Public Accommodations Tax Return
Hotel/Motel Taxes

Instructions:
Complete Form, Checkout to pay online and then send.
 
First Name
Last Name
Company Name
Address Line 1
Address Line 2
City
State
Zip Code
Daytime Phone() -
E-mail Address
Gross Room Rent or Charges
Less Exempt Rent or Charges (over 10 days)
Net Taxable Rent or Charges
Amount of Tax Due Net x 5%
Less 3% of Tax Due if Submitted by the 15th
Net Amount of Tax Due
 

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