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 LT-1099 
                                                               SPECIAL NOTICE 
 CITY OF BIRMINGHAM                                            OUR MAILING ADDRESS HAS CHANGED TO: 
 REVENUE DIVISION                                              CITY OF BIRMINGHAM 
 ROOM TL-100 CITY HALL                                                    REVENUE DIVISION 
 710 N 20TH ST                                                            PO BOX 830638 
 BIRMINGHAM, AL 35203-2227                                     BIRMINGHAM AL. 35283-0638 
 
 ADDRESS SERVICE REQUESTED 
 
 MAIL TO: 
                                                                          Notice: Available January 31, 2003 Tax 
                                                                                                   Payments can be made via the web. 
                                                                                                   Go to City of Birmingham web site 
                                                                                                   www.BirminghamAL.gov 
 
                                           LEASE TAX 
 
                                        THIS PACKAGE CONTAINS 
                                           CITY OF BIRMINGHAM 
                                           LEASE TAX RETURNS 

 IMPORTANT NOTE: Any change in the physical location of your business must be approved by the City of Birmingham 
 Planning, Engineering and Permits Department, pursuant to the requirements of the City's Zoning Code. Failure to obtain 
 approval from the Planning, Engineering and Permits Department for a change of the physical location of your business 
 invalidates any business license issued and may result in the revocation of the business license. 
 
 INSTRUCTIONS TO TAXPAYER: 
 1. ENCLOSED ARE ENOUGH LEASE TAX FORMS FOR THE ENTIRE CALENDAR YEAR. FILE ONE FORM FOR EACH 
 REPORTING PERIOD WITH THE CITY OF BIRMINGHAM/REVENUE DIVISION AND MAKE A COPY FOR YOUR RECORDS. 
 2. THIS PREPRINTED FORM IS ONLY FOR THE USE OF THE FIRM OR PERSON TO WHOM IT HAS BEEN ISSUED. 
 3. IF ANY CHANGES HAVE OCCURRED IN THE NAME, OWNERSHIP, NUMBER OF LOCATIONS, ADDRESS OF YOUR FIRM, 
 OR FEDERAL EMPLOYER IDENTIFICATION NUMBER, PLEASE FURNISH DETAILS ON THE "CHANGE OF TAXPAYER 
 INFORMATION" FORM PROVIDED IN THIS BOOKLET. 
 4. MAIL YOUR FORMS AND REMITTANCES TO: 
 
                           CITY OF BIRMINGHAM/REVENUE DIVISION 
                           P.O. BOX 830638 
                           BIRMINGHAM, ALABAMA 35283-0638 
 
 5. MAKE YOUR PAYMENTS TO: THE CITY OF BIRMINGHAM 
 6. REMEMBER TO FILE YOUR RETURNS AND PAY THE TAXES DUE BY THE DUE DATE. YOUR PAYMENT MUST BE RECEIVED 
 BY THE 20TH DAY OF THE MONTH FOLLOWING THE END OF THE PERIOD BEING REPORTED. 
 7. IF YOU HAVE ANY QUESTIONS CONCERNING THE FILING OF THIS FORM, YOU MAY CALL US AT (205) 254-2198, FAX US 
 AT (205) 254-2963, OR VISIT US AT 710 NORTH 20TH STREET, ROOM TL-100, BIRMINGHAM, ALABAMA 35203. 



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                       GENERAL INFORMATION FOR PREPARING LEASE TAX RETURNS 
 
 DUE DATE OF TAX. The tax imposed by Ordinance No. 97 - 187, the Lease Tax Code of the City of Birmingham, shall be 
 due and payable to the City monthly on or before the twentieth (20th) day of the month next succeeding each monthly 
 period*. The date of the United States postmark stamped on the cover in which this return or payment is mailed shall be 
 deemed to be the date of delivery, or the date of payment, whether mailed to the Finance Department or the department's 
 designated depository. A return must be filed even if no tax is due. 
 UNTIMELY FILING. Any return or payment not received in accordance with the provisions of Section 5(c) of Ordinance 
 No. 97 - 187 shall be deemed untimely filed and shall be assessed applicable penalties and interest, as prescribed by 
 Section 13 of Ordinance No. 97 - 187. To avoid penalties, returns should be filed by the due date, and any tax amounts 
 due should be timely paid. Please note that the penalties outlined in Section 13 include, but are not limited to, a penalty 
 of 10% of the amount of tax due or $50, whichever is greater, which may be assessed for failing to timely file returns. 
 
