bell county report of hotel occupancy tax(all exemptions must be validated by a signed hotel...
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Zip State
This report is for the month/quarter ending
Business Name, Address & Contact Information
Bell CountyReport of Hotel Occupancy Tax
I declare that the information contained in this Hotel Occupancy Tax Report is accurate to the best of my knowledge and belief.
Hotel Occupancy Tax Calculation
(Pursuant to Bell County order #291/15 dated August 24, 2015.Affidavit
Telephone Number
Business Name (DBA)
Owner Name
Location Address
Mailing Address
State Taxpayer Number
Contact Person
Email Address
State Zip
City
Remit to: Bell County, TexasPlease remit the following:
7
PaymentPayment is due on the 20th of the following month. A Penalty will be assessed if postmarked after the due date.
Treasurer's Office
DateSignatureDuly Authorized Agent (Print Name) Title
Total Gross Receipts for the Month/Quarter
Less Receipts Exempted from Tax (all exemptions must be validated by a signed hotel occupancy tax exemption certificate)
P.O. Box 812Belton, Texas 76513
(1) The amount due in the form of a check or money order(2) An original of this report
Net Tax Due (line 5 minus 6 a plus 6c plus 6d)
Total Taxable Receipts (Subtract line 2 from line 1)
Hotel Occupancy Tax Rate
Hotel Occupancy Tax Due (line 3 multiplied by line 4)
Discount or Penalty and Interest
Less discount if postmarked by Due Date (line 5 multiplied by 1%)
6
6a
6b
6c
6d
1
2
3
4
5
2%
Plus penalty if postmarked after Due Date (line 5 multiplied by 5%)
Plus additional penalty if postmarked more than 31 days after Due Date (line 5 multiplied by 5%)
Plus interest if postmarked more than 60 days after Due Date (see instructions)
City