PO Box 830725 
   Birmingham, AL 35283-0725                                                                                                                                                                    
                                                                                                                                                                                            
                     City & County                                                                 Free Voluntary Online Filing and Payment Available at  
        Sales/Use/Rental/Lodging                                                                                                                               www.salestaxonline.com         
                   Tax Return                                                                              For more information, visit www.avenuinsights.com                                 
                                                                                                                                          Toll Free Phone: (800) 556-7274 
                                                                                                                Form ______ of ______. (Enter the number of forms submitted with this       
                                                                                                                month’s remittance.) Enter your check amount here.  Sum the total from 
                                                                                                                all forms submitted. STAPLE forms together. 
                                                                                                                MAKE CHECK PAYABLE TO: Tax Trust Account 
                                                                                                                $__________________________________________   
                                                                                                                Remit To: Sales Tax Division, PO Box 830725, Birmingham, AL  
                                                                                                                35283-0725   
                                                                                                                Mail by the 15 , Delinquent after the 20thth                   
                                                                                                                Please do not staple checks to form                  .                      
                                                                                                                                                                                           . 
STEP 1 – Update your account information. 
             Telephone #: ________________________ FEIN or SS#: ____________________ Contact Name: _______________________________                                                
STEP 2 - Please Mark the Period you are Filing on This Return 
Filing for Month of:      Jan                    Feb   Mar                      Apr    May         June   July   Aug   Sept                      Oct            Nov   Dec    Year:  20____ 
STEP 3- Please Mark the Type Tax Being Filed (Mark ONLY ONE) If you need to file more than one tax type, please file on a separate RDS form.   
                  Sales Tax     Sellers Use Tax (No discount)                           Consumer Use Tax (No discount)                          Rental (No discount)       Lodging 
STEP 4- Please Mark the Rate Being Filed (Mark ONLY ONE) If you need to file more than one rate type, please file on a separate RDS form.                  
                 General Rate     Automotive Rate                                   Mfg. Machine Rate    Agricultural Rate              Amusement Rate               Vending     PJ 
 
STEP 5 – File Your Taxes - Cities and Counties    
                 
                     Code-City-Rate                                            Net Taxable Amount  Rate         Gross Tax Due                   Disc. OR Penalty          Net Tax Due 
(Rates listed are for general sales tax only, unless otherwise specified. See 
                     rate sheet for all rates.) 
                                                                                                                                                                                              
9130 Adamsville 4%  
                                                                                                                                                                                              
9309 Addison 3%  
                                                                                                                                                                                              
9397 Albertville 5% 
                                                                                                                                                                                              
9301 Aliceville 1% 
                                                                                                                                                                                              
9380 Altoona 3% (Rates valid through May 31, 2022) 
9380 Altoona 5% (Effective June 1, 2022, with taxes due on                                                                                                                                    
or before July 20th) 
9448 Arab 5%                                                                                                                                                                                  
                                                                                                                                                                                              
9634 Ardmore 3%                                                                                                                                                                   
9602 Ariton 2%                                                                                                                                                                                
9642 Arley 2%                                                                                                                                                                                 
9325 Ashville 4%                                                                                                                                                                              
9664 Athens 3%                                                                                                                                                                                
9386 Atmore 4% Sales/ 3% Use                                                                                                                                                                  
9406 Attalla 5%                                                                                                                                                                               
9679 Autaugaville 4% Sales / 3% Use                                                                                                                                                           
9752 Bakerhill 2%                                                                                                                                                                             
9439 Bayou La Batre 4.5%                                                                                                                                                                      
9643 Bear Creek 3%                                                                                                                                                                            
9110 Beatrice   1.5%                                                                                                                                                                          
                                                                                                                                                                                              
9756 Beaverton 2% 
9711 Belk 1%                                                                                                                                                                                  
9336 Bessemer 4%                                                                                                                                                                              

