Hospitality Tax Payment Form - Town Of Hilton Head Island
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1Town of Hilton Head Island
HOSPITALITY TAX NUMBER: _____________________
One Town Center Court
Hilton Head Island, SC 29928
Phone: 843-341-4677
Fax: 843-341-4637
Hospitality Tax Payment Form
D/B/A OR TRADE NAME:
_______________________________________
ATTENTION:
_______________________________________
MAILING ADDRESS:
_______________________________________
_______________________________________
_______________________________________
PHONE NUMBER:
_______________________________________
Important: A tax payment form must be filled out and submitted each quarter. If you had no collections for a particular quarter you
still need to submit a form with $.00 filled out in the space for gross proceeds.
FILING STATUS: ____ MONTHLY
____ QUARTERLY
PAYMENT FOR PERIOD (MONTH/QUARTER): _____________
IS THE BUSINESS SOLD? yes ____
no ____
NEW OWNER NAME:
________________________________________________________________________________
ADDRESS:
________________________________________________________________________________
CITY/STATE/ZIP:
________________________________________________________________________________
PHONE NUMBER:
________________________________________________________________________________
HOSPITALITY TAX
▼
FOR OFFICE USE ONLY
▼
Postmark
Report in Whole Dollars
.
1. Gross Proceeds: Food and Beverages
CK#
►
.
2. Hospitality Tax
Line 1 x 2% (.02)
Hospitality Tax
►
.
3. Penalty 5% per month Line 2 x 5% (.05)
Credit
.
4. Total Hospitality Tax Due (Add lines 2 and 3)
Penalty
Sub Total
Amt. Received
TOTAL Credit/Bal Due
I hereby certify that the information contained on this report is true and accurate to the best of my knowledge and belief.
Name: _____________________________________________
Signature: _____________________________________________
*Make additional copies as needed
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Parent category: Financial