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HOOVER RESIDENTIAL LEASE/RENTAL TAX RETURN Yes Is this a final return? Yes No If yes, attach explanation. No PAYMENT DUE SEMI-ANNUALLY $ Balance of Tax Penalty Total Due Verified This the day of 2. AMOUNT OF TAX OF GROSS 1. GROSS RECEIPTS (State whether individual owner, member of firm, or give title if officer of corporation.) 4. Add penalty of 20% if not paid within 60 days of beginning period (January 01, or (July 01, 5. TOTAL AMOUNT for which remittance is 3. Add penalty of 10% if not paid within 30 days of beginning period (January 01, or (July 01, This return, with remittance attached, must be mailed or delivered to the Finance Department, City of Hoover, Alabama, and must reach the Finance Department on or before January 15 and July 15 of each year. This return, including the accompanying schedules or statements has been examined by me and is, to the best of my knowledge and belief, a true and complete return, made in good faith, for the semi-annual period stated above. DO NOT USE THIS SPACE Has a change occurred in Taxpayer Name, Trader Name, Mailing Address or Business Address? 6-month period ending (check one) June 30 , December 31 , PAY TAXES BEFORE DELINQUENT DATE TO AVOID PENALTIES. A SEPARATE REPORT MUST BE FILED FOR EACH LOCATION. Effective January 1, 1999 MAKE CHECK PAYABLE TO CITY OF HOOVER MAILTHIS RETURN WITH REMITTANCE TO: CITY OF HOOVER P.O. BOX 11407 HOOVER, AL 35246 (205) 444-7516 FAX (205) 402-4606 IMPORTANT This return must be filed and paid semi-annually by January 15th and July 15th of each year to avoid penalties provided by law. Original return must be filed with the City of Hoover. Name Address City/St/Zip Account Number