                                                                                      05/24/2023 

9137 Birmingham 4%                                                             
Please note, the City of Birmingham allows ¾ of 1%                             
discount for prompt payment of Sales and Use Tax 
ONLY(Discount not to exceed $400)  Rental and Lodging 
do not allow a discount. 
9636 Blountsville 2%                                                           
9384 Boaz 5%                                                                   
9707 Boligee 1%                                                                
9657 Brantley 2.5%                                                             
9685 Brent 1% (Rates valid through December 31, 2022)                          
                                                                               
or before February 20 )
9685 Brent 2% (Effective January 1, 2023 with taxes due on th  
9306 Brewton 4%                                                                
9411 Bridgeport 3%                                                             
9474 Brighton 4%                                                               
9147 Brilliant 3%                                                              
9697 Brookwood 3%                                                              
9708 Brookside 4% (New admin effective February 1  2023 st                     
with taxes due on or before March 20 )th  
9417 Butler 3%                                                                 
9482 Camden 2.5%                                                               
9302 Camp Hill 3.5%                                                            
9674 Castleberry 3%                                                            
9630 Cedar Bluff 2.5%                                                          
9772 Center Point 4%                                                           
9626 Centre 2.5%                                                               
9681 Centreville 2% Sales/Use                                                  
9190 Cherokee Ridge 5%                                                         
9437 Chickasaw 4.5%                                                            
9327 Citronelle 4.5%                                                           
9416 Clanton 3%                                                                
9767 Clay 4%                                                                   
9614 Clayhatchee 2%                                                            
9615 Clayton 4% (New admin February 1, 2022 taxes due on                       
or before March 21st)                
See rate sheet for additional rates 
9496 Cleveland 2%                                                              
9443 Clio   4%                                                                 
9113 Coffeeville 5% Sales / 3% Use                                             
9459 Columbia 3%                                                               
9368 Columbiana 4% Sales / 3% Use                                              
9698 Coosada 3.5%                                                              
9164 Cordova 3%                                                                
9422 Cottonwood 3%                                                             
9635 Courtland 3%                                                              
9730 Cowarts 2 %                                                               
9737 Creola 4%                                                                 
9669 Crossville 3% (Rates valid through December 31,                           
2022) 
                                                                               
due on or before February 20 )
9669 Crossville 4% (Effective January 1, 2023 with taxes th  
9712 Cuba 3%                                                                   
9713 Cusseta 1%                                                                
9721 Dauphin Island 4.5%                                                       
9683 Demopolis 3%                                                              
9757 Detroit 2%                                                                
                                                                05/24/2023 

9346 Dora 3%                                                                         
9653 Dothan 4%                                                                       
9200 Double Springs 4%                                                               
9646 Douglas 3% Sales / 2% Use                                                       
9385 Elba 4%                                                                         
9116 Elmore; TOWN of 3%                                                              
9304 Eufaula 4%                                                                      
9362 Eutaw 3%                                                                        
                                                                                     
before May 20 ) See rate sheet for additional details
9104 Eva 2% th (New Admin April 1, 2023 with taxes due on or  
9633 Excel   2% (Rates valid through December 31, 2022)                              
                                                                 
on or before February 20 )
9633 Excel   2.5% th (Effective January 1, 2023 with taxes due  
9018 Fairfield 4%                                                                    
                                                                                     
on or before May 20 ) See rate sheet for additional details
9611 Falkville 4% th  (New Admin April 1, 2023 with taxes due  
9488 Fayette (city) 3.5%                                                             
9771 Five Points   3% (Rates valid through January 31,                               
2023)   
                                                                                     
taxes due on or before March 20 )
9771 Five Points   5%     (Effective February 1, 2023 with th  
9723 Flomaton 5%                                                                     
9624 Florala 3.5%                                                                    
9455 Florence 4.5%                                                                   
9601 Forkland 2%                                                                    
9667 Franklin 3%                                                                    
9394 Frisco City 1.5%                                                               
9174 Fruithurst 3%                                                                   
9704 Fulton, TOWN OF  3%                                                             
9418 Fultondale   4%                                                                 
9441 Fyffe 4%                                                                        
9696 Gadsden 5%                                                                     
                                                                                     
