OWNER'S NAME PROPERTY ID#
BUSINESS NAME FOR PERIOD ENDING
STREET ADDRESS
DUE DATE
CITY STATE ZIP
LINE 1 GROSS
ROOM RENTAL RECEIPTS(EXCLUDING 4% ROOM TAX AND 6% MD SALES TAX)
LINE 2 TAX DUE
4% ROOM TAX COLLECTED
LINE 3 DISCOUNT
1½ % OF LINE 2 IF PAID BY THE 20TH OF THE MONTH
FOLLOWING THE PERIOD ENDING
LINE 4 NET TAX DUE
(LINE 2 MINUS LINE 3)
INTEREST
1% PER MONTH ON THE AMOUNT OF TAX SHOWN ON LINE 2
PENALTY
OVER 120 DAYS DELIINQUENT A PENALTY OF 10% OF TAX
SHOWN ON LINE 2 WILL BE IMPOSED
TOTAL DUE
INTEREST
AND
PENALTY
TITLE
TALBOT COUNTY ROOM TAX REPORT
SIGNATURE OF TAXPAPER OR AGENT
DATE
SPACE RESERVED FOR CASHIER
Taxpayer must file
return even though no
tax is due
Failure to file and remit by the due date will make you liable for interest at the rate of 1% per month on
the amount of tax shown on line 2. If tax remains delinquent and unpaid for a period of 120 days, from
date due and payable, a penalty of 10% of tax shown on line 2 shall also be imposed.
ENTER ALL CHANGES IN OWNERSHIP OR IN NAMES AND ADDRESSES WITH DATES OF OCCURRENCE
IMPORTANT
This return with
remittance for tax due
must be filed on or
before the 20th of each
month or be subject to
loss of credit plus
penalty & interest
charges.
For assistance in preparing your report call: 410-770-8020
MAKE CHECK OR MONEY ORDER PAYABLE TO:
TALBOT COUNTY, MARYLAND
Please return original copy with your payment and keep carbon copy for your records.
I declare under the penalties of perjury that this return (including
any accompanying schedules and statements) has been examined
by me and to the best of my knowledge and belief is a true and
complete return.
TALBOT COUNTY, MARYLAND
FINANCE OFFICE
COURTHOUSE, SUITE 9
11 N. WASHINGTON STREET
EASTON, MARYLAND 21601
$0.00