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(All hotel and motel lodging furnished guests)
(Permanent guest, continuous lodging over 30 days)
(Attach exemption certificate) tax
(Add lines 2 and 3)
(Line 1 less line 4)
(Enter 3% of line 5)
(Include an explanation)
(10th per month for late payment)
(Sum of lines 6, 7 & 8)
(Please upload any necessary or required attachments)
By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date. I hereby certify that the information and statements contained herein and in schedule of exhibition attached are true and correct)
To avoid penalty and interest, payments must be received on or before the 15th of the month following the taxing period.
Notify the Treasurer or any change in ownership or name change.
This field is not part of the form submission.
* indicates a required field