Rev. 0616
Name/Local Address of Hotel Filing Month _______________________________
____________________________________
____________________________________ Illinois Business Tax (IBT) #___________________
____________________________________
Corporate Name/Mailing Address (if different)
____________________________________
____________________________________
____________________________________
Computation of Hotel Use Tax Liability
1. Total receipts from room rentals (Do not include taxes) _______________________
2. Exemption: Total receipts for permanent guests
(Same room for 30 or more consecutive days) _______________________
3. Taxable receipts from room rentals (line 1 minus line 2) _______________________
4. 8% Hotel Tax (line 3 x .08) _______________________
5. Prompt Payment Compensation – Deduct 1.75% (line 4 times .0175) ─ __________________
If filed and paid by the 20
th
of the month for the previous month
6. Penalty for late payment (line 4 times 10% per month) # of Months _______________________
If paid after the 20
th
of the month for the previous month
7. Total Tax to be remitted (Add lines 4 through 6) _______________________
Under penalties as provided by law, I declare that to the best of my knowledge and belief, the information on this form
is true, correct and complete.
______________________________________ ______________________________________
Signature of Taxpayer Signature of Preparer
______________________________________ ______________________________________
Title Company Name
______________________ ________________ ______________________ ________________
Date Signed Telephone Number Date Prepared Telephone Number
DUE: 20th of the month following the filing month.
Make Check Payable To: City of Decatur
Mail this completed and signed return along with payment for the amount shown on line 4 to:
City of Decatur Auditor Questions? Call 217-424-2854
#1 Gary K Anderson Plaza City website and tax forms:
Decatur, IL 62523 www.decaturil.gov
