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FORM TOT-E2 CITY OF PALMDALE TRANSIENT OCCUPANCY TAX EXEMPTION FOR PERMANENT RESIDENTS Beginning date (day 31) End Date To: Hotel/Motel Name Address This is to certify that I am claiming exemption as a permanent resident of the above establishment. I am aware that I must pay Transient Occupancy Tax for the first 30 days of my continuous stay. (Attach hotel summary reports of entire residence from day one with this form as proof of TOT paid) (Name) (Signature) Name and Signature of the Permanent Resident ONLY NOTE: Refund will be paid to the Resident only. Resident should complete the following if you are requesting a third party to receive reimbursement. This is to certify that a third party paid for my permanent residence at the above establishment. Therefore, I authorize the City of Palmdale to reimburse the qualified TOT to the following: Check Payable to: Address: (Name) (Signature) Name and Signature of the Permanent Resident ONLY Remember: Attach hotel summary reports of entire residence from day one with this form as proof of TOT paid.