Form Str - Short Term Rental Tax - City Of Waynesboro, Virginia
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1CITY OF WAYNESBORO, VIRGINIA
Short Term Rental Tax
QTR BEG: _______________ QTR. END: ______________
GROSS RECEIPTS FROM RENTALS
OF 92 DAYS OR LESS:
__________________________
Federal I.D. Number: _______________________________
GROSS RECEIPTS FROM RENTALS
______________________________
Name:
OF GREATER THATN 93 DAYS:
__________________________
_____________________________
Address:
TOTAL GROSS RECEIPTS
FROM ALL RENTALS:
__________________________
_________________________________
CITY
STATE
ZIP CODE
TOTAL EXEMPT RENTALS:
__________________________
Location of Business: _____________________________________
NET TAX PAYABLE
PENALTY
TOTAL GROSS TAXABLE RENTALS:
__________________________
INTEREST
NET TAX TOTAL
___________________________________________________________
TAX = 1%
(ENTER IN NET TAX PAYABLE)
AUTHORIZED SIGNATURE
DATE
Due Dates:
1
st
Quarter – April 20
2
nd
Quarter – July 20
3
rd
Quarter – October 20
4
th
Quarter – January 20
Return Due And Payable on or Before The 20
th
of The Reporting Month
Make Checks Payable To: Treasurer, Waynesboro, VA
Form STR
Mail to: 503 W. Main St. – Room 107
Waynesboro, VA 22980
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