LEBANON TRANSIENT ROOM TAX FORM

City of Lebanon, Kentucky
240 West Main Street/P.O. Box 840
Lebanon, Kentucky 40033

Monthly Return of
Transient Room Tax

Please fill out all fields.
The grey fields are calculated for you and do not need to be filled out.
If the amount of a field is 0, enter a 0. Your total amount will appear once all possible fields have been filled out.

Return for Month Ending: * Business Name* Business Address* Certificate No.* Kentucky Sales Tax No.* Tax ID No.*

Calculate Tax Due

1. Taxable rentable rooms * 2. Total rooms rented during the above Tax Period* 3. Gross transient room rents subject to City of Lebanon Ordinance* 4. 3% of gross transient room rents* 5. Penalty and/or interest, if any* 6. Total Tax Due by the 20th of the Following Month*
Title *

Date Signed: *

Check the button below to acknowledge that you have filled out all required fields and understood the requirements and instructions given for Tax Form 541Q*

Total Amount Due:

Instructions

1. Please enter your KY Sales Tax No. as issued by the State Department of Revenue

2. The tax is based on two percent of gross receipts as reported to the State Department of Revenue as sales tax receipts. This return should be filed even though no tax is due.

3. Any Tax that shall remain unpaid after it becomes due shall carry interest at the rate of twelve (12%) per annum.

4. The tax is due on or before the twentieth (20th) day of the following month and is considered late if it is not received by the City of Lebanon on or before the twentieth (20th)

5. Violation of Ordinance No. 03-03 and/or the amending Ordinance 03-05 shall be subject to a fine of not more than one hundred dollars ($100.00) per violation for each month during which such violation shall have occured or continues to occur, or imprisonment for not more than thirty (30) days for each violation, or both.

6. Please return a copy of this form to ensure proper credit to your account.

LEBANON TRANSIENT ROOM TAX FORM

City of Lebanon, Kentucky 240 West Main Street/P.O. Box 840 Lebanon, Kentucky 40033

Monthly Return of Transient Room Tax

Calculate Tax Due

Check the button below to acknowledge that you have filled out all required fields and understood the requirements and instructions given for Tax Form 541Q*

Instructions

If you prefer to pay by mail, you may send a check or money order to: PO Box 840 Lebanon KY 40033

City of Lebanon, Kentucky
240 West Main Street/P.O. Box 840
Lebanon, Kentucky 40033

Monthly Return of
Transient Room Tax

If you prefer to pay by mail,
you may send a check or money order to:
PO Box 840 Lebanon KY 40033