 REQUEST FOR RULING ON DETERMINATION OF TAXATION. Any taxpayer may request a ruling on the determination 
 of whether amounts of gross proceeds of lease/rentals of tangible personal property in the City by a taxpayer are 
 subject to the tax or are not to be used as a measure of the taxes due and payable as levied by the Lease Tax Code.  
 Such request shall be made in writing to the Finance Department and shall contain all pertinent facts and documentation 
 of any written determinations or revenue rulings issued by the State of Alabama Department of Revenue relating to the 
 item(s) in question. 
 
 MISCELLANEOUS. Any person who sells out or quits business is required to file a final return within thirty (30) days after 
 the date of selling out or quitting business. The new owner or successor shall be required to hold out sufficient of the 
 purchase money to cover the amount of any lease tax that may be due by the former owner. If the new owner or   
 successor shall fail to withhold purchase money as required by Section 16 of Ordinance 97 - 187, and the taxes remain 
 due and unpaid after said thirty (30) day period, he shall be personally liable for the payment of the amount of taxes 
 required to be remitted by the former owner, and any interest and penalties accrued and unpaid by any former  owner. 
 If in such case the department deems it necessary in order to collect the taxes due, it may make a jeopardy assessment 
 as provided in the Title 40, Chapter 29 of the Code of Alabama  1975. 
 
 AUTOMOTIVE TAX RATE. A privilege or license tax is imposed on every person engaging or continuing within this City 
 in the business of leasing or renting any automotive vehicle or truck trailer, semitrailer or house trailers and  including 
 all gross proceeds derived from leasing or renting or deductions for sub-leasing of motor vehicles, manufactured 
 homes (house trailers), motorcycles, lift trucks, cranes, airplanes, motor boats (with inboard, or permanently attached 
 outboard motor) at the rate of three-fourths of one percent (3/4%) of the gross proceeds derived by the  lessor 
 from the lease of rental of such automotive vehicle or truck trailer, semitrailer or house trailer. All  leases/rentals 
 of such items shall be entered under Column A on the appropriate line. All deductions of such items shall be entered under 
 Column B and detailed in the "STANDARD DEDUCTION SUMMARY TABLE" on the reverse side of the  return 
 form. 
 
 GENERAL TAX RATE. A privilege or license tax is imposed on every person engaging or continuing within this CIty in the 
 business of leasing or renting of all other tangible personal property not enumerated above at the rate of three percent 
 (3%) of the gross proceeds derived by the lessor from the lease or rental of such property. All leases/rentals of  such 
 items shall be entered under Column A on the appropriate line. All deductions of such items shall be entered under 
 Column B and detailed in the "STANDARD DECUTION SUMMARY TABLE" on the reverse side of the return  form. 
 
 Interest Explanation. Interest shall be added as provided herein to any tax or other amount due the 
 department which is not paid by the due date. Interest on any delinquency shall be charged from the 
 due date of the tax. 
 Through July 31, 2017 Interest shall accrue at a rate of 1% per month delinquent. 
 Beginning August 1, 2017 Interest shall accrue at the rate pursuant to Code of Alabama, 
 Section 40-1-44.     See  https://revenue.alabama.gov/assessments/quarterly-interest-rates/ 
 
Note:  (1)        If the total of leases/rentals for which a person is liable does not exceed $5,000 per month during the 
                  preceding calendar year, a quarterly return may be filed on or before the 20th day of the month next succeeding the end of 
                  the quarter for which the tax is due. This election must be made in writing and filed with the department no later than 
                  February 20th of each year. If such election is not timely made, returns shall be due monthly. 
                   
       (2)        If the total amount of leases/rentals for which a person is liable does not exceed $250 during the proceding calendar year, the 
                  taxpayer may elect to file a yearly return. In order to file yearly, the election shall be made in writing and shall be filed with the 
                  department. Such yearly returns shall be filed no later than January 20th of each year. If such election is not timely made, and 
                  in accordance with the provisions of Ordinance No 97 - 187, returns shall be due monthly.



