TOT for 2017 - No Reporting for Jan, June, AugCity of La Quinta
Community Development Department
78495 Calle Tampico
La Quinta, CA 92253
(760) 777-7000 (760) 777-7i05 fax
ccicl@la-cluinta.org
SHORT-TERM VACATION RENTAL REPORTING
TRANSIENT OCCUPANCY TAX FORM Zv1'q—
Permit No. 1C" Z (zZ3 _ For Calendar Month:_
Homeowner/Property Management Co:
1. Gross rent subject to transient occupancy tax
2. Tax so% of Line 1
$ :�-> ei I-v - rc)
$ 1;. �-- -
3. Penalty (Zo% of line 2) $
4. Interest (Calculate .5% of Line 2) $
S. Amount due (Add lines z through 4) $
-�'e4 -4-- 6-6
I declare, under penalty of perjury that to the best of my knowledge, the statement
herein are true, correct and complete.
Signed
Print Name
Title
Date 2 116. 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
TAX RETURN MUST BE FILED EVEN IF NO TAX IS DUE.
rOR CITY USE ONLY
Date Paid:
Amount Paid:
Lamur rWrds. � ID
P1
FFER3 201�
CITYOFLADUWA
Check Number: Checked By:
City of La Quinta
Community Development Department
78495 Caile Tampico
La Quinta, CA 92253
(760) 777-7000 (760) 777-71-05 fax
cdcl@la-quinta.org
SHORT-TERM VACATION RENTAL REPORTING
TRANSIENT OCCUPANCY TAX FORM
Permit No. Ye 2 For Calendar Month:z=5
Homeowner/Property Management Co: AJ-A
1. Gross rent subject to transient occupancy tax $ o
2. Tax io% of Line 1 $y &—_ _3Z
3. Penalty (so% of line 2) $
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, correct and�Qn�: lete.
i 1 i ..
Signed
Print Name L Qv�S
Date Z ��
Title (I (h_� 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.
FOR CITY USE ONLY
Date Paid:
Amount Paid:
Check Number: Checker! By:
City of La Quinta
Community Development Department
7949S Ca le Tampico
La Quinta, CA 922S3
(760) 777-7000 (760) 777-7:WS fax
cdd@la-qL,inta.org '
RECF-WED
SHORT-TERM VACATION RENTAL REPORTING
TRANSIENT OCCUPANCY TAX FORM
Permit No. LC G _For Calendar Month: /_N�� L �
Homeowner/Property Management Co:
L U ui, s: —I
1. Gross rent subject to transien y tax a $
2. Tax 1o% of Line 1 $,
3. Penalty (1o% of lire 2) 15 2011 $
4. Interest (Calculate .S% of Line 0F ADU113CNNPAC�[!$�1ST $
5. Amount due (Add -lines 2 thro $
& 401 - C0
Gc40-cTo
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` C_u Title 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 922S3•
Please return the completed QPGfti"LL 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_
Check Number .
Atiivunt Paid:
Checketf e.y: w
City of La Quinta
Community Development Department
A495 Galle Tampico
La Quinta, CA 92253
(76o) 777-7000 (76o) 777-71-05 fax
cddgla-guinta.org
� '
R
MAY .�Ik 201 t
C)'irY C]'r LA gUINVA
COMMUNITY [16CNELOPMENT
SHORT-TERM VACATION RENTAL REPORTING
TRANSIENT OCCUPANCY TAX FORM 70
Permit No. C For Calendar Month: -�3_ ---
Homeowner/Property Management Co: V Pr" LQ �_jL ' //
1.. Gross rent subject to transient a pEt:15J2017
x 'J - c0
2. Tax 1o% of Line 1 $ 2 Z o
3. Penalty (io% of line 2) $
GIT`(OF LA QUINTA
4. Interest (Calculate .S% of Line 2 COMMUNWEVELOPIVINTOEPARTMENT $
S. Amount due (Add lines z through 4.) � 2 ZO Q y
I declare, under penalty of perjury that to the best of my knowledge, the statement
herein are true, corre an mplete.
Signed
Print Name -17/� L_ 0 `\ s
Date 2G (7T-
Title C.t^--3 N
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 g22S3.
