Urbanna, VA · Middlesex County

No notary required

Monthly Remittance of Tax on Prepared Food and Beverages

Businesses use this monthly remittance form to report prepared food and beverage receipts, calculate tax and any penalties, and pay the Town of Urbanna.

What this form is

This form reports a business’s monthly gross receipts from prepared food and beverages, allowable deductions, taxable balance, tax, any penalties, and total amount due. The seller completes the form for the month being reported, signs and dates the declaration, and mails the original with payment to the Town of Urbanna. It says payment is due by the 20th day of the following month.

Who needs it

A business reporting prepared food and beverage receipts to the Town of Urbanna uses this form to calculate and remit its monthly tax.

How to submit it

Mail the original form and a check payable to the Town of Urbanna to Town of Urbanna, PO Box 179, Urbanna, VA 23175. Mail it on or before the 20th day of the month following the month reported.

About notarization

No notary is required; the seller signs and dates the declaration, affirming the reported amounts are true, correct, and complete.

How to submit this form

  1. 1

    Download the Form

    Download the Monthly Remittance of Tax on Prepared Food and Beverages PDF.

  2. 2

    Complete the Remittance

    Enter the business name and address, report receipts and deductions, calculate the tax and any penalties, and provide the requested seller details.

  3. 3

    Sign and Date

    Sign and date the declaration affirming the reported amounts are true, correct, and complete.

  4. 4

    Mail the Form and Payment

    Mail the original and a check payable to the Town of Urbanna to PO Box 179, Urbanna, VA 23175, by the stated monthly due date.

Frequently asked questions

What does the prepared food and beverage tax form report?
It reports monthly gross receipts, allowable deductions, taxable balance, tax, any penalties, and the total amount due and paid.
Do I need a notary for the Monthly Remittance of Tax on Prepared Food and Beverages?
No. This form has no notary block; the seller signs and dates its declaration, affirming that the reported amounts are true, correct, and complete.
How do I submit the prepared food tax remittance form?
Mail the original form with a check payable to the Town of Urbanna to PO Box 179, Urbanna, VA 23175, on or before the 20th day of the following month.

Need something notarized?

This Monthly Remittance of Tax on Prepared Food and Beverages doesn’t need a notary — but if you have another Urbanna form that does, a commissioned online notary can help.