9777 Gainesville   2% 
9741 Gantt   2%                                                                      
9360 Gardendale    4%                                                                
9699 Geiger 2%                                                                       
9318 Geraldine 4%                                                                    
9165 Glen Allen 1%                                                                   
9377 Goodwater 3%                                                                    
See rate sheet for additional rates. 
9613 Gordon 4%                                                                       
9740 Gordonville 2%                                                                  
9476 Goshen 2%                                                                       
9133 Graysville 4%                                                                   
9673 Grove Hill 5%                                                                   
9344 Guntersville 5%                                                                 
9480 Gurley 3.5%                                                                     
9349 Hackleburg 2%                                                                   
9359 Hamilton    3%                                                                  
No Discount on Lodging 
                                                                                     
9600 Hammondville 3%  
9658 Hayden 2%                                                                       
9409 Hayneville 2.5%                                                                 

                                                                  05/24/2023 

9120 Heath 2%                                                                     
9316 Heflin 3%                                                                    
9316 Heflin 3% (205 Improvement District only)                                    
                                   Internal Code 09-11 
9720 Hillsboro 2%                                                                 
9612 Hodges 2%                                                                    
9465 Hollywood 3%                                                                 
9451 Hurtsboro 4%                                                                 
9340 Jackson (city) 4%                                                            
(Rates valid through March 31, 2022) 
9340 Jackson (city) 5%                                                            
(Effective April 1, 2022 with taxes due on or before May 20th) 
See rate sheet for additional rates 
9682 Jackson’s Gap 3%                                                             
9332 Kennedy 3%                                                                   
                                                                 
9644 Kimberly 4  %                                                                
9647 Kinsey 4%                                                                    
9366 Kinston 4%                                                                   
9754 Lake View 2%                                                                 
9616 Lanett 5%                                                                    
See rate sheet for additional rates 
9401 Leeds 4% (New admin July 1, 2022 taxes due on or                             
before August 22nd)                
See rate sheet for additional rates 
9725 Leesburg 1.5%                                                                
9468 Lexington 3%                                                                 
9352 Lineville 3%                                                                 
9464 Lipscomb 4%                                                                  
9648 Lisman 3%                                                                    
9355 Littleville 4.5%                                                             
9415 Livingston 3%                                                                
9330 Loxley 2%                                                                    
9651 Luverne 2.5%                                                                 
9125 Lynn 2%                                                                      
9176 Madrid 4% (New admin April 1, 2023 taxes due on or                           
before May 20th)                
See rate sheet for additional rates 
9802 Magnolia Springs 3%                                                         
9609 Maplesville 3%                                                              
9381 Marion (city) 3%                                                            
9462 McIntosh 5%                                                                  
9655 Mentone 4% Sales/Use                                                        
9375 Midfield     4%                                                             
9499 Midland City 3%                                                             
9126 Midway 3%                                                                    
9100 Millport 3%                                                                  
9367 Millry 5%                                                                    
9423 Monroeville 2.5%                                                             
9373 Morris 4%                                                                    
9677 Mosses 2%                                                                    
9414 Moulton 2%                                                                   
9461 Moundville 3  %                                                              
9495 Mt. Vernon 4%                                                                
9107 Mulga 3%                                                                     
9493 Napier Field    3%                                                           

                                                                05/24/2023 

9445 New Brockton 4%                                                                  
9700 New Hope 3.5%                                                                     
9472 Newville   2%                                                                     
9678 North Courtland 2%                                                                
                                                                     
