Trustee Daily Rental Form - City Of Virginia Beach

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John T. Atkinson, Treasurer
City of Virginia Beach
Trustee Tax Division - 757.563.1311
Payment for Qtr End:
01
2010 -
000000 -
SHORT TERM RENTAL
Gross receipts-rentals of 92 days or less
$
____________
Gross receipts-rentals of more than 92 days: $
_________
Total gross receipts for all rentals
$
__________
Total exempt rentals
$
____________
Owner Name
Trade Name
Total gross taxable rentals
$
____________
NET TAX PAYABLE
$
___________
Address
Late Filing Penalty
City
VA
Zip
10% or $10.00 whichever is greater
$
____________
Subtotal
$
____________
$
___________
10% Late Payment Penalty
TOTAL TAX
$
__________
002.00002.410107
Comment
Tax 1% (Enter calculated tax on NET TAX PAYABLE above)
Return Due and Payable on or before the 20th day of the reporting month
SIGN and RETURN this portion with your check payable to: Treasurer, Virginia Beach
AUTHORIZING SIGNATURE
DATE
FOR OFFICE USE ONLY
Month/Year
Amount
Payment Transaction Type: __________
________
$
______
Received Date:__________
________
$
______
Check Number:__________
________
$
______
Revised 05.04.2010

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