City Of Rosenberg Hotel Occupancy Tax Return Form
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2City of Rosenberg
Hotel Occupancy Tax Return
TAX REMITTANCE INFORMATION
Every person providing transient lodging for remuneration must collect a tax of seven percent (7%) on the rent paid,
unless the lodger qualifies for an allowable term or personal status exemption. All allowable term and personal status
exemptions for the local Hotel Occupancy Tax are presented on the reverse of this return form. The Hotel Occupancy Tax
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is due and payable to the City monthly, on or before the 20
day of the month next succeeding the monthly period in
which the Tax was collected. For timely payment, a discount in the amount of one percent (1%) of the Tax may be
deducted. For failure to pay by the due date, the lodging provider is subject to paying a penalty on the Tax due as
outlined in the below chart. Penalties will be assessed based on the date of receipt (for hand‐delivered payments) or
postmark (for mailed payments). This return is subject to audit.
LODGING ESTABLISHMENT INFORMATION
Name: _ ______________________________________ Number of Rooms: _________ Occupancy Rate: __________
Reporting Period: _______________________________
(Month, Year)
1. Gross rent paid for lodging
$ _______________
2. Exempt rent
a. Term exempt
$ _______________
b. Personal status exempt $ _______________
Total exempt rent
$ (______________)
(add Lines 2a and 2b)
3. Net taxable rent
$ _______________
(subtract Line 2 from Line 1)
4. Gross Tax Due
$ _______________
(7% of Line 3)
5. Collection Fee Deduction
$ (______________)
(1% of Line 4 if received by due date)
6. Late Payment Penalty and/or Interest
$ _______________
(see chart below)
TOTAL AMOUNT DUE TO CITY OF ROSENBERG
$ _______________
January
February
March
April
May
June
July
August
September
October
November
December
Due Date
Feb. 20
Mar. 20
Apr. 20
May 20
Jun. 20
Jul. 20
Aug. 20
Sept. 20
Oct. 20
Nov. 20
Dec. 20
Jan. 20
Mar. 2
5% Penalty
Mar. 31
May 1
May 31
July 1
Jul. 31
Aug. 31
Oct. 1
Oct. 31
Dec. 1
Dec. 31
Jan. 31
Mar. 1*
(delinquent >10 days)
10% Interest
Apr. 22
Mar. 22
May 20
Jun. 20
Jul. 20
Aug. 20
Sept. 19
Oct. 20
Nov. 20
Dec. 20
Jan. 20
Feb. 19
per annum
Apr. 21*
Mar. 21*
(delinquent >60 days)
*Leap year date (if February has 29 days)
I declare under penalties prescribed that the information contained in this document is true and correct to the best of
my knowledge.
Printed Name & Title: ______________________________________________________________________
Signature: ____________________________________ Date: ______________________
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Submit form with payment to: City of Rosenberg, 2110 4
Street (in person), or P.O. Box 631 (via mail), Rosenberg,
Texas 77471. Retain a copy for your records.
For further information on the City of Rosenberg’s Hotel Occupancy Tax, please visit ci.rosenberg.tx.us and select
“Finance” from the Departments menu, or call (832) 595‐3400.
FOR INTERNAL USE ONLY:
Date Paid: __________________
Check #: ___________________
Amount: ___________________
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