Muskogee Hotel / Motel Tax - Muskogee City Treasure'S Office
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1TREASURER'S OFFICE, CITY OF MUSKOGEE
MUSKOGEE HOTEL / MOTEL TAX
MONTHLY / QUARTERLY
PERIOD FROM
TO
NAME OF HOTEL/MOTEL:
ADDRESS:
1
GROSS RECEIPTS -
All Hotel / Motel rents for lodging
Permanent guests - Attach copies of
2
EXEMPT RECEIPTS -
exemption forms.
A list of the Guest / Guests with date,
3
OTHER EXEMPTIONS -
Reason / Reasons for Exemption
4
TOTAL EXEMPT RECEIPT -
Add lines 2 and 3
5
NET TAXABLE RECEIPTS -
Line 1 less line 4
6
GROSS TAX DUE -
Enter 8% of line 5
7
CREDIT OR DEBIT -
Over or under payment in prior months
8
INTEREST -
10% per month from date of delinquency
9
NET TAX DUE -
Line 6 plus lines 7 and 8
Returns are due the 15th of the month following the end of the period paid:
NOTE:
monthly or calendar quarter. Returns are delinquent 5 days thereafter and
subject to penalty/interest.
UNDER PENALTY OF PERJURY: I HEREBY CERTIFY THAT THE INFORMATION AND STATEMENTS
CONTAINED HEREIN AND IN ANY SCHEDULES OR EXHIBITS ARE TRUE AND CORRECT.
SIGNED
TITLE
DATE
SUBMIT THE ORIGINAL WITH PAYMENT
COMPLETE AND MAIL TO:
CITY OF MUSKOGEE
CITY TREASURE'S OFFICE
P. O. BOX 1927
MUSKOGEE, OK 74402-1927
If you have any questions, please contact the City Treasurer's office at (918) 684-6291
Revised: 6/5/15
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