Rev. 0904
CITY OF DECATUR
Multiple Location Reporting
Food and Beverage Tax
Business Name IBT #
Total Gross Receipts
Location Address from Food & Beverage
$
$
$
$
$
$
Total * $
*Transfer total to line 1 of the Food and Beverage Tax Return.
If combining multiple locations on the City of Decatur Food and Beverage Tax Return,
you must also include this form.
0.00
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