Tourist Development Tax Return - County Of Palm Beach Form - 2016 Page 2

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KEEP THIS SECTION
FOR YOUR RECORDS
*Property Control Numbers may be obtained from the Palm Beach County Property Appraiser’s website at
**Report the total amount paid by rental property, including any separate stated, mandatory charges such as entrance/exit cleaning fees, non-refundable pet deposits, utility
charges, etc. If deposits and/or application fee are applied to rent, they should be included in the gross rental amount. Please retain supporting documentation for your records.
(DETACH SCHEDULE HERE)
This required schedule can be found at
Property
Type
**Gross
Minus:
Taxable
Tourist
Rental
(i.e. Hotel,
Rental Property Address
*Property Control
Exempt
Rental
Development
Motel, B&B,
Receipts
Number
Rental
Receipts
Tax
(including unit/apt#)
Condo, Single
Receipts
Collected
Family)
Please make additional
$
$
$
$
CHECK #:
copies if needed.
Line #1
Line #2
Line #4
Line #5
Tourist Development Tax Account No. _______________________
Totals must match return
ADDRESS CHANGED?
YES
NO
INCLUDE THIS SCHEDULE WITH PAYMENT.
NAME ________________________________________________
Make payment to:
ADDRESS _____________________________________________
Tax Collector, Palm Beach County
______________________________________________________
Please include the Tourist Tax Account Number on your
CITY/STATE ____________________________________________
payment. Place this stub and your payment in the enclosed
ZIP ___________________________________________________
return envelope.
PHONE _______________________________________________
EMAIL ________________________________________________
TDT Return 12/29/2015

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