P. o box 20738 Tuscaloosa, Alabama 35402

Form AB-92

TUSCALOOSA COUNTY USE TAX BOARD

P.O Box 20738 Tuscaloosa, Alabama 35402

[phone] Fax [phone]

ABATEMENT TAX RETURN

Month ___________

Year ___________

Job Completion Date___________

1. Total purchase price of general merchandise purchased for storage,

use or consumption in Tuscaloosa County ...............$_________________________
2. Amount of Tax (Equal to 1.8% of Item1)...........................................................$____________________________
3. Total purchase price of automotive vehicles, truck trailers

and semi-trailers purchased for storage, use or other

consumption in Tuscaloosa County............................$_________________________
4. Amount of Tax (Equal to .45% of Item 3)...........................................................$____________________________
5. Total purchase price of machines used in mining,

quarrying, compounding, processing and manufacturing

of tangible personal property used or consumed in

Tuscaloosa County......................................................$_________________________

6. Amount of Tax (Equal to .675% of Item 5)............................................................$___________________________
7. Total amount of Tax Due (Sum of Items 2, 4, & 6)..........................................$___________________________
8. Penalty (10% of Taxes Due).................................................$___________________________
9. Interest (1% of Taxes Due per month)................................$___________________________
10. Total amount due for which remittance is attached.......................................$___________________________

This return with remittance attached must be mailed to the Tuscaloosa County Use Tax Board, Tuscaloosa, Alabama, and must reach the Tuscaloosa Office on or before the 20th day of the month succeeding the period covered by this return.

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 period stated, pursuant to the provisions of Act No. 56 of 1953 Legislature of Alabama, as amended and Act No.92-599 of 1992 Legislature of Alabama and the regulations issued under authority thereof.
This_________day of ________________________________Signature_______________________________________________