Loading...
HomeMy WebLinkAbout36-City Clerk CITY OF SAN BERNARDINO - REQUEST FOR COUNCIL ACTION From: Rachel Clark, City Clerk Subject: Appeal hearing regarding the decision of Dept: City Clerk the City Clerk concerning delinquent transient lodging taxes owed by the Date: June 3, 2008 Budget Lodge. M/CC Meeting Date: June 16, 2008 Synopsis of Previous Council Action: July 18, 2005 —The Mayor and Common Council upheld the findings of the City Clerk relating to TLT audits of the Budget Lodge. Recommended Motion: That the hearing be closed; and that the Mayor and Common Council uphold the decision of the City Clerk and adopt her letter of May 21, 2008, as its findings and conclusions, based upon the back-up information submitted and any additional evidence presented at the hearing; or That the hearing be closed; and that the Mayor and Common Council uphold the appeal of the applicant and reverse the decision of the City Clerk; or That the hearing be closed; and that the Mayor and Common Council uphold the appeal of the applicant, in part, and direct the City Attorney's office to prepare findings and conclusions consistent with its decision. Signature Contact person: Cindy Rilechter Phone- 3200 Supporting data attached: Yes Ward: FUNDING REQUIREMENTS: Amount: Source: (Acct. No.) _(Arct ninscrirtion) Finance: Council Notes: `��D `"Y Z6 0 ,Ob �l os CITY OF SAN BERNARDINO—REQUEST FOR COUNCIL ACTION STAFF REPORT SUBJECT: Appeal hearing regarding the decision of the City Clerk concerning delinquent transient lodging taxes owed by the Budget Lodge. BACKGROUND: Beginning March 2005,the Budget Lodge has failed to pay their monthly transient lodging tax to the City Clerk's Office. The City Clerk's Office received each month's TLT return;however,no payment accompanied the document. SBMC 3.5 5.040 states in part,"...on or before the twenty-fifth day of each month,each operator shall deliver to the City Clerk a lodging information report for the prior month and shall remit to the City Clerk the transient lodging tax collected during the prior month..." SBMC 3.55.030C states,"Transient lodging taxes collected by an operator shall be held in trust until remitted to the City." SBMC 3.55.050 sets the penalty and interest provisions for transient lodging tax. In 2005 and 2006 several letters were sent to Mr.Larry Hall of the Budget Lodge informing him of the delinquencies and requesting that payment be forwarded to our office.In addition,the following actions have occurred: July 18,2005—The Mayor and Council upheld the decision of the City Clerk regarding the 2003 TLT audit of the Budget Lodge which found that the Budget Lodge owed an additional$13,792.49. July 18,2005—The City Clerk's Office received a facsimile from Mr.Larry Hall protesting TLT taxes paid in 2001,2002,and 2003 and requesting a refund of$29,585.58. August 17,2005—The City Clerk's Office sent a letter to Mr.Hall informing him that he must provide written records demonstrating entitlement to the refund and a statement that fully details the basis for the refund request. No such documentation was received by the City Clerk's Office January 23,2008—Letter sent to Mr.Hall concerning fees due and requesting that$97,342.26 be forwarded to our office for TLT due from March 2005 to November 2007. The amount owed includes penalties and interest accrued through November 2007. February 2,2008—Facsimile received from Mr.Larry Hall requesting a hearing on the amount due. February 15,2008—Hearing Notice mailed to Mr.Hall setting hearing for March 27,2008. March 26,2008—Facsimile received from Mr.Larry Hall requesting that the hearing be re-scheduled. April 2,2008—Hearing Notice mailed to Mr.Hall continuing the hearing to April 24,2008. April 24,2008—Hearing held before the City Clerk. May 21,2008—Letter sent to Mr.Hall stating his appeal before the City Clerk has been denied and requesting that the total amount due of$104,265.71 be received within 15 days. May 29,2008—The Clerk Clerk's Office received an Appeal on behalf of the Budget Lodge. FINANCIAL IMPACT The hearing found the total amount of$104,265.71 is due and owing to the City of San Bernardino. This amount represents delinquent transient lodging taxes and penalties and interest owed by Budget Lodge from March 2005 through February 2008. RECOMMENDATION That the hearing be closed;and that the Mayor and Common Council uphold the decision of the City Clerk and adopt her letter of May 21,2008,as its fording and conclusions,based upon the back-up information submitted and any additional evidence presented at the hearing;or That the hearing be closed;and that the Mayor and Common Council uphold the appeal of the applicant and reverse the decision of the City Clerk;or That the hearing be closed;and that the Mayor and Common Council uphold the appeal of the applicant in part and direct the City Attorney's office to prepare findings and conclusions consistent with its decision. II OFFICE OF THE CITY CLERK i RACHEL G.CLARK-CffY CLERK } 300 North"D"Street•San Bernardino•CA 92418-0001 909.384.5002•Fax: 909.384.5158 www.sbcity.org San Bernar �ino SM VIA CERTIFIED MAIL May 21,2008 Larry Hall Budget