9652 Oakman  4%                                                                        
9408 Oneonta 3%                                                                        
9663 Opelika 4%                                                                        
See rate sheet for additional rates 
9628 Opp 3.5% Sales/ 2.5% Use                                                          
9775 Orrville 3.5%                                                                     
9339 Ozark 4%                                                                          
9429 Parrish 4%                                                                        
9469 Pennington 3%                                                                     
9334 Phil Campbell 3%                                                                  
9490 Pinckard 4%                                                                       
9391 Powell 3%                                                                         
                                                                                       
on or before May 20 ) See rate sheet for additional details
9716 Priceville 2% th   (New Admin April 1, 2023 with taxes due  
9389 Rainsville 4%                                                                     
See rate sheet for additional rates 
9661 Red Level 2.5%                                                                    
9345 Reform 2%                                                                         
9745 Rehobeth 3% (Rates valid through April 30, 2022)                                  
9745 Rehobeth 4% (Effective May 1st, 2022 with taxes due                               
on or before June 20th) 
9659 Repton 4%                                                                         
9739 River Falls 2%                                                                    
9727 Riverside 4%                                                                      
9319 Roanoke 3.5%                                                                      
9747 Rutledge 2% Sales/ 1% Use                                                         
See rate sheet for additional rates 
                                                                                       
9317 Samson 3% 
9769 Sanford 2%                                                                        
See rate sheet for additional rates 
9738 Sand Rock 2%                                                                      
9758 Saraland 4.5%                                                                     
9719 Sardis City 4% Sales/ 3% Use (Rates valid                                         
through January 31, 2023) 
                                                                                       
due on or before March 20 )
9719 Sardis City 5% th (Effective February 1, 2023 with taxes  
9139 Satsuma 4.5%                                                                      
9410 Scottsboro 3%                                                                     
9619 Section 3%                                                                        
9608 Semmes 4%                                                                         
9320 Selma 4.5%                                                                        
9189 Shiloh 3%                                                                         
9702 Shorter 5%                                                                        
9427 Silas 2%                                                                          
9670 Silverhill 2 %                                                                    
9140 Skyline 2%                                                                        
9763 Smiths Station 1%                                                                 
9606 Snead 2% (New admin December 1, 2022 taxes due on                                 
or before January 20th)                
See rate sheet for additional rates 
9046 Southside 5%                                                                      
9047 Spanish Fort 1.5%                                                                 

                                                                    05/24/2023 

9047 Spanish Fort   2.5% (Eastern Shore Centre only)                                                                               
                                                        Internal Code 07-11 
9047 Spanish Fort 3.95% (Spanish Fort Town Center only.)                                                                           
                                                                   Internal Code 08-11 
9714 Springville   4%                                                                                                              
9478 St Florian 3%                                                                                                                 
9639 Steele 2%                                                                                                                     
9447 Stevenson 3%                                                                                                                  
9392 Sulligent 3.5% Sales / 3% Use                                                                                                 
9412 Sumiton 4%                                                                                                                    
9691 Susan Moore 2% (New admin March 1, 2023 taxes                                                                                 
due on or before April 20th)                
See rate sheet for additional rates 
9467 Sweet Water 3%                                                                                                                
9718 Sylvan Springs 4%                                                                                                             
                                                                                        
9487 Sylvania 4%                                                                                                                   
9363 Tallassee (Tallapoosa Co) 4%                                                                                                  
9364 Tallassee (Elmore Co) 5%                                                                                                      
9625 Tarrant 4%                                                                                                                    
9736 Taylor 4%                                                                                                                     
9660 Thomaston 3%                                                                                                                  
See rate sheet for additional rates. 
9405 Thomasville 5% Sales/Use                                                                                                      
The City of Thomasville levies an additional 1% license or                                                                         
privilege tax on gross income of sales (at retail) of food, 
refreshments or beverages (Including Beer, Wine and Alcohol) 
                   sold for consumption. 
See Avenu Website ( www.avenuinsights.com ) for forms 
9640 Thorsby 3%                                                                                                                   
9622 Town Creek 2% Sales / 1% Use                                                                                                 
See rate sheet for additional Rates 
9372 Toxey 2%                                                                                                                     
9348 Trafford 3% Sales / 3% Use                                                                                                  
See rate sheet for additional rates 
                                                                                                                                  
or before May 20 ) See rate sheet for additional details
9153 Trinity 4% th (New Admin April 1, 2023 with taxes due on  
9335 Tuskegee 5%                                                                                                                  
9801 Union   1%                                                                                                                   
9456 Union Grove 1% Sales                                                                                                          
                                                                                        
