September 2007 Lodging Addendum Form
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24September 2007
09 07
Lodging Addendum
Use Black Ink and Attach this Original Addendum to Your Retailing & Other Activities Return.
Name:
Tax Registration Number
Note: Please see the Lodging Information Rates and Changes fl yer for current location codes and tax rates.
Lodging Taxes
Note: Transient Rental Income Information MUST be completed if you are remitting Convention and Trade
Center or Special Hotel/Motel tax.
Transient Rental Income Information [47] (enter location code and income only)
Location Code
Income
Location Code
Income
,
.
,
,
,
.
1.
4.
Location Code
Income
Location Code
Income
,
,
.
,
.
,
2.
5.
Location Code
Income
Location Code
Income
,
.
,
.
,
,
6.
3.
Convention and Trade Center Tax [48]
Location Code
Taxable Amount
Rate
Tax Due
,
.
,
.
,
.
7.
x
=
Location Code
Taxable Amount
Rate
Tax Due
,
,
.
.
.
,
8.
x
=
Location Code
Taxable Amount
Rate
Tax Due
,
,
.
.
.
,
9.
x
=
Location Code
Taxable Amount
Rate
Tax Due
,
,
,
.
.
.
10.
x
=
11. Total Convention & Trade Center
,
.
Tax Due
(Add tax due, lines 7-10)
Special Hotel/Motel Tax [70]
Location Code
Taxable Amount
Rate
Tax Due
,
,
.
.
.
,
12.
x
=
Location Code
Taxable Amount
Rate
Tax Due
,
,
,
.
.
.
13.
x
=
Location Code
Taxable Amount
Rate
Tax Due
,
.
,
.
,
.
14.
x
=
Location Code
Taxable Amount
Rate
Tax Due
,
,
.
.
.
,
15.
x
=
16. Total Special Hotel/Motel Tax Due
,
.
(Add tax due, lines 12-15)
Reminder: Attach this addendum to
your original return and
17. Total Lodging Taxes
,
,
mail to the Department.
.
(Add tax due, lines 11 and 16)
Add all Addendum totals and transfer the
amount to the Total All Addendums line on
your tax return.
Internet/Fax
(8-9-07)
Page 1
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