The Clarion County Hotel Excise Tax Form

Pursuant to Ordinance 2 of 2016 as provided by Act 18 of 2016, P.L 134 (16 P.S. § 1no.101of the General Assembly of the Commonwealth of Pennsylvania

SUBMIT BY THE 15th OF EACH MONTH/QUARTER FOR THE PREVIOUS TIME PERIOD
OWNER/OPERATOR MUST FILE A RETURN EVEN IF NO TAX IS DUE

Company name

Address

Phone number

Email*

REPORTING PERIOD

From

Month/Day/Year

Direct Bookings

Gross Receipts

Less Exempt Receipts

Taxable Receipts

TAX AMOUNT COLLECTED AT 5%

(x.05)

PLUS LATE PAYMENT FEE AT .75% PER MONTH

(x.0075)

(Tax Due x 0.0075) x (Number of months late) = Late Fee

Less Permanent Resident Credit

TAX DUE WITH THIS REPORT

Online Service Rental Booking

Airbnb Gross Earnings

Airbnb Tax Due @ 5%

VRBO/HomeAway Gross Earnings

VRBO/HomeAway Tax Due @ 5%

Other Gross Earnings

Other Tax Due @ 5%

TAX TO BE PAID BY ONLINE SERVICE

Please use additional form If more than 3 booking agents used.

DASHBOARD REPORT MUST BE INCLUDED BY OWNER FOR ONLINE BOOKINGS TO VERIFY COLLECTIONS.

This tax is to be collected by the operator of each facility from each person who rents a room. Each operator is required to file a tax return and remit tax due on each before the 15th day of each month subsequent to the quarter in which the tax is levied. If there is no tax due for a given period, file return indication “NO TAX DUE” on the TAX DUE line.

MAKE CHECK PAYABLE TO: CLARION COUNTY TREASURER

MAIL TO:
KARYN MONTANA
CLARION COUNTY TREASURER
330 Main Street, Room 110, Clarion, PA 16214
Phone (814) 226-1113 Fax (814) 226-8069

EMAIL: kmontana@clarioncounty.gov

______________________________________________________
Under the penalty of perjury, I hereby certify that this return and any attachments are true and complete to the best of my knowledge.

Signature

Title

Date

Month/Day/Year

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