Lodge 1538 E.Main Street El Cajon,CA 92021-5901 RE: TLT Hearing—Budget Lodge Dear Mr.Hall: After due consideration of the testimony and evidence presented at your appeal hearing on April 24,2008, as well as the reports you submitted by mail,it is the decision of the City Clerk that your appeal on behalf of the Budget Lodge is denied and the total amount of$104,265.71 is due and owing to the City of San Bernardino within 15 days of the date of this letter. The amount of$104,265.71 represents delinquent transient lodging taxes and penalties and interest owed by Budget Lodge from March 2005 through February 2008. The decision may be appealed to the Common Council in accordance with the provisions of Chapter 2.64 of the San Bernardino Municipal Code(a copy of said Chapter 2.64 is enclosed with this letter for your �l information). Sincerely, Rachel G. Clark City Clerk Enclosure Cc: Frank A.Weiser,Attorney at Law Douglas A.Calkins, Senior Assistant City Attorney Robert Simmons,Senior Deputy City Attorney Cindy Buechter,Business Registration Manager CITY OF SAN BERNARDINO ADOPTED SHARED VALUES: Integrity•Accountability•Respect for Human Dignity•Honesty SUMMARY OF DELINQUENT TRANSIENT LODGING TAX FOR BUDGET LODGE March 2005-February 2006 Transient Lodging Tax $18,325.73 Penalties $18,325.73 Interest @ 18% per annum $7,668.31 TOTAL $ 44,319.77 March 2006-February 2007 Transient. Lodging Tax $ 15,272.15 Penalties $ 15,272.15 Interest @ 18% per annum $ 4,068.70 TOTAL $ 34,613.00 March 2007-February 2008 Transient Lodging Tax $ 13,327.17 Penalties $ 11,165.14 Interest @ 18% per annum thru March 2008 $ 840.63 TOTAL $ 25,332.94 Summary Totals Total Transient Lodging Tax $ 46,925.05 Total Penalties $ 44,763.02 Total Interest @18% per annum thru March 2008 $ 12,577.64 GRAND TOTAL $ 104,265.71 �() . cl 69 0 0 m N N W N .-N W 4 0 n r O n O an N W W O H �NNN�4CN44004nr v,r4 W to W O J N N M TaV Ol7M OCmO W C 444 l7 Q r r M�A r o�-M W o O N N 10 1n IA c0�D V tD F N N N N N N N N N N N N N W Q W !fl N N Nw IA N to NfA bo HaA N fA NaA w ....... w W W r A O O A O A 0 0 4 0 A N N n co W W W In W to W N W Q A ^ co W O,W W m W O1 O,W Of W M N N LL nj N N Wl kn w NaAHHH aA H aA W W W'W co 4 W O m W O co r A W W W m W m.-m r W co 4 m W Q W co M N N N N N N N N N C a O N N N N N N N N N N N 4 � M H N w69NH In Go Nan N M W O W O O W O W O O N O r m W W co W m co in m N m V T O u M W OW Ocq N N W • 1� N O w w aAwEANwaAwaAwwaAHw w cn N O W O O!0 0^O W O O W O co W W W m m co m W W W m W m O .9 W m �-m W m W m W W W W m W r m N O O N N AO cli H N waA Nag Hw wNaA waA aA NtA N W W W O M p�M W M M W M m M M W M W M M 4 co 0 N O N O O N O N O O W O O LL •.T O N N N N M M N M N M M N M N N N N N N N N N N N N N N N M { �r! M CO 3 V M o =V m F M w anHw wwNM AwA an wo, www N W w 0 W Ol V m r Q/A 01 01 A W r W m W Gl O Z. /V W N a7NON�N N�7NONNm N 01 4�n w Q N N NNN NNN N NNNNNNN N A m` M m J N H U N i w N o YN H H to H w N Lo F- (��Z m M A N M ' r v C W N N M4 444 44444, O M A V R m a 0 N 3 J f N Z W N H NaA 6Aw fANwHwwNwNwww W N N m r n O N O O m 0 N O N O O N O N O O!n O N 4 4 a0 N n n N n N n N n n N n N r n r n O/ W 10 N 4 4 M 4 a 4 4 4 4 a 4 0-4 M 4 O Q W m N W 7 N O 7 D O E J N H M4a w ww N aA N ww wan boll wwM w a f. m W W aA N co W M M— N N W M W M M Of M 1n M W M M W M N M C]n M C O M 4 M 4 4 4 4 M 4 4 V M 4 V N 4 m Q N N N N N N N N N N N N N N N N N N m � M a m H N w'A N w w w iA 44 A N w 69 aA to Go*4 N H N w O w A A O W N W N N w N W N W N N W N W 0 0 0 O W co W W A 4 A 4 A 4 4 r 4 A N N N A ay W W M O!O W OO W 00100)0 0 mOm W W W W co m Q N N N N N N N N N N N N n E O a� M m C Co w H MN W NN a9Hte a9 w vb 44 Vfw W N y W O O n 0 W ONO O fD O N O Ip O O N O�n O O O 4 O W W O N M M N N N M N M N N M N Cl N N In N W N m M M N W W W W W W M W aO W ap W W W W W W W 4 W aG m R ^ ^ N N N N N N N N N N N N N N N N N N N N ? O °f E M m n I N N w w N N aA w w H w N H N N w N w w H w w H N co M OMM aA M 01M M M W M'M_M_O!M mMM W W A A 't .-M'- IQ N W O 1N W 4 m m W o,m Oi m W m o m o Of m m W W to W n W Q W W N N N N N N N N N N N N N N N N N N N N N V � 4 N N ....H N M H H N..w..w w N w w w. N m J a �� ae W aui y pmRa-�p i o W� 599999 o Q(anc r n Qr�o n r Q gA 1 9r Z9A n 09-9m�i 9 o � i 3� �OZO �ozz Nn m m J¢ lit V f N CV m r On m0 C�V gN m No M 6 0 �O�m_�r g N•A-O�G�m pg' C m N�r�g�`.r-0m�.•A-0 N G�m m�V C N N C N l l] l7 m N A N N N N N N N N N N N N N N cm N N N N N N r H H N H N N N N H H H H N N N N N N H N N N N N N N N N N N N N H H H N m a n r M thM Pf CO fh l0 Pf t7 t7 t9 t+l t+l lh MQ7m m��n t9 old N b N N NOAH OAOA f�mr0 AO h Il�Or 0 rA01'0 S N N N N N N N N N N N N N N N N N N N N N H N N N Wm N n n A n A n W A A A A A A A a r H LL tl w m aemeememeeeeoeaoeeoeoe0 oIm Q m m .