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Motel/Hotel Tax & Municipal Service Tax Return

Owner's Name

Business Name

Address

Computation of Tax for: (month and year)

Is this a FINAL return?

Yes

Motel/Hotel Tax

1. Total receipts from room rentals including State and City Tax

2. Deduction of receipts from permanent residents

3. Other deductions (attach detail explanation)

Please upload a detailed explanation

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4. Taxable receipts plus State and City tax collected (item 1 less items 2 and 3)

5. State tax collections included in item 4

6. City tax collections included in item 4

7. Taxable receipts (item 4 less items 5 and 6)

8. City Motel/Hotel tax due (5% of item 7)

9. Operator expenses (2.1% of item 8 or $2.08/month, whichever is greater)

10. City Motel/Hotel tax due (item 8 less item 9)

Municipal Service Tax

11. Total number of rooms rented

12. City Municipal Service Tax due ($2.00 times item 11)

Tax Due

13. Total taxed due (add item 10 and item 12)

Penalty/Credit/Tax

14. Penalty if payment is late (1% of item 13 per 30 day period or portion thereof from the date of delinquency)

15. Total tax and penalty (item 13 plus item 14)

16. Credits (attach detailed explanation)

Please upload a detailed explanation

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Total Due: (item 15 less item 16)

Title

Name of person preparing this return.