Fillable County of Powhatan James B. Timberlake II (County of Powhatan)

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County of Powhatan James B. Timberlake II (County of Powhatan)

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U.S.A. forms for County of Powhatan

BROWSE COUNTY OF POWHATAN (VA) FORMS

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Registration #
1. G
ross Receipts
Gross Lodging
Receipts
Reporting Period
(Month & Year)
*Total Taxable Lodging Charge
■ Hotel/Motel Lodging
$ $
■ Boarding House Lodging
$ $
■ Campground Lodging (non campsite)
$ $
■ Other Lodging (bed & breakfast, room)
$ $
$
$
$
$
Date
Total of All Taxable Lodging Charges
County of Powhatan
James B. Timberlake II
Commissioner of the Revenue
Retain a copy of this worksheet as part of
your Transient Occupancy tax records.
WORKSHEET & REMITTANCE FORM FOR POWHATAN TRANSIENT OCCUPANCY TAX
*Number of Days X Amount per day = Total Taxable Lodging Charge
Signature
2. Tax (5% of Total Taxable Lodging Charge)
3. 10 % Penalty for late payment*
4. 10 % Interest (per annum)*
5. Total Tax, Penalty and Interest
Complete this worksheet and transfer proper items to the Transient Occupancy Tax Remittance Form and return
to: Powhatan County, Commissioner of the Revenue
3834 Old Buckingham Road Suite
C, Powhatan, VA 23139
Transient Occupancy Worksheet R012016
*Penalty and Interest applies if payment not received by 20th of month following required reporting period
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County of Powhatan James B. Timberlake II (County of Powhatan)

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Completed 14 July 2020

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