City of Bristol Virginia
Commissioner of the Revenue
497 Cumberland St.
Bristol, VA. 24201
(276) 645-7316
Fax (276) 645-3790
LODGING TAX FORM
Name of Business ________________________________________________
Account No. _____________________________________________________
Lodging Tax Month/Year___________________________________________
Lodging Tax Percentage
7%
Gross Receipts for Lodging tax
Lodging tax due
th
Penalty (If paid after 20
. of month)
Interest
Total due
Less check
Amount due