Hospitality & Accommodations Fee Monthly Reporting Form - City Of Orangeburg

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Office Use Only
Approval By:_________________
Date Received:________________
CITY OF ORANGEBURG
PO BOX 1183, ORANGEBURG, SC 29116-1183 * PHONE :(803) 533-6000
Hospitality & Accommodations Fee
Monthly Reporting Form
SALES FOR:
Month
Year
Business Name :________________________________________
DBA :_________________________________________________
CITY OF ORANGEBURG
Address:_______________________________________________
Business License
______________________________________________________
Identification
#__________________
Computation of Hospitality & Accommodations Fees amount due:
1. Gross proceeds from the Sale of Food/Beverages
Effective 12/2/97………………………………..
2. Gross proceeds from Rental of Transient Accommodations
+
Effective 12/2/97………………………………..
=
3. TOTAL GROSS PROCEEDS (Sums of lines 1 & 2)...………………………
4. Computation of Fees (Line 3 x 2% (.02))…………………………………..
=
5. Balance Due (amount of line 4)………………………………………………
+
6. Penalty on delinquent fees (if applicable) line 5 x 5% (.05) per month*…….
=
7. TOTAL FEES HOSPITALITY & ACCOMODATIONS FEES DUE…..
Enclose check with
this return
This return covers the period through the last day of the month and
st
becomes delinquent on the 21
day of the following month.
PENALTY on delinquent fees - a penalty of five percent (5%) of the unpaid fee for each
month or portion thereof after the due date until paid
______________________________
Authorized Signature

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