Return for Month:
Registration #
Hotel/Motel/Lodge/B&B Name:
Number of Guest Nights:
Gross Rents/Total Room Rentals:
Penalty and Interest:
Deduct 2%, up to $200 (Return must be filed on time and correctly. May not be taken if any tax or penalty is owed for any previous filing period)
Deduct $25 for Prepaid Application Fee (Only one $25 Deduction Per Calendar Year)
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