Please return the completed QPG11NI =,L to the City and keep a copy for your records.
TAX RETURN MUST BE FILED EVEN IF NO TAX IS DUE.
J hanfz -fo,,c doing &oim36 in the e'it* of ,ea. Qtinta-
FOR CITY USE ONLY ,
Date Pat-&
Check Number
City of La Quinta
Community Development Department
78-495 Calle Tampico
La Quinta, CA 92253
(760) 777-7000 (76o) 777-701-1
cdcl@)la-cluinta.org
p,Ijrl 15 2017
rya aP44 or„�
SHORT-TERM VACATION RENTAL REPORTING
TRANSIENT OCCUPANCY TAX FORM
Permit No. - -bZ 477�-for Calendar Month 7Tti L� i 7o I�
Homeowner/Property Management Co. �OL/N�
1. Gross rent subject to transient occupancy tax $•
2. Tax 1o% of Line 1 6-
3. Penalty (so% of line 2.)
4. Interest (Calculate .5% of Line 2)
S. Amount due (Add lines 2 through 4)
I declare, under penalty of perjury th
herein are true, correct and cprnplet+
Signed
$_ Ce S = 0
t to the best of my knowledge, the statement
Date
s
Print Name L- ,_K 5'� Title 61'V N (:�57�
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.
.J`-hw& * f" dmag &miuw,6,j ut the Cite of ea Quatta
FORWY [i5E ONLY: y/
Date Paid-
Check
Number:
Amount:Paid:
Checked By: �)iZ
City of La Quinta
Design & Development Department
78-495t'alle Tampico
La Quinta, CA 92253
Phone: (760) 777-7000
Fax: (760) 777-7011
TOT@la-quinta.org
SHORT-TERM VACATION RENTAL REPORTING
MONTHLY TRANSIENT OCCPANCY TAX FORM
Business License No.
Homeowner/Property Management Co.l
Vacation Rental Property Address
(For multiple address attach detail)
Month:
Year: 7,C) ( 1
HOW TO SUBMIT YOUR TRANSIENT OCCUPANY TAX FORM: \-) I V%.i�
• IF NO TAX IS DUE, SEND COMPLETED FORM VIA EMAIL OR FAX.
-—
• IF TAXIS DUE, SEND COMPLETED FORM VIA MAIL.
Tax is due no later than 30 days after -the end of the reporting month. Late payment will .be chaged a late fee
penalty and interset. 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.
I. Gross rent subject to transient occupancy tax $
2- Tax 10% of Line 1 $
3. Total TOT due to City $
If you have applicable_ Late Fee and Interest please complete:
3. Total TOT due to City (same as line 3 above) $3b
4. Late Fee Penalty (10% of line 3) I Z3 $ 6•7 � 940cz-3i
5. Late Fee Interest (Multiply line 4 by .05) $ L l I
6. Total TOT and Fees due to City (Add lines 3 through 5)
I declare, under penalty of perjury that to the best of my knowledge, the statement herein are true, correct
and complete
4
Signed: �L�� Title: ! Date: �`L . -2b
Please return the completed ORGINAL to the City and keep a copy for your records.
Please make checks payable to the City of La Quinta.f
{ /
Thank You for doing business in the City of La Quinta
rV�\
City of La Quinta
Design & Development Department
78-495rblle Tampico
La Quinta, CA 92253
Phone: (760) 777-7000
Fax: (760) 777-7011
TOT@la-quinta.org
SHORT-TERM VACATION RENTAL REPORTING
MONTHLY TRANSIENT OCCPANCY TAX FORM
" C.0 qo'ea-
Business License No. �.} f, Month: _ Year:
Homeowner/Property Management Co. 0L� L �C�.rl I t j
Vacation Rental Property Address S A-Vt-t C r
(For multiple address attach detail)�tv"r�"�-�)W1/'1� 4 /� U
HOW TO SUBMIT YOUR TRANSIENT OCCUPANY TAX FORM:
IF NO TAXIS DUE, SEND COMPLETED FORM VIA EMAIL OR FAX. G
IF TAXIS DUE, SEND COMPLETED FORM VIA MAIL.
