Local Accommodations Tax Remittance

Business Information

Business Name *

Address 1 *

Address 2

City *

State *

Zip *

Phone * Example: 864-555-1234

Email *

Please check all that apply and provide the details below.

Change of ownership (include new ownership information)

Change of mailing address

Final remittance

Change of telephone number

Business sold (include date sold)

Change of location address

Change details:

Month *

Year *

Gross Proceeds * Example: 10859.36