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Transient Tax Return Form

WALLOWA COUNTY                                                                             TREASURER’S OFFICE
                                                                                                     WALLOWA COUNTY COURTHOUSE

TRANSIENT LODGING TAX RETURN FORM                                 101 S RIVER ST. RM 103
                                                                                                                 ENTERPRISE, OR 97828

ACCOUNT NUMBER __________________                             CIRCLE QUARTER & DUE DATE

BUSINESS ____________________________                              1ST     2ND     3RD    4TH            

NUMBER OF ROOMS/SPACES _________                                       APR     JUL    OCT   JAN


CALCULATION OF TAX RETURN

1. GROSS RENT  

2. a. RENT BY THE MONTH
     b. OTHER RENT DEDUCTIONS
 3. TOTAL ALLOWABLE DEDUCTIONS
     { SUM OF LINES 2.a. THRU 2d. }
4. TAXABLE RENTS
     { LINE 1 MINUS LINE 3 }
5. TAX
    { 5% OF LINE 3 }
6. EXCESS TAX COLLECTED 
7. TOTAL TAX
    { SUM OF LINES 5 & 6 }
8. COLLECTION EXPENSE
    { 5% OF LINE 7 } 
9.TOTAL TAX DUE
   { LINE 7 MINUS LINE 8 }
10. PENALTY 
11. INTEREST  

12.ADJUSTMENT FOR PRIOR UNDERPAYMENT OR
    (OVERPAYMENT) 
13. TOTAL RETURN
      { TOTAL OF LINES 9 THRU 12 }
I DECLARE, UNDER PENALTY OF MAKING A FALSE STATEMENT, THAT TO THE BEST OF KNOWLEDGE AND BELIEF, THE FIGURES HEREIN ARE CORRECT AND TRUE.

SIGNED__________________________________________ DATE____________________

 


 

PAYMENTS MUST BE IN THE TREASURER'S OFFICE NO LATER THAN THE END OF OF THE MONTH.
POSTMARKS WILL NOT BE ACCEPTED