Due Dates: Quarterly: January 31
st
, April 30
th
, July 31
st
, October 31
st
City of Morgantown
Motel/Hotel Tax Return
Year:
Quarter Due: ⃝ March 31 ⃝ June 30 ⃝ September 30 ⃝ December 31
Business Information:
Name of Business: Phone:
Business Address: E-mail:
City, State, and Zip: Fax:
If this business is no longer in operation, please provide the date operation was terminated:
1. Total Gross Taxable Receipts
in Morgantown: $
2. Actual Tax Due for
Month at 1%: $
3. Interest 12% annum
after Due Date: $
4. Penalty*: $
5. Total Taxes Due Including
Interest & Penalty: $
*PENALTY: After (30) days from due date, 10% per month. Minimum penalty amount $25 per day late.
If no receipts were collected this month, mark “none” on line 6 and return this form with explanation. Notify City of
Morgantown of any change in ownership.
Signature Title Date
I hereby certify, under penalty of perjury, that the statements made herein and in any supporting
schedules are true, correct and complete to the best of my knowledge.
• A copy of this form must accompany your payment. You should retain a copy for your records.
• This return must be filed whether or not you had taxable receipts during this period.
• All businesses receiving this form MUST return a form.
Payment should be made payable to:
City of Morgantown, KY
PO Box 397
Morgantown, KY 42261
Contact information:
j.barks@morgantownky.gov
Phone: (270)526-3557
Fax: (270)526-6295
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