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Form 40151 - Short-Term Rental Property Tax Form - Finance Department - Henrico County - Virginia

Mail Payment To:

County of Henrico

HENRICO COUNTY, VIRGINIA

Lockbox #4733

P.O. Box 90791

FINANCE DEPARTMENT

Henrico, VA 23228-0791

SHORT-TERM RENTAL PROPERTY TAX

QUARTER:_________________________

DUE DATE:___________________

Name:

Address:

Store Location:

USE A SEPARATE FORM FOR EACH LOCATION

PAYMENTS ARE DUE BY THE 15

DAY OF THE MONTH FOLLOWING THE END OF THE

QUARTER

I CERTIFY (OR DECLARE) UNDER THE PENALTY OF PERJURY THAT THE FOLLOWING

STATEMENTS ARE TRUE AND CORRECT.

SIGNATURE_________________________DATE____________________

TITLE______________________________PHONE___________________

The Henrico County Code provides that any person subject to this tax who willfully fails to collect or account for this tax (or attempts

to evade this tax) shall be guilty of a Class 1 misdemeanor.

PLEASE DIRECT ALL INQUIRIES TO STEVE KLOS AT (804) 501-7329

1. Total gross rental receipts from ALL owned personal property,

excluding registered motor vehicles, trailers, boats and aircraft.

Do not include gross receipts from state sales taxes.

$_____________________

2. Total gross rental receipts that are exempt from Virginia Sales and

Use Tax, including rental of durable medical equipment or rentals

to the Commonwealth of Virginia, any political subdivision of the

Commonwealth of Virginia, or of the United States of America.

($_____________________)

3. Total rental receipts subject to the Short-term Rental Property Tax

(Line 1 minus Line 2).

$______________________

4. Short-term Rental Tax Due (Line 3 multiplied by 1%).

$______________________

5. Late payment penalty (the greater of 6% of the tax due for each month

or fraction thereof, not to exceed 30% of the tax due; or $10.00).

$______________________

6. Tax plus penalty (Line 4 plus Line 5).

$______________________

7. Interest on the tax due on Line 6, set by the Virginia Department

of Taxation on a quarterly basis.

$______________________

8. Total Tax, Penalty, and Interest (Line 6 plus Line 7).

$______________________

Amount of Payment

$⁪⁪⁪,⁪⁪⁪.⁪⁪

Account Number

G/L Code

40151

Form 40151 - Short-Term Rental Property Tax Form - Finance Department - Henrico County - Virginia

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