July - August - September 2007 Lodging Addendum Form

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July - August - September 2007
3 07
Q
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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