July - August - September 2007 Lodging Addendum Form Page 3

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April - May - June 2007
2 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 flyer 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
(enter location code and income only)
[47]
Location Code
Income
Location Code
Income
,
,
.
,
,
.
1.
4.
Location Code
Income
Location Code
Income
2.
,
,
.
5.
,
,
.
Location Code
Income
Location Code
Income
,
,
.
,
,
.
3.
6.
Convention and Trade Center Tax
[48]
Location Code
Taxable Amount
Tax Due
Rate
,
,
,
.
.
.
7.
x
=
Location Code
Taxable Amount
Tax Due
Rate
,
,
,
.
.
.
8.
x
=
Location Code
Taxable Amount
Tax Due
Rate
,
,
,
.
.
.
9.
x
=
Location Code
Taxable Amount
Tax Due
Rate
,
,
,
.
.
.
10.
x
=
Total Convention & Trade Center
11.
,
.
Tax Due
(Add tax due, lines 7-10)
Special Hotel/Motel Tax
[70]
Location Code
Taxable Amount
Tax Due
Rate
,
,
.
12.
.
,
.
x
=
Location Code
Taxable Amount
Tax Due
Rate
,
,
.
.
,
.
13.
x
=
Location Code
Taxable Amount
Tax Due
Rate
,
,
.
14.
.
,
.
x
=
Location Code
Taxable Amount
Tax Due
Rate
,
,
.
15.
.
,
.
x
=
16.
Total Special Hotel/Motel Tax Due
,
.
(Add tax due, lines 12-15)
Reminder:
Attach this addendum to
your original return and
mail to the Department.
17.
Total Lodging Taxes
,
,
.
(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
(4-18-07)
Page
1

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