9450 Union Springs 3.5%                                                                                                            
9347 Uniontown 3%                                                                                                                  
9665 Valley 5%                                                                                                                     
See rate sheet for additional rates 
9357 Valley Head 4% (New admin July 1, 2022 taxes due                                                                              
on or before August 22nd)                
See rate sheet for additional rates 
9331 Vernon 3%                                                                                                                    
See rate sheet for additional rates 
9333 Vestavia Hills 4%                                                                                                            
9484 Vina 2%                                                                                                                       
9378 Vincent 4%                                                                                                                    
See rate sheet for additional rates 
9337 Warrior 4%                                                                                                                    
See rate sheet for additional rates 
9470 Waterloo 2.5%                                                                                                                 
9710 Webb 3%                                                                                                                       
9374 Wedowee 3.5%                                                                                                                  
9693 West Blocton 2%                                                                                                               
                                                                                                                                 
9144 West Jefferson 4% 

9765 Westover 4% (Rates valid through March 31, 2023)                                                                              

                                                                                         05/24/2023 

9765 Westover 5% th  (Effective April 1, 2023 with taxes due on                                     
or before March 20 )
                                                                                                    
9684 White Hall 2%                                                                                                                                         
9370 Wilsonville 3%                                                                                                                                        
                                                                                                                                                           
9690 Woodland 3%                                                              
                                                                                 
9108 Woodstock 2%                                                             
9751 Woodville 3% (New admin May 1, 2022 taxes due on 
or before June 20th)                                                                                                                                       
See rate sheet for additional rates 
9732 Yellow Bluff 1.5%                                                                                                                        
                                                                                                                                               
                    Code-County-Rate 
(Rates listed are for general sales tax only, unless                           Net Taxable Amount   Rate   Gross Tax Due   Disc. OR Penalty   Net Tax Due 
otherwise specified.  See rate sheet for all rates.) 

7001 Autauga   2%                                                                                                                                          
7003 Barbour 1.5%                                                                                                                              
7004 Bibb 4% Sales / 3%Use                                                                                                                                 
7005 Blount 3%                                                                                                                                
7006 Bullock 2.5%                                                                                                                                          
7007 Butler 1.5%                                                                                                                                           
7008 Calhoun 3%                                                                                                                                            
In PJ of Oxford, Blue Mountain, Southside & Unincorporated Areas of County 
7108 Calhoun 3%                                                                                                                                            
In PJ of Weaver, Hobson City & Glencoe 
7208 Calhoun 3%                                                                                                                                
In PJ of Anniston, Jacksonville & Piedmont 
7308 Calhoun 3%                                                                                                                                            
In PJ of Ohatchee 
7408 Calhoun 1%                                                                                                                                            
In City Limits of Oxford, Anniston, Blue Mountain, Ohatchee, Jacksonville, 
Piedmont, Weaver, Hobson City & Glencoe 
7508 Calhoun (Lodging Only) 1%                                                                                                                             
                                                                              
7009 Chambers 1%                                                                                                                                           
(City limits of Cusseta, Lanett, Valley, Lafayette, Waverly and Five Points)  
7109 Chambers 5%     (Outside CL of Lanett, Valley, Lafayette,                                                                                             
Waverly, and Five Points; Outside PJ of Lanett, Lafayette, Waverly, and Five  
Points) (Rates valid through September 30, 2022) 
                                                                              
