Transient Occupancy Tax Registration Form Accomack County, Virginia Page 2

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County of Accomack
Commissioner of the Revenue
P.O. Box 186, Accomac, VA 23301
Check if final return
Telephone #: 757-787-5747/757-824-5444
Transient Occupancy Tax Return
Taxable Receipts
st
1/15 – 3/15
1
Quarter
Filing Date
4-30-15
Net Tax Payable 2%
Penalty 10%
Business Name
Interest 8% per annum
Mailing Address
Amount Paid
This return must be filed by the last day of the month following quarter
for which the tax is due to avoid penalty and interest.
Checks Payable To: Treasurer of Accomack County
Signature
----------------------------------------------------------------------------------------Cut Here------------------------------------------------------------------------------------
County of Accomack
Commissioner of the Revenue
P.O. Box 186, Accomac, VA 23301
Check if final return
Telephone #: 757-787-5747/757-824-5444
Transient Occupancy Tax Return
Taxable Receipts
nd
4/15 – 6/15
2
Quarter
Filing Date
7-31-15
Net Tax Payable 2%
Penalty 10%
Business Name
Interest 8% per annum
Mailing Address
Amount Paid
This return must be filed by the last day of the month following quarter
for which the tax is due to avoid penalty and interest.
Checks Payable To: Treasurer of Accomack County
Signature
----------------------------------------------------------------------------------------Cut Here------------------------------------------------------------------------------------
County of Accomack
Commissioner of the Revenue
P.O. Box 186, Accomac, VA 23301
Check if final return
Telephone #: 757-787-5747/757-824-5444
Transient Occupancy Tax Return
Taxable Receipts
rd
7/15 – 9/15
3
Quarter
Filing Date
10-31-15
Net Tax Payable 2%
Penalty 10%
Business Name
Interest 8% per annum
Mailing Address
Amount Paid
This return must be filed by the last day of the month following quarter
for which the tax is due to avoid penalty and interest.
Checks Payable To: Treasurer of Accomack County
Signature
----------------------------------------------------------------------------------------Cut Here------------------------------------------------------------------------------------
2

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