Local Option Tax Return Form - City Of Donnelly

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$
1. Total Lodging Sales
City of Donnelly
$
2. Less Nontaxable Lodging Sales
Local Option Tax Return
$
3. Total Taxable Lodging Sales
$
4. Tax (3% of line 3)
Permit No: LOT2011-2012
$
5. Total Retail Sales (Including Building Materials)
From: 4/01/2012 To: 4/30/2012
$
6. Less Non-taxable Sales
TAX PAYMENT DUE ON OR BEFORE: 5/20/2012
$
7. Total Retail Sales
$
8. Tax on Retail Sales (1% of line 7)
$
9. Penalty (add if submitted after due date)
Business Name:___________________________________
$
10. Interest (add if submitted after due date)
$
11. Total Due (total of lines 4, 8, 9, and 10)
PLEASE NOTE: If payment is not received by the due date, a minimum late fee of
Submit payment and a copy of your State of Idaho Sales Tax
$35 will apply, as well as 12% per annum on any unpaid balance.
Return to:
I hereby swear or affirm that this information is correct to the best of my knowledge.
City of Donnelly
Authorized Signature
Date
PO Box 725
Donnelly, ID 83615
------------------------------------------------------------------------------------------------------------------------------------------------------------
$
1. Total Lodging Sales
City of Donnelly
$
2. Less Nontaxable Lodging Sales
Local Option Tax Return
$
3. Total Taxable Lodging Sales
$
4. Tax (3% of line 3)
Permit No: LOT2011-2012
$
5. Total Retail Sales (Including Building Materials)
$
6. Less Non-taxable Sales
From: 5/1/2012 To: 5/31/2012
$
7. Total Retail Sales
TAX PAYMENT DUE ON OR BEFORE: 6/20/2012
$
8. Tax on Retail Sales (1% of line 7)
$
9. Penalty (add if submitted after due date)
$
10. Interest (add if submitted after due date)
Business Name:___________________________________
$
11. Total Due (total of lines 4, 8, 9, and 10)
PLEASE NOTE: If payment is not received by the due date, a minimum late fee of
$35 will apply, as well as 12% per annum on any unpaid balance.
I hereby swear or affirm that this information is correct to the best of my knowledge.
Authorized Signature
Date
------------------------------------------------------------------------------------------------------------------------------------------------------------
$
1. Total Lodging Sales
City of Donnelly
$
2. Less Nontaxable Lodging Sales
Local Option Tax Return
$
3. Total Taxable Lodging Sales
$
4. Tax (3% of line 3)
Permit No: LOT2011-20102
$
5. Total Retail Sales (Including Building Materials)
$
6. Less Non-taxable Sales
From: 6/1/2012 To: 6/30/2012
$
7. Total Retail Sales
TAX PAYMENT DUE ON OR BEFORE: 7/20/2012
$
8. Tax on Retail Sales (1% of line 7)
$
9. Penalty (add if submitted after due date)
Business Name:___________________________________
$
10. Interest (add if submitted after due date)
$
11. Total Due (total of lines 4, 8, 9, and 10)
Submit payment and a copy of your State of Idaho Sales Tax
Return to:
PLEASE NOTE: If payment is not received by the due date, a minimum late fee of
Submit payment and a copy of your State of Idaho Sales Tax
City of Donnelly
$35 will apply, as well as 12% per annum on any unpaid balance.
Return to:
PO Box 725
I hereby swear or affirm that this information is correct to the best of my knowledge.
City of Donnelly
Donnelly, ID 83615
PO Box 725
Authorized Signature
Date
Donnelly, ID 83615

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