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   Convenience Fee Chart

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7. For The Month Ended*
   For The Month Ended
9. Taxpayer Information
11. Hotel / Motel Name*
12. Business Location*
13. Sales Tax ID Number*
15. Tax Calculation
17. 1. Taxable Rental Receipts*
18. 2. Sales Tax Receipts (Line 1 x 0.0795 or 0.0895)*
20. 3. County Hotel / Motel Tax (Line 1 x 0.05)*
21. 4. Non-taxable Receipts
23. 5. Total Gross Receipts (Line 1+2+3+4)*
24. 6. Tourism Tax Due (Line 5 x 0.01)*
26. 7. Hotel / Motel Tax Due (Line 5 x 0.0075)*
27. 8. Combined Net Tax Due (Line 6 + Line 7)*
29. 9. Penalty (10% 1st Month, 2% Each Additional, Max 30%)
30. 10. Gross Amount Due (Line 8 + Line 9)*
34. Tax Preparer*
35. Date*
    Date
37. Address*
38. Phone Number*
40. Contact Email (Optional)
42. Inquiries
    Email City Staff

    For all other inquiries, please click on the link above to send an email to City staff.
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44. 1. Receive an email copy of this form.
45. Email address

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