Tourist Development Tax Application Form - Hernando County, Florida
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1
2H
C
ERNANDO
OUNTY
T
D
T
A
OURIST
EVELOPMENT
AX
PPLICATION
5.00
Instructions for completing this application are on the reverse side. Please Note: $
registration fee due when application is
submitted.
Applicant Information:
Owner Name:
_____________________________
Telephone # (
)______-_____________
Mailing Address:
_____________________________
ATTN:_____________________________
City__________________________
State____________ Zip_______________
Social Security # or Federal Id#: ______________________
________________________
Email Address
Sales Use Tax Registration #:_________________________________________
Business Name:
______________________________
Telephone # (
)______ -____________
Business address:
______________________________
ATTN:_____________________________
City___________________________
State____________ Zip_______________
Tax Reporting Requirements:
Please check one only
Annual
Semi-Annual
Quarterly
Monthly
Physical Rental Location Information:
NOTE: If there is more than one rental location, please
contact the Department of Financial Services for additional location information forms. Contact information is on
the reverse side of this form.
Address: ________________________________________________________________________
Street
City
State
Zip
Accommodation Type: Please check one only
❍ Hotel/Motel
❍ Bed & Breakfast
❍ Single Family Dwelling
❍ Condominium
❍ R/V Campground
❍ Mobile Home
❍ Rooming House
❍ Multiple Unit Structure
❍ Cooperatively Owned Apartment
❍ Other:(Please Explain):___________________________
Total Units:_________
Contact Person(s): ____________________________________________________________
Applicant’s Signature:
_______________________________________ Date:______________
Print Applicant’s Name Here:
_________________________________
For TDT Office Only:
Date received in TDT Office: _____/_____/____ By:___________________
Registration Fee Paid: _______
TDT Account #: _____________
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Parent category: Financial