S:\FINANCE DIRECTOR\TRANSIENT ROOM TAX\TRT Registration.docx
PO Box 458 * Veneta, OR 97487 * 541-935-2191 * Fax 541-935-1838 * www.venetaoregon.gov
Contact Information
Name of property/business (including DBA)
Tax ID number (FEIN or SSN)
Mailing address
City
State
Zip code
Physical address of rental property (if different)
City
State
Zip code
Name of operator/manager
Email address
Name of transient room tax contact (if different)
Email address
Business Information
If seasonal, which months are open?
Date business started operating
Website address
Type of business (check all that apply):
Number of spaces/rooms
Number of spaces/rooms
Bed & Breakfast
Vacation Rental
Campground
Property Management Company
RV Park
Transient Lodging Intermediary
Hotel/Motel
Other: _________________________
Type of business organization:
Individual
Sole Proprietor
Partnership
Corporation
LLC
Government
Names of owners, partners, or corporate officers (use additional sheet if necessary):
Name
Title
Phone number
Mailing address
City
State
Zip code
Name
Title
Phone number
Mailing address
City
State
Zip code
Signature
I declare, under penalty of false swearing, that to the best of my knowledge, the information herein is true, correct, and complete.
Signature
Title
Date
Print name signed above
Email address
Completed registration may be submitted via mail, fax, or email using the contact information located above.
Transient Room Tax
Registration