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HOOVER QUARTERLY LIQUOR LICENSE TAX RETURN Yes Is this a final return? Yes No If yes, attach explanation. No $ This the day of Balance of Tax Penalty Total Due Verified (State whether individual owner, member of firm, or give title if officer of corporation.) P.O. BOX 11407 HOOVER, AL 35246-0144 City of Hoover Effective November 1, 1990 Ordinance #90-933 MAKE CHECK PAYABLE TO CITY OF HOOVER PAY TAXES BEFORE DELINQUENT DATE TO AVOID PENALTIES. A SEPARATE REPORT MUST BE FILED FOR EACH LOCATION. Has a change occurred in Taxpayer Name, Trader Name, Mailing Address or Business Address? 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 quarter stated. 2. DEDUCTIONS: Exempt sales (Exemption certificate must be 7. TOTAL AMOUNT DUE for which remittance is DO NOT USE THIS SPACE This return must be filed and paid Quarterly by the 15th of the month following the calendar quarter to avoid penalty provided by law. Original return must be filed with the City of Hoover. 4. AMOUNT OF TAX of Line 5. Add 10% penalty for late payment after 30 3. TAXABLE RECEIPTS (Line 1 less Line IMPORTANT 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 the 15th of the month following the calendar quarter. This return is for the quarter ending COMPUTATION OF TAX 1. GROSS RECEIPTS from the sale of whiskey, gin, brandy, rum, vodka, cocktails, and other alcoholic beverages (except beer, other brewed beverages and table wine) 6. Add 20% penalty for late payment after 60 (205) 444-7516 FAX (205) 739-7151 MAILTHIS RETURN WITH REMITTANCE TO: CITY OF HOOVER