-G W 00 OC OG 00001 G 0.0000000 00 N C N N N N N N "—m—NN—N—N N N N p m N q t 0 r N N 10 N N a N N N N O N a N N N N N N 10 N N A N S q NN NNmm Nl'7 fi t7 t7�-{'�N f7 N"NlV/7 fV ti {.7 : N N N N N N N N N N N N fV N N N N N N N N N N N N 0 r r x� N N N N N N N N Haa N N N N N N N N N N N N N N N N N N N N O m N N N N f O N aa a m O m pp m y m m y m {p m N m t O N N e N f O N f O N N 10 N�N N O N O m � 4 Cc $ �aiauaimoioimoi0)oi0r�0iaCOimOOioi0m0oiaCOi� = O c'! N W u, 2 0 N N NN N N N H.91.N N N N N p N H N N N N N H N N H N p N N p y m�Ny W�W�W W m N N N N N N N N N N N N N N N N N N N N N N N N N N N m "J.0 N N N N N N N N N N N N e N N N C` W QQ W r W r W W n W A W W a W A pppp A W H h N N A N O N O N O N N e N e N N O N e N e N N e N e N t0 N m W O NOfV NO1(f OYf Yl OHO1010�y IAO wO100 wOa1Nt�)0 (� m N N N N N N N N N N N N N N N N N N N N N N N N N N N N N %N N N H N N N H N N N N N N N N N N N N N N N N N N N ru m m t�f W W r W W W W W W W W W W W A W W W W W W W W W W W W a (� H O O N m m r CO m m m m m m A m m m m.!m�m m m N O N N N N N N N N N N N N N�'N N N N N N N N N N N N N m 3 N H H H H N N N H H N N H N H N N N N H N N N N N N N N N N N H G�OmCC�DOO m Om 00 m0 m W E^mOC^Gm O e ♦ e O e m q vin.44 q eaeeai', vei'*MA* ievie*g�y ma N N N N N N N N N N N N N N N N".N" N N N N N N N N N m 7 r r W N N N N N N N N N N N N N H N N N N N N N N N N N N m m a W m W W N W m W W W W a W W N W W a W W W W W W N h nvmeeoa�o e�ee�emeeoe�emee�v,�aeage�` C 1m0 a N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N p 7 _ N N NN ow NNN VlNNNNNNNNN t//NN YlNNNNHNN N N WlN M 1 e W m lq m e O N V m*m V<a e M a(y am(y O m e f0♦e m �O e {y A $ N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N m h H N N N N N N N W N J"N N N N H N N N N N W N N N N N N N N H N N N N N W O.e e-'Q�O��P�O.e-O��O�f N �y/V NN N (V N W N N NN (y NfV C(Va g N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N a eM N N W N N N N N M N H H N H N N N N N N N N N N N N N N N N N N H N N N A e N N m N m N N aa N m a m a N m a m N a a m N m a a m a m N a m a h f D m N O O O O O Y O O 0 0 O 0 0 0 O 0 0 O 0020; _ C? m N N N N N N NN N N N N N N N N N N N N N N N N N N N N N N N N N F.:N as N YY r F}N N N N N N N N N N H H H H N N N N N N N N N N N N N N N N N N N N N~ ~~F-JQ m Q_ Z W ? $ m9 C? 909 9M999° 99222 ?9ggA9_4p4y4 1Q�ra (pOZOAi LL2 ` »Q�O ZO�LL�Q -�i 5Q �ZO-�i LL2R ---�--� CITY OF SAN BERNARDINO TRANSIENT LODGING TAX RETURN INSTRUCTIONS FOR FILING TRANSIENT LODGING TAX RETURN ' °VEN IF THERE IS NO TAX DUE,a tax return must be filed are accepted subject to collection and do not constitute payment ,th the City Clerk. until cleared. The City assumes no responsibility for loss in 2. REPORTING PERIOD:Monthly. Payments for the preceding transit or delay in deposit. month to be made between the 1st and 25th.Delinquent on the 5. RECEIPT: The canceled check becomes the receipt.No receipt 26th of the month following reporting period. will be mailed unless a demand for same is made at the time 3. PENALTY: If paid within 29 days after delinquent date, a of payment. penalty of 25% of the amount of tax (line 6) will be added. 6. ALL RECORDS SUBSTANTIATING THE RETURN must If paid between the 30th and 60th day after delinquent date,a be retained by the operator for a period of not less than three penalty of 50%of the amount of tax(line 6)will be added. If years from the date of payment.For allowable deductions,please paid more than 60 days after delinquent date,a penalty of 100% refer to San Bernardino City Municipal Code Chapter 3.55. of the amount of the tax (line 6) will be added. (Whenever CHANGE OF ADDRESS OR OWNERSHIP MUST BE delinquent transient lodging tax fees and appropriate penalties REPORTED IMMEDIATELY TO THE CITY CLERK City Clerk's Office cannot be collected after proper notification to the property/ P. O. Box 1318 business owner,the total uncollected amount including penalties 8. UPON CESSATION OF BUSINESS FOR ANY REASON, San Bernardino,CA MEDIATELY. and administrative fees shall become assessments).Interest in the RETURNS AND PAYMENTS ARE DUE IM 92402 amount of 18% per annum shall be compounded from the 9. Operator is required to report gross rent accurately as this sixty-first day of such delinquency until paid. information will be reported to The California Franchise Tax 4. REMITTANCE: Checks should be payable to the City of San Board. We will return all forms that do not have a gross rent Bernardino. Checks, drafts, postal notes and money orders figure indicated. Account RACHEL G. CLARK, CM C. City Clerk l� � Owner's Name �6 I�'i+�Ci L L -Z Z Number L Please correct any errors in name or address.Name � S 6 L" �j. F—n r rw,% pill �C ��t f-n e,rid A fi•7��6� NOTE:A return and payment is Business Address U a A n 0, [,/� _ J (• V due immediately upon cessation of business. Statement For JAN. ❑ FEB MAR. ❑ APR. ❑ MAY ❑ JUNE ❑ Month of JULY ❑ AUG. ❑ SEPT. ❑ OCT. ❑ NOV. ❑ DEC. ❑ _ Gross Rent For Occupancy of Rooms ALLOWABLE DEDUCTIONS l 2 Rent for occupancies of 31 days or more 1 U 1i 3 Exemptions As Defined in 3.55.010G (Attach completed Exemption Certificate) $ t 4 Adjustment $ 5 Total Allowable Deductions $ Z7 6 Taxable Rent-.Line 1 minus line 5 $ 0( 7 Tax 10%of Line 6 $ 8 Penalty if Applicable-See No.3 of Instructions $ 9 Amount Due-Lines 7 and 8 $ [J F I declare,under penalty of perjury,that to the best of my knowledge `+J Make checks payable to: CITY OF SAN BERNARDINO and belief,the statements herein are correct and true. Signed [f,—, Title Y� Date loe�• rJ 9 Checked By 300 North"D"Street,San Bernardino,California 92418 