Tax is due no later than 30 days after the end of the reporting month. Late payment will be chaged a late fee
penalty and interset. 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.
I. Gross rent subject to transient occupancy tax
2. Tax 10% of Line 1
3. Total TOT due to City
If you have aoolicable Late Fee and Interest olease co
3. Total TOT due to City (same as line 3 above)
4. Late Fee Penalty (10% of line 3)
5. Late Fee Interest (Multiply line 4 by .05)
5. Total TOT and Fees due to City (Add lines 3 through 5)
$ /o Z� .
$ /D Z
$ /0 Z , 3-6
$ , 5 1
I' /:�•b�r� l / 2 ,moo �� �. oy
I declare, under penalty of perjury that to the best of my knowledge, the statement herein are true, correct
and complete -
Signed: Title: Date:
Please return the completed ORGINAL to the City and keep a copy for your records.
Please make checks payable to the City of La Quinta.
Thank You for doing business in the City of La Quinta
City of La Quinta
Design & Development Department
78-495tbIIe Tampico
La Quinta, CA 92253
Phone: (760) 777-7000
Fax: (760) 777-7011
TOT@la-quinta.org
SHORT-TERM VACATION RENTAL REPORTING
MONTHLY TRANSIENT OCCPANCY TAX FORM
Business License No. _� 1 i1.7 .i � 7J_�i Month: NNE--AkC-��ar: '76 r_ i_,
r-.
Homeowner/Property Management Co. L. kLA "
Vacation Rental Property Address l S-
(For multiple address attach detail) ±n(rLit 17.'t— �`i.�(y "r i� /y� �•
HOW TO SUBMIT YOUR TRANSIENT OCCUPANY TAX FORM:
• IF NO TAX IS DUE, SEND COMPLETED FORM VIA EMAIL OR FAX.
• IF TAX IS DUE, SEND COMPLETED FORM VIA MAIL.
Tax is due no later than 30 days after the end of the reporting month. Late payment will be chaged a late fee
penalty and interset. 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 $ �S�
2- Tax 10% of Line 1 $ -A I t S
3. Total TOT due to City $ L 2, .
If you have applicable Late Fee and Interest please complete:
3. Total TOT due to City (same as line 3 above) $
4. Late Fee Penalty (10% of line 3) $ ---
5. Late Fee Interest (Multiply line 4 by.05) $ ~�
6. Total TOT and Fees due to City (Add lines 3 through 5) $
declare, under penalty of perjury that to the best of my knowledge, the statement herein are true, correct
and complete
Signed: Tltle:
Date:
Please return the completed ORGINAL to the City and keep a copy for your records.
Please make checks payable to the City of La Quinta.
Thank You for doing business in the City of Ca Quinta
City of La Quinta
Design & Development Department
78-495'CbIIe Tampico
La Quinta, CA 92253
Phone: (760) 777-7000
Fax: (760) 777-7011
TOT@la-quinta.org
SHORT-TERM VACATION RENTAL REPORTING
MONTHLY TRANSIENT OCCPANCY TAX FORM
Business License No. l'r���� Month:
Homeowner/Property Management Co.�C
Vacation Rental Property Address
(For multiple address attach detail)
5) — --7- 1 (:S:--
�L�
HOW TO SUBMIT YOUR TRANSIENT OCCUPANY TAX FORM: 149'
• IF NO TAX IS DUE, SEND COMPLETED FORM VIA EMAIL OR FAX.
• IF TAX IS DUE, SEND COMPLETED FORM VIA MAIL.
Tax is due no later than 30 days after the end of the reporting month: Late payment will be chaged a late fee
penalty and interset. 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 10% of Line 1
3. Total TOT due to City
3. Total TOT due to City (same as line 3 above)
4. Late Fee Penalty (10% of line 3)
5. Late Fee Interest (Multiply line 4 by .05)
6. Total TOT and Fees due to City (Add lines 3 through 5)
declare, under penalty of perjury that to the best of my knowledge, the statement herein are true, correct -
and complete
Signed:
Title: J*,,JL O Date: 12 - i
Please return the completed ORGINAL to the City and keep a copy for your records.
Please make checks payable to the City of La Quinta.
Thank You for doing business in the City of La Quinta