Fillable Downloadable PDF (City of Hartsville)

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Downloadable PDF (City of Hartsville)

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Local Accommodations
Tax Payment Form
Month ending:
City of Hartsville
PO Drawer 2497
Hartsville SC 29551
Phone: (843) 383-3015 Fax: (843) 383-3040
Local Accommodations Tax Computation
Name and Address of Business:
Filing Period: Month
Year
Contact Name:
Contact Phone:
Email Address:
1. Gross Proceeds: Transient Accommodations:
Line 1
2. Local Accommodations Tax
Line 2
Line 1 X 3% (.03)
3. Taxpayer's discount
Line 3
Line 2 X 2% (.02)
4. Local Accommodations Tax Net Payment Amount
Line 4
(Line 2 minus Line 3)
5. Penalty on Delinquent Fees
Line 5
Line 4 X10% (.10)
6. Total Accommodations Tax Due
Line 6
(Line 4 plus Line 5)
Important: This return becomes DELINQUENT if it is postmarked after the 20th day of the month following the
close of the period.
Reminder: Sign and date the return below.
I certify that all the information stated above is true and accurate to the best of my knowledge and belief. I understand
that The City of Hartsville assesses penalties for making false or fraudulent statements on the reporting form.
Signature: Date:
Owner, Partner or Title:
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Completed 14 July 2020

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