Phone(909)384-5036 CITY OF SAN BERNARDINO CENTRAL PRINTING SERVICES Distribution: WHITE - City Clerk PINK - Customer(Retain for your records) CITY OF SAN BERNARDINO TRANSIENT LODGING TAX RETURN INSTRUCTIONS FOR FILING TRANSIENT LODGING TAX RETURN ' —VEN IF THERE IS NO TAX DUE,a tax return must be filed are accepted subject to collection and do not constitute payment ,th the City Clerk. until cleared. The City assumes no responsibility for loss in 2. REPORTING PERIOD:Monthly. Payments for the preceding transit or delay in deposit. month to be made between the 1st and 25th.Delinquent on the 5. RECEIPT: The canceled check becomes the receipt.No receipt 26th of the month following reporting period. will be mailed unless a demand for same is made at the time = $' 3. PENALTY If paid within 29 days after delinquent date, a of payment. r \ penalty of 25% of the amount of tax (line 6) will be added. 6. ALL RECORDS SUBSTANTIATING THE RETURN must C If paid between the 30th and 60th day after delinquent date, a be retained by the operator fora period of not less than three penalty of 50%of the amount of tax(line 6) will be added. If years from the date of payment.For allowable deductions,please paid more than 60 days after delinquent date,a penalty of 100% refer to San Bernardino City Municipal Code Chapter 3.55. of the amount of the tax (line 6) will be added. (Whenever CHANGE OF ADDRESS OR OWNERSHIP MUST BE delinquent transient lodging tax fees and appropriate penalties City Clerk's Office cannot be collected after proper notification to the property/ REPORTED IMMEDIATELY TO THE CITY CLERK. business owner,the total uncollected amount including penalties 8. UPON CESSATION OF BUSINESS FOR ANY REASON, P. O. Box 1318 and administrative fees shall become assessments).Interest in the RETURNS AND PAYMENTS ARE DUE IMMEDIATELY. San Bernardino,CA amount of 18% per annum shall be compounded from the 9. Operator is required to report gross rent accurately as this 92402 sixty-first day of such delinquency until paid. information will be reported to The California Franchise Tax 4. REMITTANCE: Checks should be payable to the City of San Board. We will return all forms that do not have a gross rent Bernardino. Checks, drafts, postal notes and money orders figure indicated. e— RACHEL G. CLARK, C.M.C. City Clerk 'Z2� � � Account Owner's Name V ��/`'T brll3r�, l� L Number IPlease correct any errors in name Business Name i/G'`G. '� 1)G�[ or address. Business Address ` G NOTE:A return and payment is due immediately upon cessation of business. Statement For JAN. ' FEB ❑ MAR. ❑ APR. ❑ MAY ❑ JUNE ❑ Month of JULY ❑ AUG. ❑ SEPT. ❑ OCT. ❑ NOV. ❑ DEC. ❑ Gross Rent For Occupancy of Rooms $ ALLOWABLE DEDUCTIONS t t/ 2 Rent for occupancies of 31 days or more $ � - 1 11 ti•,r 3 Exemptions As Defined in 3.55.01OG (Attach completed Exemption Certificate) $ - 4 Adjustment $ 5 Total Allowable Deductions 6 Taxable Rent:Line 1 minus line 5 $ 0 Z � r j 0 7 Tax 10%of Line 6 $ (� 8 Penalty if Applicable-See No.3 of Instructions $ 9 Amount Due-Lines 7 and 8 $ I declare,under penalty of perjury,that to the best of my knowledge Q Make checks payable to: CITY OF SAN BERNARDINO and belief,the statements herein are correct and true. Signed �p r /1f '' Title ero atI',) f. Date - Checked By 300 North"D"Street,San Bernardino,California 92418 Phone(909)384-5036 CITY OF SAN BERNARDINO CENTRAL PRINTING SERVICES Distribution: WHITE - City Clerk PINK - Customer(Retain for your records) -----s CITY OF SAN BERNARDINO TRANSIENT LODGING TAX RETURN INSTRUCTIONS FOR FILING TRANSIENT LODGING TAX RETURN 1. ­`EN IF THERE IS NO TAX DUE,a tax return must be filed are accepted subject to collection and do not constitute payment t the City Clerk. until cleared. The City assumes no responsibility for loss in 2. icIEPORTING PERIOD:Monthly. Payments for the preceding transit or delay in deposit. month to be made between the 1st and 25th.Delinquent on the 5. RECEIPT- The canceled check becomes the receipt.No receipt 26th of the month following reporting period. will be mailed unless a demand for same is made at the time s 3. PENALTY: If paid within 29 days after delinquent date, a of payment. Y ■ penalty of 25% of the amount of tax (line 6) will be added. 6. ALL RECORDS SUBSTANTIATING THE RETURN must ~ If paid between the 30th and 60th day after delinquent date,a be retained by the operator for a period of not less than three y penalty of 50%of the amount of tax(line 6)will be added.If years From the date of payment.For allowable deductions,please paid more than 60 days after delinquent date,a penalty of 100% of the amount of the tax (line 6) will be added. (Whenever � refer to San Bernardino City Municipal Code Chapter 3.55. CHANGE OF ADDRESS OR OWNERSHIP MUST BE delinquent transient lodging tax fees and appropriate penalties REPORTED IMMEDIATELY TO THE CITY CLERK City Clerk's Office cannot be collected after proper notification to the property/ P. O. Box 1318 business owner,the total uncollected amount including penalties 8• UPON CESSATION OF BUSINESS FOR ANY REASON, and administrative fees shall become assessments).Interest in the RETURNS AND PAYMENTS ARE DUE IMMEDIATELY. San Bernardino,CA amount of 18% per annum shall be compounded from the 9. Operator is required to report gross rent accurately as this 92402 sixty-first day of such delinquency until paid. information will be reported to The California Franchise Tax 4• REMITTANCE: Checks should be payable to the City of San Board.We will return all forms that do not have a gross rent Bernardino. Checks, drafts, postal notes and money orders figure indicated. 