City of West Columbia, South Carolina
Local Hospitality Tax Reporng Form
Mail to: City of West Columbia, Hospitality
Post Oce Box 4044, West Columbia, SC 29171
Hospitality Sales Tax Form for Month: ____________________________
Business Name: ______________________________________ Physical Locaon: ______________________________
(Please Print)
Mailing Address: ____________________________________________ Fed. ID or SS #: _________________________
City: __________________________________________ State: ______________ Zip: ___________________________
Contact Name: __________________________________________ Contact Phone: _____________________________
Basis of Tax Remiance: (Please check one) _______ Monthly _______ Quarterly _______ Annually
Computaon of Hospitality Tax
1. Gross Sales of Food and/or Beverages 1. $ _______________________
2. Gross Sales: __________________ X 2% (.02) 2. $ _______________________
From Line 1 (Hospitality Tax)
3. Late Fee per month if not paid by due date
__________________ X 5% (.05) X ___________________ 3. $ _______________________
H Tax From Line 2 Number of months late (Late Fee)
4. Total Local Hospitality Tax Due to City of West Columbia. 4. $ _______________________
(Line 2 + Line 3) (Total Due)
Important: Pursuant to the West Columbia Hospitality Tax Ordinance, city hospitality taxes that remain unpaid aer the due
date will be subject to all available procedures under the law, including but not limited to, ordinance summons.
I cerfy that all the informaon stated above is true and accurate to the best of my knowledge and belief.
Taxpayer Signature & Title __________________________________________________ Date ____________________
Please Print Name & Title ___________________________________________________________________________
For Office Use Only
____ Assess Late Fee Postmark Date _________________
