Form Tlt-1 - Transient Lodging Tax - City Of Waynesboro

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CITY OF WAYNESBORO
TRANSIENT LODGING TAX
COMMISSIONER OF THE REVENUE
503 W. MAIN ST., ROOM 107
WAYNESBORO, VIRGINIA 22980
___________________________________
NAME
_______________________
___________________________________
VIRGINIA SALES TAX REGISTRATION NO.
TRADE NAME
________________________
___________________________________
MONTH/YEAR ENDED
P.O. BOX OR MAILING ADDRESS
________________________
___________________________________
DEFINITE LOCATION OF BUSINESS
CITY
STATE
ZIP CODE
Gross rentals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ ________________
1.
Allowable deductions:
2.
a. Exempt rentals (over 30 days)
$_______________
b. Refund of Rentals included in line 1 of this report $_______________
c. Refund of rentals included in prior reports
$_______________
d. Total deductions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $________________
Item 1 less 2(d) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $________________
3.
Tax (6% of Item 3) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $________________
4.
Penalty for late payment (5% of item 4 or minimum of $2.00) . . . . . . . . . . .
$________________
5.
Interest (10% per Annum) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
$________________
6.
Total tax, penalty and interest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
$________________
7.
(sum of items 4, 5, and 6)
CHECK SHOULD BE MADE PAYABLE TO: CITY TREASURER, WAYNESBORO, VA
Form TLT-1

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