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                                                           CITY OF BIRMINGHAM, ALABAMA 
                                                           LEASE TAX RETURN 
                                                   REQUIRED BY ORDINANCE NO. 97 - 187 
 ACCOUNT NO.                                       
                                                                                                                          
                                                                                                                           MAIL RETURN WITH REMITTANCE TO: 
 REPORTING PERDIOD                                 ,                                                                      
                                                                                                                           City of Birmingham 
      (This return only for the business shown below)                                                                      P.O. Box 830638 
                                                                                                                           Birmingham, Alabama, 35283-0638 
 
                                                                                                                                                TOTAL AMOUNT ENCLOSED 
                                                                                                                                            $ 
                                                                                                                                                                          
  Has a change occurred in Taxpayer Name, Trade Name,      □ YES                                                 If "YES" please complete the "CHANGE OF TAXPAYER INFORMATION" FORM FOUND IN BOOKLET 
  Mailing Address, Business Address, or Number of Outlets? □ NO                                                
                                                                                                               
                                                                                                                        (FILE RETURN FOR EACH REPORTING PERIOD 
             □ Check here is this is a final tax return.                                                                EVEN THOUGH NO TAX MAY BE DUE) 
 
                                                           (A)                                                       (B)                    (C)           (D)            (E) 
      Type of Tax/Tax Area                            Gross Receipts                                             Total Deductions  Net Taxable            Tax Rate       Gross Tax Due 
                                                                                                                 DETAIL ON BACK    (Column A - Column B)                 (Column C X Column D 
 1. AUTOMOTIVE RATE                                                                                                                                                      
  Gross receipts from leasing auto-                                                                                                                                      
  motive vehicles, truck trailers,                                                                                                                                       
  semi-trailers and house trailers . .                                                                                                                    3/4%           
                                                                                                                                                                         
 2. GENERAL RATE                                                                                                                                                         
  Gross receipts from leasing all                                                                                                                                        
  other tangible person proerty . . .                                                                                                                                3%  
                                                                                                                                                                         
  TOTALS (Columns A, B, and C)                                                                                                                                           
 This return must be postmarked by the 20th day of the month following the                                          (1) TOTAL TAX DUE                                    
 reporting period for which you are filing to be considered a timely  return.                                           (Total of Column E) 
 *ADD PENALTY FOR FAILURE TO TIMELY FILE, 10% OR $50.00 WHICHEVER IS GREATER                                        (2)                                                  
 ADD PENALTY FOR FAILURE TO TIMELY PAY 10% . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$    _      PENALTY* 
             TOTAL AMOUNT OF PENALTIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$ . . . . . . . 
                                                                                                                    (3) INTEREST                                         
  
                                                                                                                        See Interest Explanation on back 
  
                                                                                                                    (4) Discount not allowed for                         
  
 By signing this report I am certifying that this report, including any accompanying schedules                          prompt payment of taxes 
 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.                                                                    (5) NET TAX DUE                                      
                                                                                                                        (Item 1 - Item 4: If deliquent, Items 1+2+3) 
  
 Date                                  Title                                                                                                                             
  
 Signature                                                                                                           TOTAL AMOUNT DUE & ENCLOSED 



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                           ADDITIONAL INFORMATION FOR PREPARING LEASE TAX RETURNS 
 
 The following information relates to the timely filing of your Lease Tax returns and to the accurate completion 
 of the STANDARD DEDUCTION SUMMARY TABLE: 
 
 *NOTE:       If total amount of taxable leases/rentals for which a person is liable does not exceed $5,000 per month during the preceding calendar 
              year, a quarterly return may be filed on or before the 20th day of the month next succeeding the end of the quarter for which the tax 
              is due. This election must be made in writing and filed with the department no later than February 20th of each year. If such election 
              is not timely made, returns shall be due monthly. 
 
              If the total amount of taxable leases/rentals for which a person is liable does not exceed $250 during the proceding calendar year, 
              the taxpayer may elect to file a yearly return. In order to file yearly, the election shall be made in writing and shall be filed with 
              the department. Such yearly returns shall be filed no later than January 20th of each year. If such election is not timely made, and 
              in accordance with the provisions of Ordinance No 97 - 187, returns shall be due monthly. 
 
