________________________ __________________________________________ ______________________________________________________________ __________________________________________ complete complete report report made made in in good good _______________________________faith faith for for the the periodperiodplete report made in good faith for the period
Date D Date ate Signature Signature Sig TitleTitlenature Titlesstated.tated.stated.
REV. 5/11/2010REV. 9/3/2008REV. 9/3/2008
