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Click ‘Get Form’ to open the form in our editor.
Begin by entering your Nebraska ID Number and the County Where Hotel is Located. If the county name is incorrect, write the correct name directly on the form.
Fill in the Tax Period and provide your Name and Mailing Address. If you have discontinued your business, check the corresponding box.
Complete Line 1 by entering your gross receipts from hotel occupancy charges. Ensure to include any applicable city-imposed occupation tax.
For Lines 2, 3, and 4, enter amounts for any exemptions related to long-term stays or exempt organizations as applicable.
Calculate total allowable deductions on Line 5 by summing Lines 2 through 4. Then, determine your Net Taxable Receipts on Line 6 by subtracting Line 5 from Line 1.
Compute the lodging tax due on Line 7 by multiplying Line 6 by the appropriate tax rate. Include both state and county rates.
On Line 8, calculate any collection fees based on Line 7. If this amount exceeds $75, enter $75 instead.
Finally, complete Lines 9 through 11 for total tax due and ensure all required signatures are provided before submitting.
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