7 RACHEL G. CLARK CM C. City Cle-'* - 7 3- ( Account Owner's Name �/'�d'Iyl Number Business Name ff Please correct any errors in name or address. D �/ / NOTE:A return and payment is Business Address 4 {� ��P f)rM/ yr �f !1 1at� �/' �"// L�s due immediately upon cessation + of business. Statement For JAN. ❑ FEB ❑ MAR. ❑ APR. ❑ MAY ❑ JUNE ❑ Month of JULY ❑ AUG. ❑ SEPT. ❑ OCT. ❑ NOV. ❑ DEC. 1 Gross Rent For Occupancy of Rooms L� ALLOWABLE DEDUCTIONS J 2 Rent for occupancies of 31 days or more $ �j/�Q r 3 Exemptions As Defined in 3.55.01OG / —1 (Attach completed Exemption Certificate) $ 4 Adjustment $ 5 Total Allowable Deductions $ 6 Taxable Rent:Line 1 minus line 5 $ /2 7 Tax 10%of Line 6 $ I/ F2* h 8 Penalty if Applicable-See No.3 of Instructions $ (� 9 Amount Due-Lines 7 and 8 $ j` z M I declare,under penalty of perjury,that to the best of my knowledge Make checks payable to: CITY OF SAN BERNARDINO and belief,the statements herein are correct and true. �n - ) ) � 1 •+Signed Title AI'L D t Checked By 300 North"D"Street,San Bernardino,California 92418 Phone(909)384-5036 CITY OF SAN BERNARDINO CENTRAL PRINTING SERVICES Distribution: WHITE - City Clerk PINK - Customer(Retain For your records) TRANSIENT LODGING TAX RETURN INSTRUCTIONS FOR FILING TRANSIENT LODGING TAX RETURN 1. EVEN IF THERE IS NO TAX DUE,a tax return must be filed are accepted subject to collection and do not constitute payment •ith the City Clerk. until cleared. The City assumes no responsibility for loss in EPORTING PERIOD:Monthly. Payments for the preceding transit or delay in deposit. month to be made between the 1st and 25th.Delinquent on the 5. RECEIPT: The canceled check becomes the receipt.No receipt 26th of the month following reporting period. will be mailed unless a demand for same is made at the time 3. PENALTY: If paid within 29 days after delinquent date, a of payment. penalty of 25% of the amount of tax (line 6) will be added. 6. ALL RECORDS SUBSTANTIATING THE RETURN must If paid between the 30th and 60th day after delinquent date, a beretained by the operator for a period of not less than three penalty of 50%of the amount of tax (line 6)will be added. If years from the date of payment.For allowable deductions,please paid more than 60 days after delinquent date,a penalty of 100% refer to San Bernardino City Municipal Code Chapter 3.55. of the amount of the tax (line 6) will be added. (Whenever CHANGE OF ADDRESS OR OWNERSHIP MUST BE delinquent transient lodging tax fees and appropriate penalties City Clerk's Office cannot be collected after proper notification to the property / REPORTED IMMEDIATELY TO THE CITY CLERK.SON P.O. Box 1318 business owner,the total uncollected amount including penalties 8• UPON CESSATION OF BUSINESS FOR ANY REASON San Bernardino,CA and administrative fees shall become assessments).Interest in the RETURNS AND PAYMENTS ARE DUE IMMEDIATELY. amount of 18% per annum shall be compounded from the 9. Operator is required to report gross rent accurately as this 92402 sixty-first day of such delinquency until paid. information will be reported to The California Franchise Tax 4. REMITTANCE: Checks should be payable to the City of San Board. We will return all forms that do not have a gross rent Bernardino. Checks, drafts, postal notes and money orders figure indicated. C RACHEL G. CLARK C.MC City Clerk ZZ� Account Number ` Owner's Name r��.-��6"- �- d e Please correct any errors in name Business Name �UL� [ Lt JCR or address. �� �y Lt� NOTE:A return and payment is Business Address t;t a r-A1 r64,0 l' �''\: C�� ��r/'%e�'L'�l t/'t ® due immediately upon cessation of business. Statement For JAN. ❑ FEB ❑ MAR. ❑ APR. ❑ MAY ❑ JUNE ❑ Month of JULY ❑ AUG. ❑ SEPT. ❑ OCT. ❑ NOV. DEC. ❑ 1 Gross Rent For Occupancy of Rooms C:".` T� ALLOWABLE DEDUCTIONS 2 Rent for occupancies of 31 days or more $ 3 Exemptions As Defined in 3.55.010G (Attach completed Exemption Certificate) $ � 4 Adjustment $ 5 Total Allowable Deductions $ e q e L� 6 Taxable Rent:Line 1 minus line 5 7 Tax 10%of Line 6 r Z Z Z 8 Penalty if Applicable-See No.3 of Instructions $ 9 Amount Due-Lines 7 and 8 $ r Z- 7 I declare,under penalty of perjury,that to the best of my knowledge Make,checks payable to: CITY OF SAN BERNARDINO and belief,the statements herein are correct and true. Title 0D,*, r—A4--vr5 l " r Date i 11 Choked By 300 North"D"Street,San Bernardino,California 92418 Phone(909)384-5036 CITY OF SAN BERNARDINO CENTRAL PRINTING SERVICES Distribution: WHITE -City Clcrk PINK - Customer(Retain for Your records) CITY OF SAN BERNARDINO TRANSIENT LODGING TAX RETURN INSTRUCTIONS FOR FILING TRANSIENT LODGING TAX RETURN I 'EN IF THERE IS NO TAX DUE,a tax return must be filed are accepted subject to collection and do not constitute payment .h the City Clerk. until cleared. The City assumes no responsibility for loss in 2. REPORTING PERIOD:Monthly. Payments for the preceding transit or delay in deposit. month to be made between the 1st and 25th.Delinquent on the 5. RECEIPT: The canceled check becomes the receipt.No receipt 26th of the month following reporting period. - will be mailed unless a demand for same is made at the time 3. PENALTY. If paid within 29 days after delinquent date, a of payment. penalty of 25% of the amount of tax (line 6) will be added. 