TOT for 2016 - No Reporting for May, August, SeptemberCity of La Quinta
Community Development Department-
78-495 Calle Tampico
La Quinta; CA 92253
(760) 777-7000 (76o) 777-703.1
cdd@la-quinta.org
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SHORT-TERM VACATION RENTAL REPORTMG
TRANSIENT OCUPANCY TAX FORM
n
Permit No. v/ or Calendar Monthy�"`�zva.
Homeowner/Property Management Co.
1. Gross rent subject to transient occupancy tax $
z. Tax io% of Line i $ 2 4(' `
3. Penalty (io% of line z)
4. Interest (Calculate _5% of Line z)
5. Amount due (Add lines 2 through 4)
$
$
I declare, under penalty of perjury that to the best of my knowledge, the statement
herein are true, correc n mplet .
_ t r 1 Zak
Signed...l- - Date t
Print Name % POA L Title
Tax is due IMMEDIATELY following the close of the reporting period shown above.
F_ailuLo,to-r-emit-payment_witbin-3o-days-wA-be delinquent and will--be..assessed penalties
(see instructions). Please complete this form and return with remittance to: City of La
Quinta, Community Development Department, 78-495 Calle Tampico, La Quinta,
California 92253.
Please return the completed ORGINIAL to the City and keep a copy for your records.
TAX RETURN MUST BE FILED EVEN IF NO TAX IS DUE.
FOR CITY USE ONLY
Date Paid:
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Amount Paid: M -SD
Check Number: Checked By:
City of La Quinta
Community Development Department
78495 Caile Tampico
La Quinta, CA 92253
(760) 777-7000 (760) 777-73-05 fax
cdd@la-qui,nta.org
BAR a 7 2013
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SHORT-TERM VACATION RENTAL REPORTING
TRANSIENT OCC PANCY TAX FORM
2o1Cp
Permit For Calendar Month: ��'`-'��-(
Homeowner/Property Management Co: f7wh
1. Gross rent subject to transient occupancy tax
2. Tax 1o% of Line 1
3. Penalty (so% of line 2)
4. Interest (Calculate .5% of Line z)
S. Amount due (Add lines 2 through 4)
$
��;5�� 2�S Q • csp
6�)SJS $ zl&- 00
$ ' �U
I declare, under penalty of perjury that to the best of my knowledge, the statement
herein are true, corre nd c9mpkkte.
Signed
Print Name
bck-1 L Q"J ( Sl`
Title
Date 4 J�-J( (-Q
Tax is due IMMEDIATELY following the close of the reporting period shown above.
Failure to remit payment within 3o days will be delinquent and will be assessed penalties
(see instructions). Please complete this form and return with remittance to: City of La
Quinta, Community Development Department, 78-495 Calle Tampico, La Quinta,
California 92253.
Please return the completed ORGINIAL to the City and keep a copy for your records.
TAX RETURN MUST BE FILED EVEN IF NO TAX IS DUE.
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f OR GtY USE ONLY
Date Paid:
Amount Paid:
Check NurTiher: Checked By:
City of La Quinta
Community Development Department
78495 Calle Tampico
La Quinta, CA 92253
(760) 777-7000 (760) 777-71-05 fax
cddQa la-quinta.org
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SHORT-TERM VACATION RENTAL REPORTING
TRANSIENT OCCUPANCY TAX FORM ?Qt Ce
Permit No.% For Calendar Month- NWt
Homeowner/Property Management Co: `
1. Gross rent subject to transient occupancy tax
2. Tax 1o% of Line 1
3. Penalty (so% of line 2)
4. Interest (Calculate .S% of Line z)
$ _ 311 60
$ 33 I CU
5. Amount due (Add lines z through 4) $ '2�� `
I declare, under penalty of perjury that to the best of my knowledge, the statement
herein are true, correct and complete.
Signed
Print Name
—0A A-� L' Q u t Si —
Title
Date -t I
Tax is due IMMEDIATELY following the close of the reporting period shown above.
Failure to remit payment within 3o days will be delinquent and will be assessed penalties
(see instructions). Please complete this form and return with remittance to: City of La
Quinta, Community Development Department, 78-495 Calle Tampico, La Quinta,
California 92253•
Please return the completed ORGINIAL to the City and keep a copy for your records.
