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Click ‘Get Form’ to open it in the editor.
Begin by entering the name and mailing address of your hotel, motel, or bed and breakfast in the designated fields. Ensure all information is accurate for proper processing.
Fill in the contact person's name and phone number to facilitate communication regarding your submission.
Report your gross room revenue for the month in the specified field. This figure is crucial as it determines your tax liability.
Calculate the tax revenue due by entering 3% of your gross room revenue in the next field.
If applicable, include any penalties or interest due if payment is made after the due date.
Total all amounts and enter this figure as your total payment enclosed.
Sign and date the form, affirming that all information provided is true and complete. Remember, a signed original must be submitted with payment.
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