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Get City Of Tuscaloosa (205) 349-0225 (205) 349-0221 RENTAL LICENSE TAX REPORT Reporting Period: Name

City/ST/Zip: MAIL THIS RETURN WITH REMITTANCE TO: CITY OF TUSCALOOSA, REVENUE P O BOX 2089 TUSCALOOSA, AL 35403 PHONE: (205) 349-0225 FAX(205) 349-0180 Account Number: INDICATE ANY CHANGE BELOW: ( ( ( ( QUARTER ENDING PAYMENT FOR THE YEAR OF (A) Type of Tax/Tax Area (B) Gross Taxable Amount Total Deductions ) ) ) ) Sale of property (see back) Change of Location (see back) Change of Mailing Address.

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