Form 36-001 (H/mq) - Hotel/motel Tax Quarterly Return

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Please keep this worksheet and information for
HOTEL/MOTEL TAX
your records.
FILING INFORMATION
WORKSHEET
1 Gross Receipts from Rentals
2 Allowable Deductions
3 Taxable Amount
(subtract line 2 from line 1)
4
5 Penalty (if applicable)
6 Interest (if applicable, see instructions)
7 Total Hotel/Motel Tax Due
s
(add lines 4, 5, and 6)
8 Total Sales Tax Due
(line 14 of the Sales Tax Quarterly Return)
s
9 Total Amount Due
(total of lines 7 and 8)
Return this form with your Sales Tax Quarterly Return and
your remittance. Make check or money order payable to
Treasurer, State of Iowa
.
For forms and information on Iowa taxes, check out our website
at or call Taxpayer Services at
1-800-367-3388 (Iowa, Omaha, Rock Island/Moline)
or 515/281-3114. E-mail: idrf@idrf.state.ia.us
If you had no sales this quarter,
IOWA
36-001
H/MQ
put zeroes in lines 1 and 13.
HOTEL/MOTEL TAX QUARTERLY RETURN
1 Gross Receipts from Rentals
2 Allowable Deductions
3 Taxable Amount
(subtract line 2 from line 1)
s
s
4
Date Due
Permit No.
For Quarter Ending
5 Penalty (if applicable)
6 Interest (if applicable, see instructions)
7 Total Hotel/Motel Tax Due
s
(add lines 4, 5, and 6)
8 Total Sales Tax Due
(line 14 of the Sales Tax Quarterly Return)
s
9 Total Amount Due
(total of lines 7 and 8)
Signature of Retailer or Agent
Title
Date
Daytime Phone No.: ________________

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