Fillable Hotel Occupancy Tax Collection Report Form

601 Tremont Street (23

) - Galveston, TX 77550 - (409) 797-5132

HOTEL OCCUPANCY TAX COLLECTION REPORT

Please print/type all requested information. A fillable form is available at:

Property Name: ______________________________________________________

Property Address: ___________________________________ ________ ________ R#:__ __ __ __ __ __*

Number & Street

Unit #

Zip code

*The 6-digit R# number is assigned to a property by the Galveston Central Appraisal District.

Go to

to locate the R# for a property.

CONTACT INFORMATION for PERSON FILING THIS REPORT:

Name: _______________________________________ Email: _________________________________________

Street Address/P O Box: _____________________________________________ Unit #: _____________________

City/State/Zip: _______________________________________________ Phone: ___________________________

Payment is due the 20

of the month following the reporting period.

Reporting for month or quarter ending: ______________________

Today’s date: ______________________

1. Total number of condos/homes/hotel rooms available for rent at the property address …_______________

2. Total number of nights rented during the month/quarter…………..…………..........................._______________

3. Revenue from room rentals and cleaning fees …..………..……………………………………. $_____________________

4. Allowable deductions: room rates of authorized government employees…........ $______________________

NOTE: Texas Exemption Certificates must be maintained by management and available upon request.

5. Taxable receipts (Line 3 minus Line 4) ……………………………………………………………….….… $__________________

6. Tax due (9% times Line 5)…………………………………….…………………………..……………..……… $__________________

7. Penalties:

a. Add 5% of tax due (line 6) if payment is 1 to 30 days late…………………….………$__________________

b. Add 10% of tax due (line 6) if payment is 31 to 60 days late………………..………$__________________

c. Add 15% of tax due (line 6) if payment is 61+ days late………………….………….…$ _________________

AND IF 61+ DAYS PAST DUE, ADD INTEREST AS SHOWN BELOW

d. Interest: Multiply tax due (line 6) by .0003 and multiply again by the

number of days past 61…………………………………………………………………………………$ _________________

8. Total tax due (Add lines 6, 7a, 7b, 7c, and 7d,…………………………………………….………………$ _________________

Make checks payable to: Galveston Park Board – HOT and mail to: 601 Tremont, Galveston, TX 77550

NOTE: A REPORT MUST BE FILED WHETHER TAX IS DUE OR NOT

FOR A SMALL CONVENIENCE FEE, ELECTRONIC PAYMENTS ARE NOW BEING ACCEPTED

•

3% CONVENIENCE FEE PLUS $.25 WILL BE ADDED TO ALL TAX PAYMENTS MADE BY CREDIT CARD

•

$.50 CONVENIENCE FEE WILL BE ADDED TO ALL ELECTRONIC CHECK (ACH) PAYMENTS

EMAIL THE TAX REPORT AND AN INVOICE WILL BE SENT TO YOU WITH ONLINE PAYMENT INSTRUCTIONS

Hotel Occupancy Tax Collection Report Form - Texas