 (1)          OTHER ALLOWABLE DEDUCTIONS shall include the following: leases for sub-leasing. 
 
                                      STANDARD DEDUCTION SUMMARY TABLE 
       (SUMMARY BELOW MUST BE COMPLETED TO CORRESPOND WITH TOTAL DEDUCTIONS ON FRONT OF TAX REPORT) 
 
  TYPE OF TAX  WHOLESALE   AUTO       LABOR/NON-    SALES DELIV.   SALES TO GOVT    SALES OF GAS         OTHER ALLOWABLE                             TOTAL 
               SALES       TRADE-INS  TAXABLE SERV  OUTSIDE JURIS  OR ITS AGENCIES  OR LUBE OILS         DEDUCTIONS (1)   DEDUCTIONS 
                                                                                                                          
     TOTAL                                                                                                                
  DEDUCTIONS 
 
               INSTRUCTIONS & INFORMATION CONCERNING THE COMPLETION OF THIS REPORT 
     • To avoid the application of penalty and/or interest amounts, this report must be filed on or before the 20th of the month following the 
       period for which the report is submitted. Cancellation postmark will determine timely filing. 
     • A remittance for the total amount due made payable to the tax jurisdiction must be submitted with this report. 
     • This report should be submitted on a monthly basis unless you have requested and been approved for a different filing frequency. * 
     • Any credit for prior overpayment must be approved in advance by the taxing jurisdiction. 
     • No duplicate or replicated forms acceptable except with prior approval of the taxing jurisdiction. 
 
     Interest Explanation. Interest shall be added as provided herein to any tax or other amount due the 
     department which is not paid by the due date. Interest on any delinquency shall be charged from the 
     due date of the tax. 
 
     Through July 31, 2017 Interest shall accrue at a rate of 1% per month delinquent. 
     Beginning August 1, 2017 Interest shall accrue at the rate pursuant to Code of Alabama, 
     Section 40-1-44. See https://revenue.alabama.gov/assessments/quarterly-interest-rates/ 



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 CITY OF BIRMINGHAM                            
                                               
 REVENUE DIVISION                              
 ROOM TL-100 CITY HA LL                        
 710 N 20TH ST                                 IMPORTANT NOTE; Any change in the physical location of  
 BIRMINGHAM, AL 35203-2227                     your business must be approved by the City of Birmingham 
                                               Planning, Engineering and Permits Department, pursuant to the 
                                               requirements of the City's Zoning Code. Failure to obtain 
 (205) 254-2198 OFFICE                         approval from the Planning, Engineering and Permits Department 
 (205) 254-2963 FAX                            for a change of the physical location of your business 
                                               invalidates any business license issued and may result in the 
                                               revocation of the business license. 
 
 CHANGE OF TAXPAYER INFORMATION : 

 NOTE: this form is to be used only if a change has occured in the name, ownership, number of locations, 
 mailing or location address of your firm, or in your federal employer indentification number. 
 
 Please check the appropriate responses and provide the information requested as follows: 
  1. The mailing address for sales tax , occupational tax , sellers use tax , consumers use 
     tax , and/or lease tax forms has changed. The new address to which forms should now be mailed is as follows: (Attach additional sheets if necessary.) 
     Taxpayer Name:                                                                                            
     D/B/A Name:                                                                                              
     Address:                                                                                                  
 
     City, State, Zip Code:                                                                                                                                                                                                          
     Phone/Fax Number:                           /                                                              

  2. A total of         new business locations have been added as follows: ( Attach additional sheets 
     for additional locations if necessary. ) 
 □ 
     Taxpayer Name:                                                                                            
     D/B/A Name:                                                                                              
     Address:                                                                                                  
 
     City, State, Zip Code:                                                                                                                                                                                                          
     Phone/Fax Number:                           /                                                              

  3. The business has been sold , acquired , or closed . A new Federal Employer Identification 
     Number has been issused . 
 ☐ 
 
     Effective Date of Change:                                                                                
     Former Owner Was:                                                                                         
     The New Owner Is:                                                                                         
     Address of New Owner:                                                                                     
 
     Phone and/or Fax No.:                                                                                      
     Old Federal Employer Identification Number:                                                                 
     New Federal Employer Identification Number:                                                                 






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