Hospitality Fee Reporting Form - City Of Myrtle Beach, South Carolina
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1FOR OFFICE USE ONLY
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CITY OF MYRTLE BEACH
Mail To:
City of Myrtle Beach
HOSPITALITY FEE
Hospitality Fee
P.O. Box 2468
Reporting Form
Myrtle Beach, SC 29578
(843) 918-1200
Fax (843) 918-1137
D/B/A Name and Location Address
Hospitality Acct. No.
This return reports Sales for
MONTH
YEAR
th
Due on 20
of following month
Business License No.
Quarterly Filers: Use the reports labeled
March, June, September, & December.
28 Day Filers : Write period start and end
dates on report.
F.E.I or SS No.
Filing Status:
Monthly
28 Day
Quarterly
If your business has closed or changed ownership, please complete all that apply:
1. Date business closed:____________________________________________
2. Date changed ownership:_________________________________________
S.C. Retail Lic No.
3. New owner is: _________________________________________________
Computation of Hospitality Fee and Amount Due
(Please report in whole dollars)
.00
1. Gross Proceeds from the Sale of Food and Beverages
1.
+
2. Gross Proceeds from the Rental of Transient Accommodations
2.
.00
+
3. Gross Proceeds from Paid Admissions
3.
.00
+
4. TOTAL GROSS PROCEEDS
4.
.00
(Sum of lines 1, 2, and 3)
=
5. Computation of Hospitality Fee
5.
.00
Line 4 x 1%
.00
6. Penalty on delinquent hospitality fee
6.
*
Line 5 x 10%
+
th
* A 10% penalty shall be applied to any fee not paid by the 20
of the
month.
+ / -
7. Overage or Shortage from a prior period
7.
8.
.00
TOTAL HOSPITALITY FEE DUE
8.
=
(Sum Lines 5, 6, & 7)
Enclose payment with report.
Please Do Not Staple.
This report covers the period through the last day of the month.
Report must be postmarked by the U.S. Postal Service on its due date to be considered filed on time.
I hereby certify that the information contained on this report is true and accurate.
Taxpayer’s Signature
Title
Telephone
Date
Rev. 11/00
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