Lodgers Tax Online Payment

**Please fill out the reporting form below BEFORE making your Lodger's Tax payment**
Lodger's Tax Reporting Form - Mail-In Version

Lodger's Tax Reporting Form (email version)

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Business Name*

Certificate Number*

Mailing Address*

Physical Address*

Current Date*

What Month and Year are you Reporting?*

Gross Rent For Lodging:*

Subtract Amounts Received For Permanent Residents (reside at premise for at least 30 consecutive days)*

Subtract Amounts Received for Room Rented for Less than $2.00 / day*

Total Gross Taxable Rent For Lodging*

Lodger's Tax Remitted (5% of Receipts)*

PAID ON OR BEFORE THE 25th DAY OF THE MONTH SUCCEEDING THE MONTH REPORTED YOU SHALL: Add a penalty of 10% or $100.00, whichever is Greater. Type that amount in the box below.*

Total Amount Paid*

Total Rental Units in Facility*

Number of Units available in Month*

Number of Times Units were Rented*

Type Your Name in the Box Below: Under penalty of perjury, I declare that I have examined this report and to the best of my knowledge and belief it is true and complete.*

Title of Person Submitting Report*

Phone Number*

Click HERE to Pay Lodger's Tax Online