TAX RETURN MUST BE FILED EVEN IF NO TAX IS DUE.
FOR CITY USE ONLY
Date Paid:
V fo& dvmg &mwejj m the edit of .Pa Ou nta
Amount Paid.
Check Number: Checked By:
City of La Quinta
Community Development Department
78-495 Calle Tampico I�I��
La Quinta, CA 92253 J I
(760) 777-7000 (76o) 777-7011 A P
cdd@la-quinta.org R ® 7 206
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SHORT-TERM VACATION RENTAL REPORTING_.
TRANSIENT OCCUPANCY TAX FORM
Permit No. Z 3 for Calendar Month Q►V(L% C Za
I_
Homeowner/Property Management Co.
1. Gross rent subject to transient occupancy tax $_ ZZ
2. Tax 1o% of Line 1 $ 7 ZZ
3. Penalty (1o% of line 2) $
4. Interest (Calculate .5% of Line 2) $
S. Amount due (Add lines z through 4) $ -7Z 2 ' 67Q
I declare, under penalty of perjury that to the best of my knowledge, the statement
herein are true, correct and complete.
Signed
Print Name _ �`�1 Lyk Title
Date -I fZa CQ
Tax is due IMMEDIATELY following the close of the reporting period shown above.
Failure to remit payment within 3o days will be delinquent and will be assessed penalties
(see instructions). Please complete this form and return with remittance to: City of La
Quinta, Community Development Department, 78-495 Calle Tampico, La Quinta,
California 92253•
Please return the completed ORGINIAL to the City and keep a copy for your records.
TAX RETURN MUST BE FILED EVEN IF NO TAX IS DUE.
FOR CITY USE ONLY
Date Paid:
..J hw& Vou f" dauW bwme,5,j m the edy, a.[ ,ea 0-au is
r
Amount Paid: 7
Check Number: Checked By:
City of La Quinta
Design and Development Department
78-495 Calle Tampico
La Quinta, CA 92253
(760) 777-7000
(760) 777-70n Fax
TOT@la-quinta.org
SHORT-TERM VACATION RENTAL REPO
11 6G
Call! li t'Iwl1r. Sk.rr,.::i -CA r
r
MONTHLY TRANSIENT OCCUPANCY TA�FORM
Business License No. r _ L�. l Co
onth Year
Homeowner/Property Management Co:
Vacation Rental Property Address:
HOW TO SUBMIT YOUR TRANSIENT OCCUPANY TAX FORM:
■ IF NO TAX IS DUE, SEND COMPLETED FORM VIA EMAIL OR FAX.
■ IF TAXIS DUE, SEND COMPLETED FORM AND PAYMENT VIA MAIL.
Tax is due no later than 3o days after the end of the reporting month. Late payments will
be charged a late fee penalty and interest. Please complete this form and return with
remittance to: City of La Quinta, Design and Development Department, 78-495 Calle
Tampico, La Quinta, California 92253-
1. Gross rent subject to transient occupancy tax
2. Tax lo% of Line 1
3. Late Fee Penalty (Zo% of line 2)
4. Late Fee Interest (Calculate .005 of Line 2)
5. Amount due (Add lines z through 4)
$ -7G n-(3 ' GO
g 7C
$
I declare, under penalty of perjury that to the best of my knowledge, the statements herein
are true, correct and complete. I
Signed Title Date
Please return the completed ORIGINAL to the City and keep a copy for your records.
Please make checks payable to the City of La Quinta.
J Pi mk you ice. doing &wme6,j in ffw eity. of .Ca Qdnta
City of La Quinta
Community Development Department
78-495 Calle Tampico
La Quinta, CA 92253
(760) 777-7000 (760) 777-7011
cddoa la-quinta.org
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SHORT-TERM VACATION RENTAL REPORTING
TRANSIENT OCCUPANCY TAX FORM 0G-�(.2,&,,z -�►�
Permit No. 747 Calendar Month -�-JOVL � R-_-C-VC: -
Homeowner/Property Management Co.
