CITY  OF  IRONDALE ALABAMA 
                                                                            TAX REPORT 

       ACCOUNT  NO.                                                                              MAIL THIS RETURN WITH REMITTANCE                           TO:

       REPORTING PERIOD ______________________                                                                   City  of Irondale              Revenue 
                                                                                                                 Department P.O. Box 100188 
       (THIS RETURN ONLY FOR BUSINESS SHOWN BELOW)                                                               Irondale, Alabama              35210 
                                                                                                                 (205) 956-9200 option 2
                                                                                                                 revenue@cityofirondaleal.gov
                                                                                             TOTAL AMOUNT ENCLOSED _________________ 

        First Report 
         Changes  
         Check here if this Is a final return 

                                              (A)             (B)                                (C)                                   (D)              (E) 
         Type of Tax/Tax Area          Gross Taxable Amount   Total Deductions               Net Taxable                               Tax Rate       Gross Tax Due 
                                                                                       (Column A less Column B)                                 (Column C X Column D) 
         Sales: Automotive                                                                                                             1.5% 
                Machine                                                                                                                1% 
                All Other                                                                                                              4% 

         Use: Automotive                                                                                                               1.5% 
               Machine                                                                                                                 1% 
               All Other                                                                                                               4% 

  Rental Lease: Personal Property 
                Vehicles                                                                                                               3/4% 
                All Other                                                                                                              3% 

       Rental Lease: Real Property                                                                                                     3/10% 
                Lodging                                                                                                                7% 

         Wine (Per Liter)                                                                                                              $.07 

  Number of Automotive vehicles                                                                                                        $10.00 
        withdrawn from stock                                                                                                           Each 
                                                                                       (1)       Total Tax Due 
                                                                                         (Total of Column E) 
                                                                                       (2)       Penalty 
                                                                                         (Item 1 X 10%) 
                                                                                       (3)       Interest 
                                                                                       (Item 1 X 4% annually  )  
                                                                                       (4)       Discount 
                                                                                       ** (If submitted prior to 
                                                                                      filing deadline) 
                                                                                       (5)       Net Tax Due       
                                                                                      (Item 1 less item 4; if delinquent, items 1+2+3) 

                                                                                      Total Amount Due & Enclosed 

* This return must be postmarked by the 20 thday of the month following the reporting period for which you are filing to be considered a timely return.
** The formula for the discount is $0.00 to $100.00 = 5% discount; $101 and above = 2% discount; Discount may not exceed $400.00.

By signing this report, I am certifying that this report, including any accompanying schedules or statements, has been examined by me and is to 
the best of my knowledge and belief, a true and complete report for the period stated. 

DATE ______________                      TITLE ________________________ 

SIGNATURE ___________________________________________________