Michigan Department of Treasury
407 (10-97), Formerly C-3096
STATE CONVENTION FACILITY DEVELOPMENT TAX RETURN
Due: 15th of each month.
Issued under P.A. 106 of 1985. Filing is mandatory. Failure to file may result in penaty and interest.
Hotel Name
Return Period (month/year)
Account No. (same as use tax number)
Registered Business Name (or DBA)
1. Number of guest rooms
Street Address, City, State ZIP
2. Amount of monthly room charges
3. Tax rate (see chart)
4. Multiply line 2 by line 3
5. Applicable penalty and interest
6. Tax Due. Add lines 4 and 5
Authorized Signature
Date
Make check payable to: State of Michigan
Mail to: Michigan Department of Treasury
Telephone No.
P.O. Box 12216
(
)
Lansing, MI 48901
Michigan Department of Treasury
407 (10-97), Formerly C-3096
STATE CONVENTION FACILITY DEVELOPMENT TAX RETURN
Due: 15th of each month.
Issued under P.A. 106 of 1985. Filing is mandatory. Failure to file may result in penaty and interest.
Hotel Name
Return Period (month/year)
Account No. (same as use tax number)
Registered Business Name (or DBA)
1. Number of guest rooms
Street Address, City, State ZIP
2. Amount of monthly room charges
3. Tax rate (see chart)
4. Multiply line 2 by line 3
5. Applicable penalty and interest
6. Tax Due. Add lines 4 and 5
Authorized Signature
Date
Make check payable to: State of Michigan
Mail to: Michigan Department of Treasury
Telephone No.
P.O. Box 12216
(
)
Lansing, MI 48901
Michigan Department of Treasury
407 (10-97), Formerly C-3096
STATE CONVENTION FACILITY DEVELOPMENT TAX RETURN
Due: 15th of each month.
Issued under P.A. 106 of 1985. Filing is mandatory. Failure to file may result in penaty and interest.
Hotel Name
Return Period (month/year)
Account No. (same as use tax number)
Registered Business Name (or DBA)
1. Number of guest rooms
Street Address, City, State ZIP
2. Amount of monthly room charges
3. Tax rate (see chart)
4. Multiply line 2 by line 3
5. Applicable penalty and interest
6. Tax Due. Add lines 4 and 5
Authorized Signature
Date
Make check payable to: State of Michigan
Mail to: Michigan Department of Treasury
Telephone No.
P.O. Box 12216
(
)
Lansing, MI 48901