PO Box 830725                                                                                                                                                                                                                   
                        Birmingham, AL 35283-0725                                                                                                                                                                                                       
                                                                                                                                                                                                                                                        
Sales, Use, Rental & Lodging City/County Tax Return                            
                                                                                 File Online: www.salestaxonline.com 
                                                                                 Toll Free Phone: (800) 556-7274 
 Business  Name & Address:                                                       Toll Free Fax: (844) 528-6529 
                                                                                 Email:  rdssupport@avenuinsights.com 
 _________________________________________________________                       Website: www.avenuinsights.com  
                                                                                  
 _________________________________________________________                       Remittance address: 
                                                                                 Avenu Tax Remittance Department 
 _________________________________________________________                       PO Box 830725   
                                                                                 Birmingham, AL 35283-0725 
 Telephone # (____) _________________________________________                     
                                                                                                                                                                                                      
 Contact Name:_____________________________________________                        Enter your check amount here. 
                                                                                                                                                                                           
 Avenu Account No.:________________________________________                       $__________________________________________ 
                                                                                   Make Check Payable to:  Tax Trust Account 
 FEIN or SSN#: ____________________________________________                      
                                                                                *Must be postmarked on or before the 20 thof 
  
                                                                                the following month to receive a discount 
Filing Period: Month________________, 20_____   
                                                                                if applicable and to avoid penalties. See 
 CHECK HERE IF BUSINESS HAS CLOSED                                             instructions for information.                                                                                
                                                                                                                                                                                           
 CHECK HERE FOR ADDRESS CHANGE                                                   
 
NEW ADDRESS:__________________________________________________________________________   
                                                                                                                                                                                                                               
A                                     B     C      D                          E               F                                                                                          G         H 
                                        Tax   Tax                                              Plus (+) 
                                       Type   Rate  Net Taxable Sales, Rental                  Penalty &  Less ( - ) 
           City / County               Code  Code  Receipts, Lodging Receipts   Gross Tax Due   Interest                                                                                  Discount   Net Tax Due 
                                                                                                                                                                                                     
                                                                                              Total Amount Due   
          
Sign your return and remit payment along with completed form to the remittance address indicated above. 
 
I declare under penalties of perjury that the above information and any accompanying schedules are to the best of my 
knowledge and belief, a true and accurate statement for the period indicated. 
 
Printed Name: _________________________________________Signed: _________________________________Date:_________  
 
Telephone #:______________________________ Email Address: ____________________________________________________ 
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.  
RETURNED CHECK DISCLAIMER:   When you make a payment by check, you authorize us to use information from your check to make a one-time electronic fund transfer from your checking account according to the terms of your check or to 
process that transaction as a check.  When we use your check to make an electronic fund transfer, funds may be withdrawn from your checking account the same day we receive your payment, and you will not receive your check back from your 
financial institution. If there are insufficient funds in your checking account, you authorize us to charge a Returned Payment Fee as applicable in the amount set forth by law and collect that amount through an electronic fund transfer from your 
checking account, if permitted by applicable law.  If another payment method is returned unpaid, by your bank, we may, if permitted by applicable law, charge a Returned Payment Fee.   
 
                                                                                                                                                                                                    v.2018-09-05 

                                               Instructions 

                             Report the following local taxes on this return: 
                                                     
    Tax Type (Column B)                        Tax Rate (Column C)   
    Sales (10)                                 General (11) 
    Sellers Use (15)                           Mfg. Machine (21) 
    Gross Receipts (17)                        Automotive (41) 
    Consumers Use (20)                         Farming (31) 
    Rental (40)              
    Lodgings (30)                             
 
    *See rate sheet for all other rates at www.avenuinsights.com.  
      
The completed form and payment must be postmarked on or before the 20 thof the following 
month to receive a discount if applicable and to avoid penalties. 
                                                     
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.  
 
RETURNED CHECK DISCLAIMER:   When you make a payment by check, you authorize us to use 
information from your check to make a one-time electronic fund transfer from your checking account 
according to the terms of your check or to process that transaction as a check.  When we use your 
check to make an electronic fund transfer, funds may be withdrawn from your checking account the 
same day we receive your payment, and you will not receive your check back from your financial 
institution. If there are insufficient funds in your checking account, you authorize us to charge a 
Returned Payment Fee as applicable in the amount set forth by law and collect that amount through 
an electronic fund transfer from your checking account, if permitted by applicable law.  If another 
payment method is returned unpaid, by your bank, we may, if permitted by applicable law, charge a 
Returned Payment Fee.   
                                                     
                                                                                            v.2018-09-05