This return is to be filed no later than XXXX.
Tax is delinquent if received after XXXX.
Even if there is no tax for this month a statement must be filed within the alloted time.

Business Tax Certificate Number*

Firm Name*

Mailing Address*

1. Total Gross Rents*

Total gross rents charged during XXXX
(gross rent includes all non-optional fees that are charged with the rent at the time of booking (i.e. cleaning fee, booking fee, linen fee, etc.)

_____________________________

2. Deductible tax-exempt gross rent
Tax exemption is occupancy of permanent resident who occupies or has the right to occupy for at least 31 consecutive days. MUST PROVIDE DOCUMENTATION i.e. LEASE OR FOLIO THAT INDICATES THE DATES OF OCCUPANCY AND ROOM RATE ASSOCIATED WITH THIS DOCUMENTATION.*

3. Total taxable gross rent. (line 1. minus line 2.)*

4. Calculate 13% Transient Occupancy Tax*

IF THIS RETURN IS FILED AFTER XXXX, PENALTY AND INTEREST ARE PAYABLE

5P. Penalty:
1-30 days late: 15% of line 4. or $10.00, whichever is larger.
30+ days late: additional 15% of line 4. or $10.00, whichever is greater

5I. Interest
1.5% of line 4. times the number of months and partial months delinquent (excluding both line 5P. Penalities for the 1st day delinquent)

6. Total amount of Tax, Penalty and Interest Due*

Please make your check payable to the Town of Mammoth Lakes and enclose it with this form.

***IMPORTANT OCCUPANCY INFORMATION***
Please do not include any avalable nights that the owner(s) occupied the condo

A. Total number of units available for rent (# of units multiplied by # of nights available)*

B. Total number of nights unit(s) were occupied during reporting period*

C. Percentage of units occupied (B divided by A)*

I declare under penalty of perjury that the information in this return has been examined by me for accuracy and to the best of my knwledge and belief is a true, correct and complete statement of the rents charged. (Certification pursuant to Section 2015.5 of the Civil Code of Procedures

by checking the box below you are verifying you are the responsible person or principal officer allowed to file this return*

Title

Date*

Phone Number