Government Exemption Form - Supervisor Of Revenue Collections Of City Of Palo Alto printable pdf download

Government Exemption Form - Supervisor Of Revenue Collections Of City Of Palo Alto

Government Exemption Form

__ U.S. Federal Employee __ State of California Employee

__ Foreign Government Representative __ Federal Credit Union Employee

Establishment _______________________________________________________

Dates of occupancy: From ___________ to __________ Total Rent Paid $ ____________

I certified that the occupancy of the facilities noted above have been furnished for my exclusive

use, and that I am the officer or employee or representative of the agency or government

named above and that such charges are incurred in the performance of my official duties for

said agency or government.

Print Name of person Claiming __________ ___________ Signed by: ___________________

Without email one of the following documentation, the city’s transient tax is not waived

without prior approval by the Supervisor of Revenue Collections of City of Palo Alto:

1. A copy of the warrant or check drawn on the Treasury of the United States or the State

of California.

2. A copy of the warrant or check from a Federal Credit Union and official travel orders on

credit union letterhead stating the employee’s full name and dates of travel. State

Credit Unions do not qualify.

3. A copy of the official travel orders showing issuing agency or government and the

person’s full name. If the official travel orders do not include the employee name, a

copy of the government ID card must accompany it.

4. A copy of the agency or governmental letter on official letterhead, requesting

exemption and listing person’s full name.

5. A copy of a credit card receipt for a card issued on official letterhead, requesting

exemption and listing person’s full name.

6. A copy of the foreign diplomat ID card issued by the United States Department of State.

7. To qualify for a non-transient exemption, your stay of 30 days must be continuous in

accordance with the City of Palo Alto Ordinance No. 3704, section 2.33.010(d)

8. The City Transient Occupancy Tax rate is 14%

Government Exemption Form - Supervisor Of Revenue Collections Of City Of Palo Alto