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Important: This return must be filed and taxes paid by the 20th day of the month following the month in which the tax is collected. Submission of a timely return is required even if no tax is due. Business/Owner Name Return for the month of 20 Rental Property Address Phone Email GA Sales & Use Tax No. Changes to above information from prior month? Yes No (If yes, provide details of changes with return.) 1. Gross rental charges (first 30 days of stay is taxable) 2. Less exempt rental charges 3. Net taxable rental charges 4. Hotel/Motel tax due of Line 3) 5. Less 3% of tax due (provided the amount due is not delinquent when paid) 6. Net tax payable to Dawson County (Line 4 minus Line 5) 7. 8. Interest for late payment of the tax due shall be charged in addition to the penalties levied in Line 7 at a rate of 0.75% per month from the date the tax is due until the date the tax is paid. 9. Total penalty and interest (Line 7 plus Line 8) 10. Total amount due to Dawson County (Line 6 plus Line 9) DAWSON COUNTY 25 JUSTICE WAY, SUITE 2214 DAWSONVILLE, GA 30534 I DO HEREBY VERIFY UNDER PENALTY OF LAW THAT THE INFORMATION CONTAINED IN THIS REPORT IS TRUE AND CORRECT. DATE: SIGNATURE OF OWNER: RETURN PREPARED BY: IMPORTANT: THIS RETURN MUST BE FILED AND POSTMARKED BY THE 20TH OF THE FOLLOWING MONTH. IF NOT FILED TIMELY DO NOT TAKE VENDORS COMPENSATION AND YOU MAY BE ASSESSED PENALTY & INTEREST. If no payment is due, forms may be submitted by email to [EMAIL REDACTED] DAWSON COUNTY, GEORGIA Hotel/Motel Tax Return Penalty for late payment: If return is postmarked after the 20th of the month in which payment is due, add 5% of Line 6 or $5.00, whichever is greater if the failure is not more than 30 days. An additional penalty of 5% or $5.00, whichever is greater, shall be charged for each additional 30 days or portion thereof during which the failure continues. The penalty for any single violation shall not exceed 25% or $25.00 in the aggregate, whichever is greater. SIGN