Online Form - Meals Tax Remittance - Kilmarnock, Virginia

Report for the month of:

Year

Name of Business*

Email Address*

Telephone Number*

Address*

Gross Receipts for the month

Less allowable deductions

Balance taxable

Tax(5%)

Total tax due by the 20th (Make check payable to Town Treasurer)

Total tax due ONLY IF paying after the 20th. Penalty included. (Make check payable to Town Treasurer)

Declaration of Seller:
I hereby swear or affirm that the amounts listed above are true, correct and complete to the best of my knowledge and belief for the period stated above.

Sign Here*

Consent*

I agree to electronically sign and to create a legally binding document between the other party and myself, or the entity I am authorized to represent.*

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Meals Tax Remittance

Town of Kilmarnock

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