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Hotel/STR Name: <br />Owner Name: <br />Location Address: <br />Mailing Address (if different): <br />Federal ID Number: <br />For the period ending: <br />Due date for report: <br />Gross Receipts: (A) <br />Tax Rate: (B) 0.07 <br />Tax Due: A*B (C) <br />Specific instructions <br />Line (A) Enter the total amount of room receipts for the month for <br />location shown. Enter "0" if no taxable receipts were collected. <br />Line (B) The Hotel Occupancy Tax rate is 7%. <br />Line (C) Multiply Line A by 7%. <br />I declare, under the penalties for filing false reports, that this return (including any accompanying schedules and statements) has been <br />examined by me and to the best of my knowledge and belief is a true, correct, and complete report. If the return is prepared by other than <br />the taxpayer, his/her declaration is based on all the information relating to the matters required to be reported in this report of which he/she <br />has knowledge. <br />Type or print name and title Telephone number <br />Signature Date <br />Make check payable to City of Paris <br />Mail report and check to City of Paris, P.O. Box 9037, Paris, Texas 75461 <br />=or office use only: <br />-onvention: Penalty: <br />rourism/Promotion: Interest: <br />