COUNTY OF LOS ANGELES
TREASURER AND TAX COLLECTOR
TRANSIENT OCCUPANCY TAX
MONTHLY COMPUTATION FORM
JOSEPH KELLY
HOME PAGE
TTC.LACOUNTY.GOV
TREASURER AND TAX COLLECTOR
PROPERTY TAX PORTAL
Owner Name
Account Number: 000___
Attention
DBA Name
Street Address
Address
City, State Zip Code
City
Your payment must be postmarked by and is due by, m/dd/yy. Please write your Account Number on
your check to ensure your account is properly credited. If you have any questions regarding this form,
please call (213) 893-7984 Monday-Friday 8 am to 4 pm PT or e-mail us at tot@ttc.lacounty.gov.
Fill in the information below to compute the tax amount due.
Add 10.00% penalty plus 1.5% interest per month if not paid by:
Add an additional 10.00% penalty if not paid by:
1. Total rent charged for occupancy of rooms (excluding TOT)
1.
2. Allowable deductions
Amtrak
Insurance Company
Emergency Shelter Referral
Permanent Resident
Federal Credit Union
Red Cross
Federal or State of California
US Postal Service
employee
Foreign Government Agency
Total allowable deductions
2.
3. Taxable rent (Line 1 minus Line 2)
3.
4. Total tax due (12.00% times Line 3)
4.
5.
5. Add penalty (10% of total tax due), if paid after due date. Line 4 x 10%
6.
6. Add interest (1.5% per month multiplied by total tax due until paid), if paid after due date.
7. Total tax due (Total of Lines 4, 5 and 6)
7.
Make checks payable and mail to:
LOS ANGELES COUNTY TREASURER AND TAX COLLECTOR
P O BOX 30909
LOS ANGELES, CA 90030-0909
I HEREBY CERTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION IN THIS FORM
IS TRUE AND CORRECT.
__________________________________________
Signature
Date: ___________________
__________________________________________
________________
Print Name
Title
(___) ______________
(___) _____________
_____________________
Telephone
Fax
E-mail
The Los Angeles County Transient Occupancy Tax is codified in Title 4, Chapter 4.72 of the Los Angeles
County Code. Refer to Angeles County.
(Revised 01/15)
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