7109 Chambers 6%     (Outside CL of Lanett, Valley, Lafayette,                                                                                             
Waverly, and Five Points; Outside PJ of Lanett, Lafayette, Waverly, and Five 
Points) (Effective October 1st, 2022, with taxes due on or before November 
20th) 
7209 Chambers 3%     (PJ of Lanett) (Rates valid through September                                                                                         
30, 2022)                                                                     
                                                                                                                                                           
7209 Chambers 3.5%   (PJ of Lanett) (Effective October 1st, 2022, 
with  taxes due on or before November 20th) 
                                                                                                                                                           
7309 Chambers 3% (PJ of Valley) (Rates valid through September 
30, 2022) 
7309 Chambers 3.5% (PJ of Valley) (Effective October 1st, 2022,                                                                                            
with  taxes due on or before November 20th) 
7409 Chambers 3%  (PJ of Lafayette) (Rates valid through September                                                                                         
30, 2022) 
7409 Chambers 3.5%   (PJ of Lafayette) (Effective October 1st, 2022,                                                                                       
with  taxes due on or before November 20th) 
7509 Chambers 1.75% (PJ of Five Points) (Rates valid through                                                                                               
September 30, 2022) 
7509 Chambers 2.5% (PJ of Five Points) (Effective October 1st,                                                                                             
2022, with  taxes due on or before November 20th) 
7609 Chambers 1.5%    (PJ of Waverly) (Rates valid through                                                                                                 
September 30, 2022) 
7609 Chambers 2%     (PJ of Waverly) (Effective October 1st, 2022,                                                                                         
with  taxes due on or before November 20th) 
7809 Chambers 3.5%    (PJ of Wadley) (Rates valid through                                                                                                  
September 30, 2022) 
7809 Chambers 2.5%    (PJ of Wadley) (Effective October 1st,                                                                                               
2022, with  taxes due on or before November 20th) 

                                                                                05/24/2023 

7010 Cherokee 3.5%                                                                                
7011 Chilton 4% Outside CL                                                                        
7711 Chilton 3% Inside CL                                                                         
7012 Choctaw 3%                                                                                   
7013 Clarke 1%                                                                                    
7014 Clay 2% Sales /1% Use                                                                        
7015 Cleburne 2%                                                                                  
7016 Coffee 1%                                                                                    
7018 Conecuh 2%                                                                                   
7019 Coosa 2%                                                                                     
See rate sheet for additional rates. 
7020 Covington 2.5%                                                                               
See rate sheet for additional rates 
7021 Crenshaw County 3.5%                                                                         
7023 Dale- Excl CL of Daleville & Ozark               2%                                         
See rate sheet for additional rates 
7723 Dale – CL of Daleville & Ozark 1%                                                           
                                                                                                 
7024 Dallas 1.5%  
7026 Elmore County 1%                                                                             
7726 Elmore County 2% in CL of Prattville                                                         
7027 Escambia 2% in CL                                                                            
7727 Escambia 5% Outside CL & PJ                                                                  
                                                                                                  
7127 Escambia 3.5% PJ of 4 cities   
                                                                                                  
7227 Escambia 4% Sales / 5% Use 
7028 Etowah 1%                                                                                    
7032 Greene Co.   3%                                                                              
7033 Hale 3% Sales / 2% Use                                                                       
7034 Henry 2%                                                                                     
7035 Houston 1%                                                                                   
7036 Jackson 2%                                                                                   
See rate sheet for additional rates 
7038 Lamar 2%                                                                                     
7039 Lauderdale 1.5%                                                                              
Excluding CL of Florence  
7139 Lauderdale 1% In CL of Florence                                                              
7040 Lawrence 3%                                                                                 
7741 Lee 1%                                                                                       
In city limits of Auburn, Phenix City  and Opelika 1% 
7241 Lee 3.5%  In PJ of Phenix City                                                               
See rate sheet for additional rates 
7141 Lee 3% In PJ of Opelika                                                                      
See rate sheet for additional rates                                             
7041 Lee 4%    Excluding city limits of Auburn, excluding city limits and PJ                      
of Opelika, excluding city limits and PJ of Phenix City 
See rate sheet for additional rates 
7043 Lowndes 4%                                                                                   
                                                                                                  
