Form Op-337 - Tourism Account Surcharge Return
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1OP-337
State of Connecticut
Tourism Account Surcharge Return
Department of Revenue Services
For Period Ending
on the Rental/Leasing of Passenger Motor Vehicles
PO Box 2997, Hartford, CT 06104-2997
Before completing this return, read instructions on reverse
(Rev. 10/99)
1 2 3 4 5 6
1 2 3 4 5 6
Connecticut Tax Registration Number
1 2 3 4 5 6
1.
Number of passenger motor vehicles subject to surcharge
1
1 2 3 4 5 6
1 2 3 4 5 6
1 2 3 4 5 6
1 2 3 4 5 6
2.
Total number of days vehicles from Line 1 were rented/leased
2
1 2 3 4 5 6
1 2 3 4 5 6
Federal Employer Identification Number
3.
Amount of surcharge due (Multiply Line 2 by $1)
3
4.
Credit for uncollectible accounts ( See Instructions)
4
*
Due Date
5.
Net surcharge due (Subtract Line 4 from Line 3)
5
6.
Add
Penalty $
and
Interest $
=
6
*
One month after period ending. Return must be
7.
Total amount due (Add Line 5 and Line 6)
7
postmarked on or before the due date.
•
Make check payable to: Commissioner of Revenue Services.
Be sure to include your Connecticut tax registration number on
If address at
your check.
right is
•
A return must be filed even if no surcharge is due. Enter “O” on
incorrect,
Lines 1 and 2 and sign the return.
please make
•
New owners: Do not use the previous owner’s form to file your
necessary
return. Any change in ownership requires a new Connecticut tax
changes
registration number.
•
Check here if amended return.
Declaration: I declare under the penalties of false statement that I have examined this return and to the best of my knowledge and belief it is true, complete and correct.
Date
Taxpayer’s Signature
Title
Preparer’s Signature
Preparer’s Address
X
X
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