6. ALL RECORDS SUBSTANTIATING THE RETURN must If paid between the 30th and 60th day after delinquent date,a be retained by the operator for a period of not less than three penalty of 50%of the amount of tax(line 6)will be added. If years from the date of payment.For allowable deductions,please paid more than 60 days after delinquent date,a penalty of 100% refer to San Bernardino City Municipal Code Chapter 3.55. of the amount of the tax (line 6) will be added. (Whenever CHANGE OF ADDRESS OR OWNERSHIP MUST BE delinquent transient lodging tax fees and appropriate penalties REPORTED IMMEDIATELY TO THE CITY CLERK. City Clerk's Office cannot be collected after proper notification to the property / P.O. Box 1318 business owner,the total uncollected amount including penalties 8• UPON CESSATION OF BUSINESS FOR ANY REASON, San Bernardino,CA and administrative fees shall become assessments).Interest in the RETURNS AND PAYMENTS ARE DUE IMMEDIATELY. amount of 18% per annum shall be compounded from the 9. Operator is required to report gross rent accurately as this 92402 sixty-first day of such delinquency until paid. information will be reported to The California Franchise Tax 4. REMITTANCE: Checks should be payable to the City of San Board. We will return all forms that do not have a gross rent Bernardino. Checks, drafts, postal notes and money orders figure indicated. RACHEL G. CLARK C.M.C. City Clerk 22�' ] Account Number I `/1 Owner's Name �4/�/'�/ / / _ rPlease correct any errors in name Business Name V I �f./sY'+%"�/ '_r Il L '� �Lr•I C� or address. I ^ NOTE:A return and payment is Business Address I1P/ i^r�ty �dY� �rNtG/`�P�i due immediately upon cessation of business. Statement For JAN. ❑ FEB ❑ MAR. ❑ APR. ❑ MAY ❑ JUNE ❑ Month of JULY ❑ AUG. ❑ SEPT. ❑ OCT. NOV. ❑ DEC. ❑ Gross Rent For Occupancy of Rooms T sJ C J;* 1 $ 71 19 V. q6— ALLOWABLE DEDUCTIONS 2 Rent for —; occupancies of 31 days or more $ \ r C P y LI f��-1 y5 1177 3 Exemptions As Defined in 3.55.010G (Attach completed Exemption Certificate) $ -✓ 4 Adjustment $ Z5 Total Allowable Deductions $ L r - 6 Taxable Rent:Line 1 minus line 5 $ , , 7 U �� 7 Tax 10%of Line 6 $ Y ( k- 1, jt 8 Penalty if Applicable-See No.3 of Instructions $ 9 Amount Due-Lines 7 and 8 $ ' �'� V I declare,under penalty of perjury,that to the best of my knowledge Make checks payable to: CITY OF SAN BERNARDINO and belief,the statements herein are correct and true. JV7 Signed , t' I/ Title �Qy��( f 19 )S�", Date l V) Checked By 300 North"D"Street,San Bernardino,California 92418 Phone(909)384-5036 CITY OF SAN BERNARDINO CENTRAL PRINTING SERVICES Distribution: WHITE - City Clerk PINK - Customer(Retain For your records) —�' CITY OF SAN BERNARDINO TRANSIENT LODGING TAX RETURN INSTRUCTIONS FOR FILING TRANSIENT LODGING TAX RETURN 1. EVEN IF THERE IS NO TAX DUE,a tax return must be filed are accepted subject to collection and do not constitute payment th the City Clerk. until cleared. The City assumes no responsibility for loss in .. -.EPORTING PERIOD:Monthly. Payments for the preceding transit or delay in deposit. month to be made between the 1st and 25th.Delinquent on the 5. RECEIPT: The canceled check becomes the receipt.No receipt 26th of the month following reporting period. will be mailed unless a demand for same is made at the time 3. PENALTY: If paid within 29 days after delinquent date, a of payment. penalty of 25% of the amount of tax (line 6) will be added. 6. ALL RECORDS SUBSTANTIATING THE RETURN must If paid between the 30th and 60th day after delinquent date, a be retained by the operator for a period of not less than three n t penalty of 50%of the amount of tax(line 6)will be added. If ears from the date of payment.For allowable deductions, lease n paid more than 60 days after delinquent date,a penalty of 100% years to San Bernardino City Municipal Code Chapter 3.55. of the amount of the tax (line 6) will be added. (Whenever CHANGE OF ADDRESS OR OWNERSHIP MUST BE delinquent transient lodging tax fees and appropriate penalties REPORTED IMMEDIATELY TO THE CITY CLERK. City Clerk's Office cannot be collected after proper notification to the property / P.O. Box 1318 business owner,the total uncollected amount including penalties 8. UPON CESSATION OF BUSINESS FOR ANY REASON, and administrative fees shall become assessments).Interest in the RETURNS AND PAYMENTS ARE DUE IMMEDIATELY. San Bernardino, CA amount of 18% per annum shall be compounded from the 9. Operator is required to report gross rent accurately as this 92402 sixty-first day of such delinquency until paid. information will be reported to The California Franchise Tax 4. REMITTANCE: Checks should be payable to the City of San Board. We will return all forms that do not have a gross rent Bernardino. Checks, drafts, postal notes and money orders figure indicated. RACHEL G. CLARK, CM.C. City Clerk Z2��� ] Account r ^ n I Number Owner's Name " i r C+.