TRANSIENT LODGING TAX

Jean Jancaitis
Dept. Specialist
541-426-7770

Wallowa County Planning Dept.

101 S River St, Rm 105 Enterprise, OR 97828

Franz Goebel
Planning Director
541-426-7768

TRANSIENT LODGING TAX RETURN FORM
To remit by mail: Mail this completed form with payment to:

Wallowa County Planning Dept.

101 S River St, Rm 105

Enterprise, OR 97828

plansec@co.wallowa.or.us

MAKE CHECK OR MONEY ORDER PAYABLE TO WALLOWA COUNTY

Form and payment are due quarterly by the last working day of the month, even if there is zero income.
Name of Property/Business (including DBA) *
Account Number *
Phone Number *
Email address *
QUARTER & MONTH DUE:
QUARTER & MONTH DUE *

1ST QUARTER, DUE IN APRIL FOR JANUARY THROUGH MARCH 2ND QUARTER, DUE IN JULY FOR APRIL THROUGH JUNE 3RD QUARTER, DUE IN OCTOBER FOR JULY THROUGH SEPTEMBER 4TH QUARTER, DUE IN JANUARY FOR OCTOBER THROUGH DECEMBER
1. GROSS RENT ($) *
ALLOWABLE EXEMPTIONS
2a. MONTHLY RENT - EARNED FROM RENTS STAYING 30 CONSECUTIVE DAYS OR MORE ($) *
2b. RENT FROM AUTHORIZED FEDERAL EMPLOYEE ($) *
2c. RENT FROM VRBO OR VACASA, BUT NOT AIR BNB ($) *
3. TOTAL ALLOWABLE EXEMPTIONS (SUM OF LINES 2a through 2c) ($) *
Auto-calculated = SUM of Lines 2a through 2c
CALCULATION OF TAX DUE
4. TAXABLE RENT ($) *
Auto-calculated = Line 1 - Line 3
5. TAX RATE (5%) *
= 0.05 (field not editable)
6. TAX DUE ($) *
Auto-calculated = Line 4 * Line 5)
7. EXCESS TAX COLLECTED IN THE PREVIOUS MONTH, IF ANY. ($) *
Enter zero if none
8. TOTAL TAX DUE ($) *
Auto-calculated = Line 6 - Line 7
9. DISCOUNT FOR ON-TIME PAYMENT ($) *
Auto-calculated = 0.05 * Line 8
10. NET TAX DUE ($) *
Auto-calculated = Line 8 - Line 9
11. LATE PENALTY - ENTER $250 IF PAID AFTER THE LAST BUSINESS DAY OF THE QUARTER ($) *
Enter zero if on time
12. TOTAL DUE ($) *
Auto-calculated = Line 10 + Line 11
I declare, under penalty of false swearing, that to the best of my knowledge, the information herein is true,
Signature *

Clear
Date *

Month Day Year
Date
How would you like to pay? *
To pay over the phone using a credit card, call the Planning Department at 541-426-7770.
Should be Empty:

TRANSIENT LODGING TAX RETURN FORM

QUARTER & MONTH DUE:

ALLOWABLE EXEMPTIONS

CALCULATION OF TAX DUE

To pay over the phone using a credit card, call the Planning Department at 541-426-7770.