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Hotel and Motel Occupancy Tax Report City o by zyq18520

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									                                                                          Hotel and Motel Occupancy Tax Report
                                                                                  City of Arlington, Texas

       Name of Hotel / Motel:                                                                                                              Account Number:

       Location of Hotel / Motel (street address):
                                      Check the appropriate Quarterly Reporting period below.
                                                                                                                                     Reporting Year:
                           If paying for only one month, also circle the month for which you are paying.
                              1st Qtr: Jan - Feb - Mar (due Apr 30)                                              3rd Qtr: Jul - Aug - Sep (due Oct 31)

                              2nd Qtr: Apr - May - Jun (due Jul 31)                                              4th Qtr: Oct - Nov - Dec (due Jan 31)

                                                                               Hotel Occupancy Tax Due Computation
                               A                        Total Gross Receipts:
Allowable Exemptions




                              B.1               Federal Officer / Employee:                                                                                  ~REMINDER~
                                                                                                                                                            A report must be filed
                              B.2                                 State Officials:                                                                          even if no tax is due.

                              B.3                      Permanent Residents:

                               B              Total Allowable Exemptions:                                                                   B.1 + B.2 + B.3 = B

                                C                       Net Taxable Receipts:                                                               A-B=C

                               D                       Total Tax Owed (9%):                                                                 C x .09 = D (THIS IS THE AMOUNT YOU PAY)

                                E                        Portion of Tax at 7%:                                                              C x .07 = E

                                F                        Portion of Tax at 2%:                                                              C x .02 = F

                                                                                                                                            E+F=D

                                                                                    Penalty and Interest Computation*
                 G                                   5% Penalty - 30 days past due:                                                          D x .05 = G
                 H                                  10% Penalty - 60 days past due:                                                          D x .10 = H                   The sum of H + I:
                       I              6% Interest (per annum) - 60 days past due:                                                            H x .06 = I
                                                                                                                                            Write in applicable amount of penalty and interest
                       J                   Total Penalty and Interest Due:
                                                                                                                                            owed: either G, or the sum of H + I, as shown in the box
          * Penalty and Interest is in addition to the amount of tax owed in box D, and should be included at the time of                   above. Add to Total Tax Owed for payment amount.
          payment of the taxes, and only when taxes are postmarked/paid after the due date. Please include penalty and
                                                  interest in the payment amount at


I, ______________________________________________ certify by signing below that the above information is true and correct as
                                    (printed name of person completing this form)
                                                                                                                                                             Total number of rooms
shown in the records of ______________________________________________________________ .                                                                           available for rent:
                                                                        (printed name of Hotel, Management Company, etc.)

         Signature                                                                                           Date                                      Check #
Amount Remitted                                                                                            Phone Number
Email Address:
                                                                                 City of Arlington - Treasury Division                                            Questions?
                               Return this report and payment to:                PO Box 90231 - MS 63-0820                                                  Please call 817-459-6265
                                                                                 Arlington TX 76004-3231                                              Monday-Friday 8:00 a.m. to 5:00 p.m.
                                      For additional copies of this form and additional information, please visit our website: http://www.arlingtontx.gov/finance/treasuryoffice.html

                              Form Revised April 2009
                                                             Hotel and Motel Occupancy Tax Report
                                                                     City of Arlington, Texas

       Name of Hotel / Motel:                                                                                                            Account Number:

       Location of Hotel / Motel (street address):
                                  Check the appropriate Quarterly Reporting period below.
                                                                                                                                     Reporting Year:
                       If paying for only one month, also circle the month for which you are paying.
                           1st Qtr: January-February-March (due April 30)                                    3rd Qtr: July-August-September (due October 31)

                           2nd Qtr: April-May-June (due July 31)                                             4th Qtr: October-November-December (due January 31)

                                                                           Hotel Occupancy Tax Due Computation
                            A                        Total Gross Receipts:
Allowable Exemptions




                           B.1              Federal Officer / Employee:                                                                                   ~REMINDER~
                                                                                                                                                         A report must be filed
                           B.2                                State Officials:                                                                            even if no tax is due.

                           B.3                     Permanent Residents:

                            B             Total Allowable Exemptions:                 $                                       -          B.1 + B.2 + B.3 = B

                            C                       Net Taxable Receipts:             $                                       -          A-B=C

                            D                       Total Tax Owed (9%):              $                                      -           C * .09 = D (THIS IS THE AMOUNT YOU PAY)

                            E                        Portion of Tax at 7%:            $                                       -          C * .07 = E

                            F                        Portion of Tax at 2%:            $                                       -          C * .02 = F

                                                                                      $                                       -          E+F=D

                                                                                Penalty and Interest Computation*
                       G                         5% Penalty - 30 days past due:       $                                          -        D * .05 = G
                       H                        10% Penalty - 60 days past due:       $                                          -        D * .10 = H                   The sum of H + I:
                       I           6% Interest (per annum) - 60 days past due:        $                                          -        H * .06 = I               $                       -
                                                                                                                                         Write in applicable amount of penalty and interest
                       J               Total Penalty and Interest Due:
                                                                                                                                         owed: either G, or the sum of H + I, as shown in the bo
          * Penalty and Interest is in addition to the amount of tax owed in box D, and should be included at the time of                above. Add to Total Tax Owed for payment amount.
          payment of the taxes, and only when taxes are postmarked/paid after the due date. Please include penalty and
                                     interest in the payment amount at the time taxes are paid.


I, ______________________________________________ certify by signing below that the above information is true and correct as
                                (printed name of person completing this form)
                                                                                                                                                         Total number of rooms
shown in the records of ______________________________________________________________ .                                                                       available for rent:
                                                                   (printed name of Hotel, Management Company, etc.)

         Signature                                                                                       Date                                      Check #
Amount Remitted                                                                                        Phone Number
Email Address:
                                                                              City of Arlington - Treasury Division                                           Questions?
                            Return this report and payment to:                PO Box 90231 - MS 63-0820                                                 Please call 817-459-6265
                                                                              Arlington TX 76004-3231                                             Monday-Friday 8:00 a.m. to 5:00 p.m.
                                  For additional copies of this form and additional information, please visit our website: http://www.arlingtontx.gov/finance/treasuryoffice.html

        Form Revised April 2009
                                                           Hotel and Motel Occupancy Tax Report
                                                                   City of Arlington, Texas




                   3rd Qtr: July-August-September (due October 31)

                   4th Qtr: October-November-December (due January 31)

upancy Tax Due Computation


                                                              ~REMINDER~
                                                             A report must be filed
                                                              even if no tax is due.




                                             B.1 + B.2 + B.3 = B

                                             A-B=C

                                             C * .09 = D (THIS IS THE AMOUNT YOU PAY)

                                             C * .07 = E

                                             C * .02 = F

                                             E+F=D

and Interest Computation*


                                                                           The sum of H + I:
                                                                       $                        -
                                             Write in applicable amount of penalty and interest
                                             owed: either G, or the sum of H + I, as shown in the box
                                             above. Add to Total Tax Owed for payment amount.




certify by signing below that the above information is true and correct as




                                                                   Questions?
                                                             Please call 817-459-6265
                                                       Monday-Friday 8:00 a.m. to 5:00 p.m.
tion, please visit our website: http://www.arlingtontx.gov/finance/treasuryoffice.html

                 Form Revised April 2009

								
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