Fill - Free fillable In Hotel Tax Exemption Form - In_State_Hotel_Motel_Tax

IN‐STATEHOTEL/MOTELTAXEXCEPTIONFORM 

(ForusewhenanexpensereportreimbursementissubmittedasaresultofanIn‐StateHotel/Motelproviderrefusingtoremove“occupancy

tax”fromatraveler’slodginginvoice.)

Completethefollowinginformation,obtainrequiredsignatureofDepartmentalApprovalAuthority,andsubmitwithExpense

ReporttotheOfficeoftheController.

EmployeeName:ADP ID#:

DatesofLodging:ExpenseReport#:

HotelName:HotelPhone#:

HotelAddress:



ContactNameHotelAuthority:

ReasonableExceptionRequest(

pleaseexplainthefactsandcircumstancesrelatingtoyourattempttoresolve

thehotel/motelagent’srefusaltoomit“occupancytax”onthelodgingdatesonwhichanexpensewasincurred):



Traveler’sSignature:Date:



(

Icertifyandattestthattheabovestatementsaretrue.IalsohavereadandunderstandtheUniversity’spolicyonIn‐State

Hotel/MotelTaxExemptionprocedures.)



DepartmentalApprovalSignature:Date:



Business&FinanceApprovalSignature:Date:

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Fillable In Hotel Tax Exemption Form - In_State_Hotel_Motel_Tax_Exception

Fill Online, Printable, Fillable, Blank In Hotel Tax Exemption Form - In_State_Hotel_Motel_Tax_Exception Form

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