- '" r (/ e Please correct any errors in name Business Name (`• {f�� O��(r G or address. PNOTE:A return and payment is Business Address V- rig due immediately upon cessation of business. Statement For JAN. ❑ FEB ❑ MAR. ❑ APR. ❑ MAY ❑ JUNE ❑ Month of JULY ❑ AUG. ❑ SEPT. OCT. ❑ NOV. ❑ DEC. ❑ Gross Rent For Occupancy of Rooms $ 1 Z 2 0 V , ALLOWABLE DEDUCTIONS 1'4' 2 Rent for occupancies of 31 days or more $ 3 Exemptions As Defined in 3.55.01 OG (Attach completed Exemption Certificate) $ 4 Adjustment $ 5 Total Allowable Deductions $ ZI Yi t 7 6 Taxable Rent:Line 1 minus line 5 $ 7 Tax 10%of Line 6 $ i + 8 Penalty if Applicable-See No.3 of Instructions 9 Amount Due-Lines 7 and 8 $ 01 • {-�8 I declare,under penalty of perjury,that to the best of my knowledge Make checks payable to: CITY OF SAN BERNARDINO and belief,the statements herein are correct and true. r Srg..ed Title DAY rAJ n r Date 1 V if (�� / Checked By 300 North"D"Street,San Bernardino,California 92418 Phone(909)384-5036 CITY OF SAN BERNARDINO CENTRAL PRINTING SERVICES Distribution: WHITE - City Clerk PINK -Customer(Retain for your records) CITY OF SAN BERNARDINO TRANSIENT LODGING TAX RETURN INSTRUCTIONS FOR FILING TRANSIENT LODGING TAX RETURN 1. EVEN IF THERE IS NO TAX DUE,a tax return must be filed are accepted subject to collection and do not constitute payment the City Clerk. until cleared. The City assumes no responsibility for loss in 2. PORTING PERIOD:Monthly. Payments for the preceding transit or delay in deposit. month to be made between the 1st and 25th.Delinquent on the 5. RECEIPT: The canceled check becomes the receipt.No receipt 26th of the month following reporting period. will be mailed unless a demand for same is made at the time = =� 3. PENALTY: If paid within 29 days after delinquent date, a of payment. penalty of 25% of the amount of tax (line 6) will be added. 6. ALL RECORDS SUBSTANTIATING THE RETURN must If paid between the 30th and 60th day after delinquent date,a beretained by the operator for a period of not less than three penalty of 50%of the amount of tax(line 6)will be added. if years from the date of payment.For allowable deductions,please paid more than 60 days after delinquent date,a penalty of 100% refer to San Bernardino City Municipal Code Chapter 3.55. 7• of the amount of the tax (line 6) will be added. (Whenever CHANGE OF ADDRESS OR OWNERSHIP MUST BE delinquent transient lodging tax fees and appropriate penalties REPORTED IMMEDIATELY TO THE CITY CLERK. City Clerk's Office cannot be collected after proper notification to the property/ P. O. Box 1318 business owner,the total uncollected amount including penalties 8• UPON CESSATION OF BUSINESS FOR ANY REASON, and administrative Fees shall become assessments).Interest in the RETURNS AND PAYMENTS ARE DUE IMMEDIATELY. San Bernardino,CA amount of 18% per annum shall be compounded from the 9. Operator is required to report gross rent accurately as this 92402 sixty-first day of such delinquency until paid. information will be reported to The California Franchise Tax 4. REMITTANCE: Checks should be payable to the City of San Board.We will return all forms that do not have a gross rent Bernardino. Checks, drafts, postal notes and money orders figure indicated. RACHEL G. CLARK, CMC. City Clerk -) `� Account Number Owner's Name M j �Jf �c 1 Please correct any errors in name Business Name 1/ NCa C tr LQ`� or address. Business Address .. NOTE:A return and payment is .��([ Gry"t r jy1 ()t 'r��V due immediately upon cessation of business. Statement For JAN. ❑ FEB ❑ MAR. ❑ APR. ❑ MAY ❑ JUNE ❑ Month of JULY ❑ AUG. SEPT. ❑ OCT. ❑ NOV. ❑ DEC. ❑ 1 Gross Rent For Occupancy of Rooms $ kz ALLOWABLE DEDUCTIONS 2 Rent for occupancies of 31 days or more $ 6 f ` U_ 3 Exemptions As Defined in 3.55.010G �1 (Attach completed Exemption Certificate) $ 4 Adjustment $ 5 Total Allowable Deductions $ 6 Taxable Rent.Line 1 minus line 5 $ 7 Tax 10%of Line 6 $ 8 Penalty if Applicable-See No.3 of Instructions $ 9 Amount Due-Lines 7 and 8 I declare,under penalty of perjury,that to the best of my knowledge Make checks payable to: CITY OF SAN BERNARDINO and belief,the statements herein are correct and true. Sign,. CIO 6 a &4� Title Q ls� t Date 67 0 Checked By 300 North"D"Street,San Bernardino,California 92418 Phone(909)384-5036 CITY OF SAN BERNARDINO CENTRP.L PRINTING SERVICES Distribution: WHITE - City Clerk PINK - Custmner(Retain for your records) r•rrrtr_�m.mtnt CITY OF SAN BERNARDINO TRANSIENT LODGING TAX RETURN INSTRUCTIONS FOR FILING TRANSIENT LODGING TAX RETURN 1. EVEN IF THERE IS NO TAX DUE,a tax return must be Fled are accepted subject to collection and do not constitute payment h the City Clerk. until cleared. The City assumes no res onsib' E loss i 2. --PORTING PERIOD:Monthly. Payments for the preceding transit or delay in deposit. month to be made between the 1st and 25th.Delinquent on the 5. RECEIPT: The canceled check becomes the receipt.No receipt 26th of the month following reporting period. will be mailed unless a demand for same is made at the time 3. PENALTY If paid within 29 days after delinquent date, a of payment. sp penalty of 25% of the amount of tax (line 6) will be added. 