Fillable FORM #001 (City of Newport News)

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FORM #001 (City of Newport News)

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Along with this form, remit payment to:
For assistance call (757) 926-8644 or fax
Commissioner of the Revenue
us at (757) 247-2628. You may visit us at
Attn: COR - Related Tax Department
our website @ www.newport-news.va.us.
2400 Washington Avenue
Newport News, VA 23607-4389
Name of Company:
Address:
Federal ID Number:
City:
State: Zip code:
Due Date: Two months after the end of each quarter in which the fee has been billed to ultimate end users as follows:
1st Quarter: Jan. Mar., due May 31st
3rd Quarter: Jul. Sept. due Nov. 30th
2nd Quarter: Apr. June, due Aug. 31st
4th Quarter: Oct. Dec. due Feb. 28th.
Please complete the following calculation for which you are remitting payment. Attach an itemized
listing of all deductions and additions to the total fees billed.
Effective July 1, 2020 through June 2021; $1.15 per access line, per month
July 2019 thru June 2020; $1.20 per access line, per month
July 2018 thru June 2019: $1.09 per access line, per month
July 2016 thru June 2018: $1.11 per access line, per month
July 2015 thru June 2016: $1.05 per access line, per month
July 2014 thru June 2015: $1.02 per access line, per month
Month Billed to
Total Number of
End Users
access lines
Tax rate
Total Fees Billed
$ . per access line, per month
$
$ . per access line, per month
$
$ . per access line, per month
$
Deductions
$
Additions
$
TOTAL FEES REMITTED
$
SIGNATURE
DATE
( )
TITLE
TELEPHONE NUMBER
COR Form #001 (Revised 10/20)
FORM #001
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FORM 001 (City of Newport News)

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Completed 23 January 2021

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