Form 64 - Nebraska And County Lodging Tax Return Page 3

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return is required even if there have been no gross receipts.
completed sales and use tax exemption certificate from each
organization for which a deduction is claimed. Schools,
Mail to the Nebraska Department of Revenue, P.O. Box
colleges and universities from another state are not exempt in
94818, Lincoln, Nebraska 68509-4818.
Nebraska. If you have a question regarding the status of an
PREIDENTIFIED RETURN. This return is to be used only
organization claiming an exemption, contact the Nebraska
by the person whose name is printed on it. If you have not
Department of Revenue or refer to the Lodging Tax
received a preidentified return for the reporting period,
Information Guide.
request a duplicate from the department. Do not file returns
LINE 4. Enter the receipts from occupancies furnished to
which are photocopies, returns for another tax period, or
exempt governmental agencies for which the permitholder
returns which have not been preidentified. If the business
has a completed sales and use tax exemption certificate or
name, location, or mailing address is not correct, mark
proof of federal payment. Governmental agencies in the
through the incorrect information and plainly print the
business of funishing gas, water, electricity or heat are not
correct information.
exempt. If you have a question regarding the status of a
REQUEST FOR TERMINATION OF PERMIT. If the
charge made to a governmental agency, contact the Nebraska
permitholder has ceased engaging in the business of
Department of Revenue, or refer to the Nebraska Lodging Tax
operating a hotel and wishes the Nebraska lodging tax permit
information guide.
to be terminated, the permitholder must check the block
LINE 5. Round the total allowable deductions to the nearest
below the Name and Location Address. The lodging tax
whole dollar.
permit must be attached to this final return. The permit may
be reinstated upon the permitholder’s request without charge
LINE 6. Round the net taxable receipts to the nearest whole
by filing a Nebraska Change Request, Form 22.
dollar.
LODGING TAX COLLECTION FEE. The permitholder is
LINE 7. Compute the Nebraska and county lodging tax by
allowed a collection fee as a reimbursement for collecting the
multiplying the net taxable receipts times the rate entered on
Nebraska and county lodging tax. The amount of the current
line 7. The rate entered on line 7 includes the one percent
collection fee is identified on line 8.
Nebraska lodging tax rate plus any optional county lodging
PENALTY AND INTEREST. In the event that the return is
tax in effect at the hotel’s location. If you have a question
not filed by the prescribed due date, a penalty will be
regarding the Nebraska and county lodging tax rate entered
on your return, contact the Nebraska Department of Revenue.
assessed in the amount of $25.00 or ten percent of the tax
due, whichever is greater. Interest on the unpaid tax will be
LINE 10. A balance due or credit resulting from a partial
assessed at the rate printed on line 10 from the due date until
payment, mathematical or clerical errors, penalty, or interest
payment is received.
relating to prior returns will be entered in this space by the
VERIFICATION AND AUDIT. Records to substantiate this
department. The amount of interest includes interest on
unpaid tax through the due date of this return. If the amount
return shall be retained and be available for a period of at
due is paid before the due date, the interest will be
least three years following the date of filing the return.
recomputed and a credit will be given on your next return. If
SPECIFIC INSTRUCTIONS
the amount entered has been satisfied by a previous
LINE 1. Enter the gross receipts from charges for hotel
remittance, it should be disregarded when computing the
occupancies. Hotel shall mean any commercial, nonprofit, or
amount to remit on 11.
state owned facility in which the public may, for a
If a credit is shown, it may be applied to current tax liability.
consideration, obtain sleeping accommodations. It includes
If the credit can not be exhausted in a reasonable amount of
any hotel, motel, tourist home, campground, court, lodging
time the permitholder may file a refund claim with the
house, inn, or state operated hotel. Hotel shall not include any
Nebraska Department of Revenue.
hospital, sanitarium, nursing home, chronic care center,
LINE 11. Attach a check or money order payable to the
rooming or boarding house, or dormitory or facility regularly
Nebraska Department of Revenue for the amount reported on
used to house students in a facility operated by an educational
line 11.
institution established under Chapter 79 or 85 of the
Nebraska Revised Statutes. Record both taxable and exempt
SIGNATURES. This return must be signed by the taxpayer,
gross receipts rounded to the nearest whole dollar.
partner, or corporate officer. If the taxpayer authorizes
another person to sign this return, there must be a power of
LINE 2. Enter the receipts from occupancies furnished to the
attorney on file with the department.
same person for periods of thirty (30) continuous days or
longer.
Any person who is paid for preparing a taxpayer’s return
LINE 3. Enter the receipts from occupancies furnished to
must also sign the return as preparer.
exempt organizations. The permitholder must have a

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