Shortterm Rental Tax Report Form - City Of Lexington

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CITY OF LEXINGTON
Commissioner of the Revenue
P.O. Box 922
SHORT TERM RENTAL TAX REPORT
300 East Washington Street
Lexington, Virginia 24450
[540] 462-3701;
fax [540] 463-4738
Business Name:_____________________________________________________________
1.
Total Gross Receipts:
$________________
2.
Receipts exempt from rental tax:
$________________
3.
Short-term rental gross receipts:
$________________
4.
Tax due:
$________________
(1% of line 3)
5.
Penalties (late filing):
$________________
(10% or $10 whichever is greater)
6.
Interest on late payment
$________________
(10% per year)
7.
TOTAL DUE:
$________________
(line 4 + line 5 + line 6)
th
Reports & payments due 20 of the month following the end of the quarter
Quarter ending: _________________
Due date: ________________
Make All Checks Payable to CITY TREASURER
_________________________________________
_______________________
Signature
Date
Commissioner of the Revenue
P.O. Box 922
300 East Washington Street
Lexington, Virginia 24450

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