Remit Completed Form to:
In accordance with Section 32-51 of the Code of the City Fort Worth City, the Will Rogers Venue Admissions Tax is ten
percent (10%) of the price paid for each ticket sold as admission to or in connection with an event held within Dickies Arena
and Will Rogers Memorial Center.
Will Rogers Memorial Center
3401 W Lancaster Ave
Fort Worth, TX 76107
Email: David.Reeves@fortworthtexas.gov
* This is not an invoice. You will receive an invoice from the City of Fort Worth Department
of Financial Management Services and should remit payment accordingly.
In addition to any criminal penalties and late fees imposed under this Code, an attorney acting on behalf of the City of
Fort Worth may bring suit against any Operator or Event Sponsor who fails to collect any tax or to remit to the City any
tax due.
EVENT SPONSOR INFORMATION
Number of Admissions
Admission Price
Total
$
$
$
$
$
=
=
=
=
=
X
X
X
X
X
ADMISSIONS TAX INFORMATION
Gross Total:
Tax Due (10%):
Tax Due:
Penalty Amount (if any):
Interest Amount (if any):
Total Tax Remitted:
Late payments are subject to penalties &
interest of the original tax as follows:
The greater of a 5% penalty on the outstanding
balance or $25
AND 10% interest per annum
past the due date
Event Date(s):
to
THIS RETURN IS DUE THE NEXT
BUSINESS DAY FOLLOWING THE
EVENT TO VENUE OPERATOR
FOR APPROVAL. PAYMENT IS
DUE BY THE 25TH DAY OF THE
MONTH AFTER THE END OF THE
MONTHLY REPORTING PERIOD
AS NOTED BELOW.
PENALTIES & INTEREST WILL BE
ASSESSED ON LATE RETURNS.
OFFICE USE ONLY
Event ID:
Contact: Organization:
Address:
City: State: Zip: Phone:
Email: Mobile:
Signature: Date:
Event Name: Event Location:
$
$
$
$
$
CITY OF FORT WORTH
WILL ROGERS VENUE ADMISSIONS TAX
Tax ID:
EXHIBIT B
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