Local Hospitality Tax Reporting Form - City Of Greenville, South Carolina
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1City of Greenville, South Carolina
Local Hospitality Tax Reporting Form
th
Mail to: City of Greenville, Hospitality, 4
Floor, Post Office Box 2207, Greenville, SC 29602
Hospitality Sales Tax Form for Month: _______________
Business Name:
___________________________
Physical Location: _________________________
Mailing Address:
___________________________
Fed. ID or SS #:
_________________________
City:
___________________________
Contact Name:
_________________________
(Print)
State, Zip:
___________________________
Contact Phone:
_________________________
Basis of Tax Remittance: (Please check one)
_______ Monthly
_______ Quarterly
_______ Annually
Computation of Hospitality Tax
1. Gross Sales of Food and/or Beverages
1. $
_______________________
2. Gross Sales: __________________ X 2% (.02)
2.
_______________________
From Line 1
(Hospitality Tax)
3. Late Fee per month if not paid by due date
__________________ X 5% (.05) X ___________________
3.
_______________________
H Tax From Line 2
Number of months late
(Late Fee)
4. Total Local Hospitality Tax Due to City of Greenville
4. $
_______________________
(Line 2 +Line 3)
(Total Due)
Important: Under City Code Article V Section 40-175, city hospitality taxes that remain unpaid 30 days
after the due date will be subject to all available procedures under the law including but not limited to ordinance
summons and/or business license revocation.
I certify that all the information stated above is true and accurate to the best of my knowledge and belief.
Taxpayer Signature & Title ______________________________________
Date ____________________
Please Print Name & Title ______________________________________
Credit Card Payment
Authorization to charge (signature)
________________________________________
Amount to charge
$_____________________
Authorization Form submitted ____ Yes ____No
Please Note: Separate Credit Card Authorization Form must be submitted to pay
hospitality taxes with a credit card.
For Office
____ Partial Payment
License Number
_________________
Use Only
____ Assess Late Fee
Postmark Date
_________________
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