MEALS & LODGING TAX FILING FORM
Name:
Address:
City,State,Zip:
--RETURN
ENTIRE FORM--
Taxes must be reported
and submitted by the 20th of the month following the month of collection. A penalty of 10%, or $10.00 whichever is
greater, as long as the penalty does not exceed the tax, plus 10% interest per
annum is imposed if not paid by the due date.
REGISTRATION
NO
FOR THE MONTH
OF:
GROSS MEAL RECEIPTS....................................______________________
GROSS TRANSIENT LODGERS RECEIPTS....... ______________________
4.5% TAX ON
MEALS....................................…______________________
8.0% TAX ON TRANSIENT LODGERS............ ______________________
PENALTY & INTEREST (SEE
ABOVE)..............….______________________
TOTAL DUE ………........................................….______________________
I hereby certify that
the figures shown on this form are in accordance with the Code of the City of
Hopewell, Virginia.
________________________________________________________________________
SIGNED DATE
VALID ONLY FOR AMOUNT RECEIPTED BY TREASURER