Hotel Occupancy Tax Report printable pdf download

Hotel Occupancy Tax Report

HOTEL OCCUPANCY TAX REPORT

CITY OF CANADIAN

6 MAIN STREET

CANADIAN, Texas 79014

PLEASE READ INSTRUCTIONS

Name of Business__________________________________________________

Mailing Address____________________________________________________

Street Address_____________________________________________________

Quarter Ending Date (Circle one): 03/31, 06/30, 09/30, 12/31

Year: _____

1. Gross receipts: Room Occupancy

$_______________

2. Less deductions*

$_______________

3. Adjusted gross receipts

$_______________

4. Total Collected ( 7 % of item 3)

$_______________

5. Less 1% of Tax Collected

$_______________

6. Late filing penalty fee (see instructions)

$_______________

7. AMOUNT DUE AND PAYABLE

$_______________

*NOTE: Please list in detail your deductions as shown above and the reason for each.

Attach additional sheet if necessary.

____________________________________________________________________

I, the undersigned, do solemnly swear under the penalties described in Ordinance 371

and 438 of the City of Canadian, Texas, that this information in this document is true

and correct, as attested by my signature below.

______________________________________________________________________

Taxpayer Signature or Authorized Agent

Title

Date

Hotel Occupancy Tax Report