Form 408 - Registration For State Convention Facility Development Tax Form

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Michigan Department of Treasury
408, Formerly C-3097 (Rev. 8-94)
REGISTRATION FOR STATE
CONVENTION FACILITY DEVELOPMENT TAX
Issued under authority of the State Convention Facility Development Act of 1985.
Filing is mandatory. Failure to register and pay tax is punishable under the Revenue
Act.
INSTRUCTIONS: Complete one form for each hotel or motel in Wayne, Oakland and Macomb
counties. Hotels and motels with fewer than 80 rooms do not have to pay tax, but must file this
registration form before they can be considered tax exempt.
Registered Business Name
Account Number (same as for use tax)
Name of Hotel or Motel (dba; if different from above)
Street Address Where Hotel or Motel is Located
County
City
ZIP Code
Number of Guest Rooms
Date Liability Will Begin
What address do you want your tax returns sent to?
Street Address for Tax Returns
City
ZIP Code
Name of Previous Owner(s) or Corporation
Account Number of Previous Owner(s) or Corporation
I declare, under penalty of perjury, that the information
on this registration is true, correct and complete.
Signature of Hotel or Motel Representative
Date
Print or Type Name of Hotel or Motel Representative
Title
Daytime Telephone Number
You may reproduce this form.
Mail to:
Michigan Department of Treasury
Sales, Use and Withholding Taxes Division
Treasury Building
Lansing, MI 48922

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