7044 Macon 2.5%                                                               
                                                                                                  
7046 Marengo 3%  
                                                                                                  
7050 Monroe    3.5%  
                                                                                                  
7052 Morgan County 3% th           (New Admin April 1, 2023 with 
taxes due on or before May 20 ) See rate sheet for additional 
details 
7252 Morgan County in CL of Priceville 3% th             (New                                     
Admin April 1, 2023 with taxes due on or before May 20 ) See rate                 
sheet for additional details                                                      

                                                                               05/24/2023 

7352 Morgan County in CL of Somerville 3% th         (New 
Admin April 1, 2023 with taxes due on or before May 20 ) See rate 
sheet for additional details 
                                                                                                                                                                                                                                                                   
7452 Morgan County in CL of Eva 3% th (New Admin 
April 1, 2023 with taxes due on or before May 20 ) See rate sheet 
for additional details 
7752 Morgan Co Outside CL of Eva, Priceville,                                                                                                                                                                                                                      
Somerville, Decatur, Hartselle, Falkville and  
before May 20 ) See rate sheet for additional details
Trinity 1% (New Admin April 1, 2023 with taxes due on or th  
7053 Perry 3% Sales / 2% Use                                                                                                                                                                                                                                       
7054 Pickens 4%                                                                                                                                                                                                                                                    
7055 Pike 3.5%  (Outside CL of Troy)                                                                                                                                                                                                                               
7755 Pike 2.5%   (Inside CL of Troy)                                                                                                                                                                                                                               
7056 Randolph Co. 2.5%                                                                                                                                                                                              
7060 Sumter 3%                                                                                                                                                                                                                                                     
7062 Tallapoosa Co. 2% Sales / .20% Use Tax                                                                                                                                                                                                                        
(2/10%) 
7064 Walker Co – 2%                                                                                                                                                                                                                                                
                                                                                                                                                                                                                                                                   
7065 Washington Co – 1%  
                                                                                                                                                                                                                                                                   
7066 Wilcox 4.5%   
                                                                                                                                                                                                                                                                   
7067 Winston 2% 
                                                                                                                                                                                                                                                                   
Total for City & County 
 
 I declare, under penalties of perjury, that this return (and any accompanying schedules) has been examined by me and to the best of my knowledge is true, correct and complete. 
 
 Signed _______________________________________________________________Date ______________Telephone# ____________________________ 
 DISCOUNT:  The discount for timely filing is 5% on the first $100 of tax due, plus 2% on any tax over $100 not exceed a max of $400 per month/per jurisdiction.  (Example:  Tax due = $325, discount calculation would be:  $100 x 5% = $5.00.  PLUS ($225 
 x 2% = $4.50).  $5.00 + $4.50 = $9.50 total discount.  There is no discount allowed on Consumers Use Tax, Sellers Use Tax or Rental Tax.   
 
 PENALTIES:  Failure to timely file penalty is $50.00 or 10% of the tax due (whichever is greater), per jurisdiction.  Failure to timely pay penalty is 10% of the tax due, per jurisdiction.  Additional penalties and interest may apply.  
 FORM DISCLAIMER:         Please note that the administration and rate changes on the Avenu Advisory and Avenu tax forms are updated once the required information has been received, verified, and validated in compliance with Avenu policy. Any 
 information received before or after the publication of an Avenu Advisory or tax form will not be guaranteed to appear on said forms until all such requirements have been met.  Avenu is not responsible for incorrect information and/or improper use of the 
 information provided.  All updates are completed on a timely basis once the requirements have been met.  For the most current Avenu administration and/or rate information provided, please visit our website at www.avenuinsights.com.    
 
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                                                                   05/24/2023