Transient Occupancy Tax Return Form
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1
2Business Name/Owner:
__________________________________________________________
City of Detroit
Physical site address
160 Detroit Ave N
of rental property:
_________________________________________________________________
PO Box 589
Detroit, Oregon 97342
Mailing Address:
__________________________________________________________________
Phone: 503.854.3496
Fax: 503.854.3232
Phone:
e-mail:
__________________________
__________________________________________
TRANSIENT OCCUPANCY TAX RETURN FORM - CONFIDENTIAL
Tax Reporting Period
Due Date
Delinquent on
Check Box
Fees are
January 1 thru March 31
Due April 30
May 1
due
April 1 thru June 30
Due July 31
August 1
quarterly:
July 1 thru September 30
Due October 31
November 1
October 1 thru December 31
Due January 31
February 1
Complete and return Transient Occupancy Tax form along with payment before delinquency date.
Keep a copy for your records.
Current Payments
Delinquent Payments
1) Total room/spaces/
#________________
10) Total tax due
$_______________
nights rented
(line 9)
2) Total Rents
$________________
11) Interest for pre-approved one
$_______________
(gross receipts)
month extension
(line 10 x 1% (.01)
ORD214.8(e)
3) Less exemptions
$________________
12) Tax + interest
$_______________
(Complete Exemption
(line 10 + 11)
worksheet on reverse page)
st
4) Net taxable rents
$________________
13) Delinquent 1
month
$_______________
(line 2 minus line 3)
(line 12 x 10% (.1)
ORD214.9(a)
nd
5) Tax rate
X 7% (.07)
14) Delinquent 2
month
$_______________
(line 12 x 15% (.15)
ORD214.9(b)
6) Total tax
$________________
15) Evasion of tax
$_______________
(line 4 x line 5)
(line 12 x 50% (.50)
ORD214.9(c)
7) Less operator
X 7% (.07)
16) Total tax + penalties
$_______________
deduction
(line 12 thru 15)
ORD214.9(d)
8) Total operator
$________________
17) Delinquency interest
$_______________
deduction
(line 16 x .02 x number of months)
ORD214.9(d)
(line 6 x line 7)
9) Total tax due
18) Total due
$________________
$_______________
(line 6 minus line 8)
(total of line 16 thru 17)
I DECLARE THAT THE STATEMENTS ABOVE ARE TRUE AND CORRECT.
Signature
Print Name
Date
Change of ownership and/or address must be filed and reported immediately to the City of Detroit. If a business is
disposed of, suspended or closed a Transient Occupancy Tax Return form must be filed immediately with the City of
Detroit. A return must be filed even if taxes were not collected for the reporting period.
For Official Use
Date Received:
Received by:
Ordinance No. 214 - An Ordinance providing for a transient occupancy tax
TOT Form 200.v1/300.v1
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