MUNICIPALITY OF HOOVER, ALABAMA 
                                                              LEASE IRENTAL TAX REPORT 
                                             
                                                                          MAIL THIS RETURN WITH REMITTANCE TO: 
REPORTING PERIOD _________________________                                                        
                                                                                     CITY OF HOOVER 
(This return only for the business shown below)                                          P.O. BOX 11407 
                                                                                     HOOVER, AL 35246-0144 
                                                                                         (205) 444-7516 
                                                                                     FAX (205) 739-7151 
                                                                                                  
                                                                                   TOTAL AMOUNT ENCLOSED 
                                                                                                  
                                                                          $                       
                                                                                                  
… Check here if this is a final tax return.                   … Check here if FIRST return. 
 
                                                (A)           (B)                    (C) 
   Type of Tax/Tax Area                         Gross Taxable Total            Net Taxable             (D)            (E) 
                                                Amount        Deductions  (Column A —Column      B)    Tax Rate  Gross Tax Due 
                                                                                                                (Column C x Column D) 
                                                                                                                 
LEASE/RENTAL - GENERAL                                                                                 3% 

LEASE/RENTAL - LINENS AND 
                                                                                                       3% 
                              GARMENTS 
                                                                                                                 
LEASE/RENTAL - AUTOMOTIVE                                                                              1% 

                                                                         (1) TOTALTAX DUE 
This return must be postmarked by the 20th day of the                     (Total of Column E) 
month following the reporting period for which you are filing 
                                                                                                                 
to be considered a timely return. Original return must be                (2) PENALTY 
filed with the City of Hoover.                                            (Item 1 x 10%) 
 
By signing this report I am certifying that this report,                                                         
                                                                         (3) INTEREST 
including any accompanying schedules or statements, has                  (Item 1 x 1% per month delinquent) 
been examined by me and is to the best of my knowledge  
                                                                                                                 
and belief a true and complete report for the period stated.             (4) NET TAX DUE 
                                                                         (Item 1; If delinquent, Items 1+2+3) 
Phone #                                                                                                          
                                                                          
Date ____________Title                                                   TOTAL AMOUNT DUE & 
                                                                         ENCLOSED 
 
                                                                                                                (OVER)
Signature 
 

                  STANDARD DEDUCTION SUMMARY TABLE 
       (SUMMARY BELOW MUST BE COMPLETED TO CORRESPOND WITH TOTAL DEDUCTIONS ON FRONT OF TAX REPORT.) 
                   
     TYPE OF TAX            ALLOWABLE                                                                              TOTAL 
                                                                                                 DEDUCTIONS        DEDUCTIONS 
                                                                                                                             
     Lease/Rental 
       General 
                                                                                                                             
     Lease/Rental 
      Automotive 
     Lease/Rental                                                                                                            
      Linens and 
      Garments 
                                                                                                                             
       TOTAL 
     DEDUCTIONS 

       INSTRUCTIONS AND INFORMATION CONCERNING THE COMPLETION OF THIS REPORT 
 
•     To avoid the application of penalty and/or interest amounts, this report must be filed on or before the 20th of the month 
      following the period for which the report is submitted. Cancellation postmark will determine timely filing. 
•  A remittance for the total amount due made payable to City of Hoover must be submitted with this report. 
•  This report should be submitted on a monthly basis unless you have requested and been approved for a different filing 
      frequency. 
•  Any credit for prior overpayment must be approved in advance by the City of Hoover. 
•  No duplicate or replicated forms acceptable except with prior approval of the City of Hoover. 
•  Lessor must file timely returns, even though no taxes are due. 
 
                  Indicate Any Account changes Below 
       
       Business Name: _______________________________________________ 
       
       Physical Address: ______________________________________________ Phone________________________________________________ 
       
       Mailing Address: _______________________________________________ FAX _______________________________________________ 
       
       City _________________________________________________________ Contact Person____________________________________________