Charlottesville Transient Occupancy Tax

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Tax Year:  Tax Month:

 
   

Do you need to change your Business Information? Yes No

Business Information
1) Tax ID
2) Address:




City  State  Zip Code

3) Contact
Name Title
Phone Email




Legal Business Name Trade Name Account Number
     
 
Business Location Address

 


Transient Occupancy Tax Information
1) Monthly Gross Lodging Rentals for month ending :   $
2) Exempt Sales* (Please include documentation to support exempt sales) $
3) Net Taxable Lodging Rentals: Line 1 (-) Line 2 0.00
4) Tax Due: Line 3 (x) 6% 0.00
5) Penalty for Late Payment: Line 4 (x) 5%, minimum $2.00 0.00
6) Interest 10% per annum of Line 4 + Line 5 0.00
7) Total Tax, Penalty, & Interest: Sum of Lines 4, 5, & 6 $0.00
*REQUIRED: An itemized list/summary of the exempt sales OR copies of the receipts supporting the exempt sales claimed on line 2 must be provided with each monthly return in order for the exempt sales to be excluded from taxation.

If paying Transient Occupancy Tax with check:
Please mail documentation to support exempt sales with this filing form and check payable to:
City of Charlottesville, P.O. Box 2964, Charlottesville, VA 22902-2964

If paying Transient Occupancy Tax online:
Please e-mail documentation to support exempt sales to CORonlinepay@charlottesville.org
Comments:



Pursuant to VA Code ยง 58.1-3906 Any corporate, partnership or limited liability company officer who willfully fails to pay, collect, or truthfully account for and pay over any local admission, transient occupancy, food and beverage, or daily rental property tax administered by the commissioner of revenue or other authorized officer, or willfully attempts in any manner to evade or defeat any such tax or the payment thereof, shall, in addition to other penalties provided by law, be liable for a penalty of the amount of the tax evaded or not paid, collected, or accounted for and paid over, to be assessed and collected in the same manner as such taxes are assessed and collected.

I declare that the foregoing statement and figures are true, complete, and correct to the best of my knowledge and belief.
Preparer
Last Name
First NameTitlePhoneE-mail

 
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Submit this form and pay the transient occupancy tax online. There is a 2.5% credit card fee and a $0.45 Electronic Check fee.


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