Form 700 - Hotel Occupancy Tax Return
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1700
FORM
H
O
T
R
OTEL
CCUPANCY
AX
ETURN
Please Check Appropriate Box :
Separate Return
Combined Return
Check box if AMENDED and enter correct Reporting Period
(below) being "amended"
Business Name
Reporting Period (Quarter)
[Due Last Day of Following Quarter]
Taxpayer Name and Mailing Address
Taxpayer Identification No.
TIN
SSN
(Enter Whole Dollars)
OFFICE USE
Check here if mailing address has changed.
1. Total Room Receipts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
ONLY
(Include Banquet/Conference Rentals, Extra-Cots, No Show/Guaranteed Rooms)
1
2. Exempt Room Receipts Included in Line
. . . . . . . . . . . . . . . . . . . . . . . . . . -
1
2
3. Total Taxable Receipts (Line
minus Line
). . . . . . . . . . . . . . . . . . . . . . . . =
3
8%
4. Tax (Line
times
). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1%
-
5. Discount (Enter
of Line 4, if timely filed & paid) . . . . . . . . . . . . . . . . . .
6. Tax Paid with Extension Request . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . -
(Form 145 must have been timely filed)
4
5
6
7. Tax Due (Line
minus Lines
&
) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . =
8. Interest(s) - is applicable. Calculate interest owed and enter amount . . . . .
+
(attach calculations)
9. Penalty(s) - if applicable. Calculate penalties owed and enter amount . . . . . . +
(attach calculations)
7
8
9
10. TOTAL TAX DUE (Add Lines
,
and
) . . . . . . . . . . . . . . . . . . . . . . . =
under
over
For payments
$10,000 make
Payments
$10,000 must be wire transferred
check payable to the order of & mail to:
to the following account:
Check here if
Office of the Navajo Tax Commission
The Navajo Nation
payment is made
Post Box 1903
ACH Routing #: 122105278
by wire transfer
Window Rock, Arizona 86515-1903
Wells Fargo Bank - Window Rock Branch
Amount
Phone: (928) 871-6681
Window Rock, Arizona 86515
$
Fax: (928) 871-7608
Wire Transfer Routing #: 122105278
Tax Depository Account #: 2755351877
I declare that the information contained in this document and any attachments thereto is true and correct to
the best of my knowledge and belief pursuant to all Navajo Nation laws and regulations.
x
(
)
/
/
Taxpayer or Duly Authorized Agent Signature
Print or Type Name
Telephone Number
Date
ONTC
HOT - Form 700
Revised: 04/12/2011
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