Fillable Hotel Motel Occupancy Tax Form

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Hotel Motel Occupancy Tax Form

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City of Aransas Pass
Hotel-Motel Occupancy Tax report
(CITY ORDINANCE NO. 93-3529 Nov. 1, 1993)
Reporting Period
Report for this Quarter of 20____
(Check one)
___ 1. January, February, March
___ 2. April, May, June
___ 3. July, August, September
___ 4.October, November, December
Hotel Occupancy Tax Report and payment are due on or before the 20
th
of the month following the Reporting
Period above.
Trade Name, Address, & Contact Information
Trade Name (DBA) ________________________________________________________________________
Owner Name ________________________________________________________________________
Location Address ________________________________________________________________________
Mailing Address ________________________________________________________________________
Contact Person ____________________________________ Telephone __________________________
Hotel Occupancy Tax Calculation
1. Total taxable Receipts
2. Hotel Occupancy Tax Rate
3. Hotel Occupancy Tax Due (Line 1 multiplied by Line 2)
4. Penalty 5% if after the due date
5. Interest
6. Amount Due and payable to the City of Aransas Pass
(add Lines 3, 4, and 5)
I declare that the information contained in this Hotel-Motel Occupancy Tax Report is accurate to the best of my
knowledge and belief.
Duly Authorized Agent (Print Name)
Title
Signature
Date
Mailing Address: City of Aransas Pass
Finance Department
P.O. Box 2000
Aransas Pass, TX 78335
Telephone: 361-758-5301 ext. 2101
Email: sgarcia@aransaspasstx.gov
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Hotel Motel Occupancy Tax Form

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Completed 16 July 2020

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