Form 12-10 - Texas Hotel Occupancy Tax Report
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1b.
12-101
(Rev.2-10/10)
Texas Hotel Occupancy Tax Report
Page
of
- Location Supplement
75100
a. T Code
- Do not write in shaded areas.
c. Taxpayer number
d. Filing period
f. Due date
e.
If any location has changed trade name, address or number of rooms, give the correct information by the preprinted
information for that location.
g. Taxpayer name
1.
3.
4.
5.
2.
NUMBER
LOCATION
TOTAL TAXABLE
TOTAL ROOM
LOCATION TRADE NAME AND ADDRESS
OF ROOMS
NUMBER
RECEIPTS
RECEIPTS
PAGE
TOTALS
under Chapters 552 and 559, Government Code, to review, request and correct information
You have certain rights
we have on file about you. Contact us at the address or phone number listed on your report.
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Parent category: Financial