CITY OF STEPHENVILLE
REPORT OF HOTEL OCCUPANCY TAX
(CITY CODE SECTION 17-19, DECEMBER 2, 1980)
Total Number of Rental Rooms
Actual Number of Rooms Rented during period
Minus: Tax Exempt Receipts
Penalty (15% if late one full quarter)
Interest (1% per month)
Signature Title: Date:
Printed Name: Title: .
Total Number of Rental Rooms
Actual Number of Rooms Rented during
period
Minus: Tax Exempt Receipts
Penalty (15% if late one full quarter)
Interest (1% per month)
This worksheet is for
calculating your tax due, the
amounts will automatically
populate on the bottom portion of
this report. Detach the bottom
portion and return. Payment is due
on or before the 25th day of the
following month. This monthly
report must be filed even if there is
no tax due.
If the business has been sold,
indicate the new owner’s name,
address, and date of sale.
Taxpayer Copy
Retain for Your Records
Please Detach and Return
With Your Remittance
Remit To: City of Stephenville
Director of Finance
298 W. Washington
Stephenville, TX 76401
For month ending:
Motel:
Address:
Stephenville, TX 76401
“I declare, under Penalties prescribed in City Code Section 17-21, dated December 2, 1980, that the information contained in this
document is true and correct to the best of my knowledge.”
Due date:
Penalty date:
Days late:
click to sign
signature
click to edit
![]()
