CITY OF FLORENCE, ALABAMA
RETAIL LIQUOR GROSS RECEIPTS TAX REPORT

Complete all information that applies to your business and remit this form along with your check by the 15th day of the month, for the preceding month's sales. A 15% penalty should be added if not personally submitted or postmarked on or before the 15th day of the month.

To obtain and retain a Restaurant Liquor License, food sales must amount to more than 50% of your gross sales.

The taxable rate shall be 5% on gross retail liquor sales.

Please make checks payable to the City of Florence and mail to:

City of Florence
Office of City Clerk
P.O. Box 98
Florence, AL 35631

The information furnished herein shall be considered confidential in nature and shall not be divulged to anyone other than the Mayor, City Council, City Clerk, and City License Inspectors.

I hereby certify that the information contained herein has been examined and is true and correct.