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Local Accommodations Tax

  1. Wordmark 2
  3. Business Information
  4. Month & Year
  5. Computation of Fee:
  6. NOTE: Payment is due on or before the 20th of the month following the “sales” month shown above. A 10% penalty shall be added on the 21st day of each month following that date until paid. An early payment discount of 2% is available if paid by the 5th of the month following the report.
  7. I hereby certify, under penalty of the Law, that the “gross proceeds of the sales covered by Local Accommodations Fee” shown above accurately reflects the total proceeds to which the fee is applicable for the period covered by this report.
  8. Leave This Blank:

  9. This field is not part of the form submission.