Monthly Remittance Of Transient Occupancy Tax Form - Spotsylvania County printable pdf download

MONTHLY REMITTANCE OF TRANSIENT OCCUPANCY TAX

DEBORAH F WILLIAMS

COMMISSIONER OF THE REVENUE

PO BOX 175

Account #

SPOTSYLVANIA, VA 22553

540-582-7046 x 687

__________________________________

Owner’s Name

Trade Name

__________________________________

Mailing Addr - Block/ Street Name

Physical Addr - Block/ Street Name

__________________________________

City

State

Zip

City

State

Zip

Federal ID # ___ - _______________

_____________________________________________________________________________

SECTION A – CALCULATING TAXABLE GROSS

1. Total Gross Receipts for the Month of _________________, 20 ____

. . . . . . . . . . . . . . . . . . . . .

$ _____________________

2. Less Allowable Deductions (Attach List of Items).

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <$ _____________________>

3. Taxable Gross (Subtract Line 2 from Line 1)

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

$ _____________________

SECTION B – CALCULATING 5% TAX

4. 5% Tax of Taxable Gross (multiply Line 3 by 5%)

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

$ ____________________

SECTION C – PENALTY & INTEREST

5. Late Payment Penalty (if late, multiply Line 4 by 10%)

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

$ ____________________

(All payments not postmarked by the due date will receive a late payment penalty.)

6. Total Tax & Late Payment Penalty (add Line 4 and Line 5)

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

$ ____________________

* Interest will begin to accrue after the last day of the month following the due date at 10 % per year.

SECTION D- TOTAL DUE

TOTAL TAX (plus penalty and interest if applicable)

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

DECLARATION OF SELLER:

I hereby swear or affirm that the amounts listed above are true, correct and complete to the best of my knowledge and belief

for the period stated above.

Date ___________________

Signed by ________________________________________________________

Phone No________________

Title _____________________________________________________________

Make check payable to: Treasurer, Spotsylvania County.

Mail to: Deborah F Williams, Commissioner of the Revenue, PO Box 175, Spotsylvania VA 22553

The remittance is due on or before the last day of the month following the month being reported. Please return the

original and a copy to the Commissioner’s Office with payment.

FOR OFFICIAL USE ONLY

110-0000-312-10-01

Date:

____ /____/_____

Late Penalty

Reviewed By: _______________

Payment Enclosed

Monthly Remittance Of Transient Occupancy Tax Form - Spotsylvania County

Related Articles

Related forms

Related Categories