Tobacco Cigarette Tax ReportCITY OF PRATTVILLE, ALABAMA
TOBACCO/ CIGARETTE TAX REPORT
ACCOUNT NO. ____________________
REPORTING PERIOD ___________________________
MAIL THIS RETURN WITH REMITTANCE TO:
CITY OF PRATTVILLE
PO BOX 680190
PRATTVILLE, AL 36068
(334)595-0155 OR (334) 595-0156
REVENUE@PRATTVILLEAL.GOV
(This return only for the business shown below)
TOTAL AMOUNT ENCLOSED
Check here if this is a final return.
Type of Tax/Tax Area (A)
Gross Taxable Amount
(B)
Total Deductions
(C)Net TaxableColumn A - Column B
(D)
Tax Rate
(E)
Gross Tax Due
Column C X Column D
This return must be postmarked by the United States Postal Service by the 20th of the month
following the reporting period for which you are filing to be considered a timely return (sec. 38-58).
By signing this report I am certifying that this report, including any accompanying schedules or statements, has been examined by me and is to be the best of my knowledge and belief, a true and complete report for the period stated.
Date _______________ _ Title __________________________
Phone (____) _______________
Email______________________________________________
Contact Name_______________________________________
Signature ___________________________________________
(1) TOTAL TAX DUE
(2) PENALTY
(3) INTEREST
(4) DISCOUNT
(5) NET TAX DUE
TOTAL AMOUNT DUE & ENCLOSED
(Total of Column E)
(Item 1 X 10%)
(Item 1 X 1% per month delinquent)
NO DISCOUNT ON TOBACCO
(Item 1 - Item 4; If delinquent, Items 1+2+3)
N/A
CIGARETTES- PK OF 20
CIGARETTES- PK OF 25
CIGARETTES- PK OF 30
CHEROOTS STOGIES- PK OF 5
CIGARS, ETC- EACH
SMOKING TOBACCO- PER OZ
CHEWING TOBACCO- PER OZ
SNUFF- PER OZ
.05
.0625
.075
PKG SIZE- EACH CIGARETTE .025
.05
.01
.03
.0075
.0075