Application For Tourist Tax - Brevard County Tax Collector Form
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BREVAR C
D O UNTY TA C
X O LLECTOR
P O
.
.
B o
x
25
0 Tit
0
u sville, FL 32781
Account #: __________________
(321) 264-6969 Fa x (32
:
1) 264-5149
RE #:_______________________
Date Entered: _______________
Application for Brevard County Tourist Development
OWNER INFORMATION
RENTAL PROPERTY INFORMATION
______________________________________________
__________________________________________________
Business Name (if applicable)
Property Address (attach list of additional units)
______________________________________________
__________________________________________________
Owner(s) Name(s)
Suite or Unit #
______________________________________________
__________________________________________________
Contact Person Remitting Tax
City
State
Zip
______________________________________________
Number of Units: _________________________
Mailing Address
______________________________________________
Start Date of Rental: _______________________
City
State
Zip
______________________________________________
State Sales Tax ID # _______________________
Phone Number
Fax
______________________________________________
Fiscal Year: ______________________________
Email
(By providing an email address, I authorize the Tax Collector's office to send reminders and delinquent notices via email.)
Name of Bank__________________________________
Bank Account # ____________________________
Type of Rental Unit(s): [Check one, only.]
_______Condominium
_______ Apartments
_______ Motel
_______Cottage
_______ R V Park/Campground
_______ Rooming House
_______Duplex
_______ Interval Owner (Timeshares)
_______ other (Please specify :)
_______Hotel
_______ Room(s), Garage Apt.
______________________________
RENTAL PERIOD: [Choose one]
th
_______
MONTHLY: Taxes are due monthly by the 20
of each month following the month the tax was collected (ex.
The
January tax period is due by February 20, The February tax period is due by March 20, etc.).
_______ QUARTERLY: Taxes remitted for the preceding four calendar quarters did not exceed $1,000.
The December tax
period is due January 20 (rentals from October 1 – December 31). The March tax period is due April 20 (rentals from January
1 – March 31). The June tax period is due July 20 (rentals from April 1 – June 30). The September tax period is due October
20 (rentals from July 1 – September 30).
The June tax
_______
SEMI-ANNUAL: Taxes remitted for the preceding four calendar quarters did not exceed $500.
period is due July 20 (rentals from Jan 1 – June 30) and the December tax period is due Jan 20 (rentals from July 1 –
December 31).
_______ SEASONAL: Taxes remitted for the preceding four calendar quarters did not exceed $100.
If you apply for Winter Seasonal, which covers rentals from October 1 – March 31, the tax period will be March and
the return is due by April 20. If you apply for Summer Seasonal, which covers rentals from April 1 – September 30,
the tax period will be September and the return is due by October 20.
Choose one if seasonal: Winter _______
Summer _______
_______ LONG-TERM: Property is NOT rented for periods of six (6) months or less.
Is Tourist Tax remitted by a Realtor or Property Manager?
Yes _______
No _______
If yes: Name(s): ______________________________________________________________
Address: _______________________________________________________________
City: ________________________ State: _________________ Zip: _____________
Telephone: ___________________
IMPORTANT:
* If no tax is collected for a particular filing period, you are required to file a zero tax return for that filing period.
th
* Payment is considered delinquent if not received by the 20
; a late penalty plus interest WILL be charged.
* A Tourist Development tax return will be forwarded upon receipt of this application and is also available on
our website.
Applicant’s Signature: _______________________________________________
Date: ______________________________
Revised 6/2016
Email Application
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