Tourist Development Tax Return - County Of Palm Beach Form - 2016

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COUNTY OF PALM BEACH: 2016 TOURIST DEVELOPMENT TAX RETURN
TOURIST TAX NUMBER
REPORTING PERIOD
DUE DATE
RENTAL PROPERTY ADDRESS
P.O. Box 3715
West Palm Beach, FL 33402-3715
(561) 355-3547
**SEE REVERSE SIDE TO COMPLETE REQUIRED SCHEDULE INFORMATION**
(DETACH HERE)
PLEASE INCLUDE THIS SCHEDULE WITH YOUR PAYMENT TO THE TAX COLLECTOR
TOURIST TAX NUMBER
REPORTING PERIOD
DUE DATE
RENTAL PROPERTY ADDRESS
1. Gross Rental Receipts
2. Minus(-) Exempt Rental Receipts
3. Plus(+) Excess Collections
4. (=) Taxable Rental Receipts
NOTICE: Returns submitted unsigned and/or with incomplete schedules will be
5. Total Tax Collected 6%
returned to the mailing address on record with payment. Returns postmarked after the
20th day of the month following collection are delinquent.
6. Minus(-) Collection Allowance 2.5%
UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE COMPLETED THE
7. Plus(+) Penalty
FOREGOING RETURN AND THAT THE FACTS STATED IN IT ARE TRUE.
8. Plus(+) Interest
SIGNATURE _____________________________________________
9. (=) Current Month Amount Due
DATE __________________________________________________
10. Plus(+) Outstanding Balance
11. (=) Total Amount Due
PLEASE READ THE INSTRUCTIONS BELOW BEFORE COMPLETING THIS RETURN
Payment is due on the fi rst day of the month following the month of collection. Returns postmarked after the 20th day
of the month following collection, penalty (Line 7) and interest (Line 8) must be included (Florida Statute 212.12).
If no tax is due for a reporting period, the signed form must be returned indicating zero total amount due (Line 11).
1. GROSS RENTAL RECEIPTS: Enter the total dollar amount of collected rentals for the reported period.
2. MINUS(-) EXEMPT RENTAL RECEIPTS: Enter any rentals exempt from the Tourist Development Tax.
3. PLUS(+) EXCESS COLLECTIONS: Enter amount of excess collection (any charge or surcharge to tenant for use of items or services).
4. (=) TAXABLE RENTAL RECEIPTS: Enter the amount of taxable rentals (Line 1 minus Line 2 plus Line 3).
5. TOTAL TAX COLLECTED: Enter the amount of Tourist Development Tax collected, 6% of taxable rental receipts (Line 4).
6. MINUS(-) COLLECTION ALLOWANCE: If postmarked on or before the 20th day of the month following collection, enter 2.5% of the total
tax collected (Line 5). The Collection Allowance must not exceed $30.
7. PLUS(+) PENALTY: If postmarked after the 20th day of the month following collection, enter 10% of the total tax collected (Line 5) or
$50, whichever is greater.
8. PLUS(+) INTEREST: Interest is currently 7% per year, calculated daily (7% divided by 366 days = .000191257 = daily rate). If post-
marked after the 20th day of the month following collection, enter the daily rate multiplied by the number of days past the 20th day of
the month following collection multiplied by the total tax collected (Line 5). This rate is subject to change by the Florida Department of
Revenue and may be adjusted January 1 and July 1 each year.
9. (=) CURRENT MONTH AMOUNT DUE: Enter the amount due for the current month’s return, Line 5 minus Line 6, plus Line 7 and 8.
10.
PLUS(+) OUTSTANDING BALANCE: Enter the amount of your past due notice (if applicable) from our offi ce.
11.
(=) TOTAL AMOUNT DUE: Enter the total amount due for your return, Line 9 plus Line 10.
FOR MORE INFORMATION VISIT OR CALL 561-355-3547
TDT Return 12/29/2015

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