Alcohol Sales - Monthly Tax

City of Mountain Home
720 South Hickory
Mountain Home, AR 72653

Supplemental 5% Tax Monthly Report
On-Premises Alcoholic Beverage Sales

[{"type":"paragraph","subtype":"p","label":"To report an emergency, call 911 (where applicable) or your local law enforcement office. This form is for non-emergency contact only. We will contact you once we have received your submission, if your contact information is provided. If you do not hear from us in 24 hours, please call our office.","className":"d-block"},{"type":"text","required":true,"label":"For the month(s) of","placeholder":"January","name":"For-the-months-of","className":"col-md-6","subtype":"text"},{"type":"text","required":true,"label":"Year","placeholder":"XXXX","name":"Year","className":"col-md-6","subtype":"text"},{"type":"text","required":true,"label":"Gross Receipts","description":"Dollar amount of gross receipts","placeholder":"$","name":"Gross-receipts","className":"d-block","subtype":"text"},{"type":"text","required":true,"label":"Tax (5% of Gross)","description":"Gross receipts x 0.05","placeholder":"$","name":"Tax","className":"d-block","subtype":"text"},{"type":"text","label":"10% Penalty if submitted after 25th of following month","description":"Tax amount x 0.10","placeholder":"$","name":"Penalty","className":"d-block","subtype":"text"},{"type":"text","required":true,"label":"Total Due","description":"Total Tax and Penalty Due","placeholder":"$","name":"Total-Due","className":"d-block","subtype":"text"},{"type":"header","subtype":"h3","label":"INSTRUCTIONS","className":"d-block"},{"type":"paragraph","subtype":"p","label":"Total Gross Receipts without any adjustment are to be reported in appropriate line covering a complete calendar month's sales within 25 days of the next succeeding month.This includes Gross Receipt from any form of alcoholic beverages sold for on-premises consumption (wine, beer, liquor, liqueurs, cordials, or specialties).Remittance of an uncollectible check or draft accrues 10% penalty.  Use only official reporting forms.This return is in addition to regular gross receipts (Sales) tax return filed under Act 386 of 1941.","className":"d-block"},{"type":"header","subtype":"h3","label":"THIS REPORT MUST BE RECEIVED BY THE CITY CLERK OR CITY TREASURER ON OR BEFORE THE 25TH OF THE MONTH.  OTHERWISE ADD PENALTY AS INSTRUCTED.","className":"d-block"},{"type":"text","required":true,"label":"Date prepared","placeholder":"mm/dd/yyyy","name":"Date-prepared","className":"col-md-6","subtype":"text"},{"type":"text","required":true,"label":"Name of Business","name":"Business-Name","className":"col-md-6","subtype":"text"},{"type":"text","required":true,"label":"Signature (Must be signed by owner, officer or duly constituted agent)","name":"Signature","className":"d-block","subtype":"text"},{"type":"paragraph","subtype":"p","label":"Note:  Typing your name in the above Signature box constitutes a signature.","className":"d-block"},{"type":"paragraph","subtype":"p","label":"I hereby state, avow and affirm that the statements contained herein are full, true and correct as required by provisions in Act 132 of 1969 and such regulations promulgated thereunder by the Dept. of Finance & Administration, State of Arkansas, and Ordinance 378 of the City of Mountain Home.","className":"d-block"}]