1. Gross rent subject to transient occupancy tax
2. Tax io% of Line 1
3. Penalty (1o% of line 2)
4. Interest (Calculate .5% of Line Z)
S. Amount due (Add lines 2 through 4)
$
$ 9ob-6S
I declare, under penalty of perjury that to the best of my knowledge, the statement
herein are true, correct and complete.
Signecl
Print Name
Title
Date CO 7�12610
r r
Tax is due IMMEDIATELY following the close of the reporting period shown above.
Failure to remit payment within 3o days will be delinquent and will be assessed penalties
(see instructions). Please complete this form and return with remittance to: City of La
Quinta, Community Development Department, 78-495 Calle Tampico, La Quinta,
California 92253•
Please return the completed ORGINIAL to the City and keep a copy for your records.
TAX RETURN MUST BE FILED EVEN IF NO TAX IS DUE. P
I
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CITY OF LA QUINTA
FOR CITY USE ONLY
Date Paid:
Check Number:
Amount Paid: i UU
Checked By:
City of La Quinta
Community Development Department
78-495 Calle Tampico
La Quinta, CA 92253
(760) 777-7000 (760) 777-7033
cdd@la-quinta.org
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SHORT-TERM VACATION RENTAL REPORT,
TRANSIENT OCCUPANCY TAX FORM
Permit No. Lc C a-ce?. Gz'� for Calendar Month POYL�
Homeowner/Property Management Co.
Clj} ()F -_
��tiUi�a
1. Gross rent subject to transient occupancy tax $ 040-8 3 • Jb
2. Tax Zo% of Line 1 $
3. Penalty (Zo% of line 2) $ T
4. Interest (Calculate .5% of Line 2) $ -�
5. Amount due (Add lines z through 4) $ ?�-�8 C
I declare, under penalty of perjury that to the best of my knowledge, the statement
herein are true, correct and complete.
Signed Date
Print Name a` H L L Title GLU u:S�_
Tax is due IMMEDIATELY following the close of the reporting period shown above.
Failure to remit payment within 3o days will be delinquent and will be assessed penalties
(see instructions). Please complete this form and return with remittance to: City of La
Quinta, Community Development Department, 78-495 Calle Tampico, La Quinta,
California 92253•
Please return the completed ORGINIAL to the City and keep a copy for your records.
TAX RETURN MUST BE FILED EVEN IF NO TAX IS DUE.
FOR CITY USE ONLY
.T * f dawg &m ute.3,j in f to edit o f .Ca Cautta
Amount Paid:
Date Paid:
Check Number: ^ Checked By:
City of La Quinta
Community Development Department
78495 Calle Tampico
La Quinta, CA 92253
(760) 777-7000 (760) 777-7105 fax
cdd@la-quinta.org
w 2016
SHORT-TERM VACATION RENTAL REPO III"
TRAN IENT OCCUPANCY TAX FORM 0 ��` ' IDV
�� catn�uur
Permit No. l 1 Z Ol0 For Calendar Month: L 201
Homeowner/Property Management Co:
1. Gross rent subject to transient occupancy tax $ l l � G YZD
2. Tax 1o% of Line 1 $ c l lSb
3. Penalty (Zo% of line 2) $
4. Interest (Calculate .5% of Line 2) $
5. Amount due (Add lines 2 through 4) $
I declare, under penalty of perjury that to the best of my knowledge, th�ttement
herein are true, correct and complete.
Signed
Print Name (a_J1 ��—
Date R-lz l
Title
Tax is due IMMEDIATELY following the close of the reporting period shown above.
Failure to remit payment within 3o days will be delinquent and will be assessed penalties
(see instructions). Please complete this form and return with remittance to: City of La
Quinta, Community Development Department, 78-495 Calle Tampico, La Quinta,
California 922S3•
Please return the completed ORGINIAL to the City and keep a copy for your records.
TAX RETURN MUST BE FILED EVEN IF NO TAX IS DUE.
FOR CITY USE ONLY
Date Paid:
Vau f dauq fiwaw,3,j m the edSt o f .Ca C autta
Amomit Paid:
Check Number: Checked By. __