6. ALL RECORDS SUBSTANTIATING THE RETURN must If paid between the 30th and 60th day after delinquent date,a be retained by the operator for a period of not less than three penalty of 50%of the amount of tax(line 6) will be added. If ears from the date of payment.For allowable deductions,please paid more than 60 days after delinquent date,a penalty of 100% refer to San Bernardino City Municipal Code Chapter 3.55. of the amount of the tax (line 6) will be added. (Whenever CHANGE OF ADDRESS OR OWNERSHIP MUST BE delinquent transient lodging tax fees and appropriate penalties REPORTED IMMEDIATELY TO THE CITY CLERK City Clerk's Office cannot be collected after proper notification to the property/ P.O. Box 1318 business owner,the total uncollected amount including penalties S• UPON CESSATION OF BUSINESS FOR ANY REASON, and administrative fees shall become assessments).Interest in the RETURNS AND PAYMENTS ARE DUE IMMEDIATELY. San Bernardino,CA amount of 18% per annum shall be compounded from the 9. Operator is required to report gross rent accurately as this 92402 sixty-first day of such delinquency until paid. information will be reported to The California Franchise Tax 4. REMITTANCE: Checks should be payable to the City of San Board. We will return all forms that do not have a gross rent Bernardino. Checks, drafts, postal notes and money orders figure indicated. l RACHEL G. CLARK, C.M.C. City Clerk Account Owner's Name �^Gr�r ��r/! /l Z 7—��p� Number f� Please correct any errors in name Business Name ' � l J� "S or address. NOTE:A return and payment is Business Address y t/ � ' ��1`1 �. s'. �(../1 �`�h�i!A�tYI b due immediately upon cessation of business. Statement For JAN. ❑ FEB ❑ MAR. ❑ APR. ❑ MAY ❑ JUNE ❑ Month of JULY AUG. ❑ SEPT. ❑ OCT. ^❑ NOV. ❑ DEC. ❑ t Gross Rent For Occupancy of Rooms $ 5' ALLOWABLE DEDUCTIONS 666 J 2 Rent for occupancies of 31 days or more $ Ctl 3 Exemptions As Defined in 3.55.010G (Attach completed Exemption Certificate) $ r•-:: r' 4 Adjustment $ ,�� f 5 Total Allowable Deductions $ 6 Taxable Rent:Line 1 minus line 5 $ "7 f) 7 Tax 10%of Line 6 $ �. 8 Penalty if Applicable-See No.3 of Instructions $ ` 9 Amount Due-Lines 7 and 8 $ r� I declare,under penalty of perjury,that to the best of my knowledge / Make checks payable to: CITY OF SAN BERNARDINO and belief,the statements herein are correct and true. Signed ��/� - I V�'`� Title r� r''� ! " ' r,Date �1 ! 1/ Checked By 300 North"D"Street,San Bernardino,California 92418 Phone(909)384-5036 CITY OF SAN BERNARDINO CENTRAL PRINTING SERVICES Distribution: WHITE -City Clerk PINK -Customer(Retain for your records) _,-... CITY OF SAN BERNARDINO TRANSIENT LODGING TAX RETURN INSTRUCTIONS FOR FILING TRANSIENT LODGING TAX RETUIW V I VVEN IF THERE IS NO TAX DUE,a tax return must be filed are accepted subject to collection and do not constitute payment th the City Clerk. until cleared. The City assumes no �eSpd '�`!ityl Gr loss:in r 2. acEPORTING PERIOD:Monthly. Payments for the preceding transit or delay in deposit. month to be made between the 1st and 25th.Delinquent on the 5. RECEIPT: The canceled check becomes the receipt.No receipt 26th of the month following reporting period. will be mailed unless a demand for same is made at the time 3. PENALTY. If paid within 29 days after delinquent date, a of payment. penalty of 25% of the amount of tax (line 6) will be added. 6. ALL RECORDS SUBSTANTIATING THE RETURN must If paid between the 30th and 60th day after delinquent date,a beretained by the operator for a period of not less than three tN penalty of 50%of the amount of tax(line 6) will be added. If ears from the date of payment.For allowable deductions,please paid more than 60 days after delinquent date,a penalty of 100% refer to San Bernardino City Municipal Code Chapter 3.55. of the amount of the tax (line 6) will be added. (Whenever CHANGE OF ADDRESS OR OWNERSHIP MUST BE delinquent transient lodging tax fees and appropriate penalties City Clerk's Office cannot be collected after proper notification to the property / REPORTED IMMEDIATELY TO THE CITY CLERK P P P P ty P.8. UPON CESSATION OF BUSINESS FOR ANY REASON, O. Box business owner,the total uncollected amount including penalties San Bernardino, CA and administrative fees shall become assessments).Interest in the RETURNS AND PAYMENTS ARE DUE IMMEDIATELY. amount of 18% per annum shall be compounded from the 9. Operator is required to report gross rent accurately as this 92402 sixty-first day of such delinquency until paid. information will be reported to The California Franchise Tax 4. REMITTANCE: Checks should be payable to the City of San Board.We will return all forms that do not have a gross rent Bernardino. Checks, drafts, postal notes and money orders figure indicated. RACHEL G. CLARK, C.M.C. City Clerk &04 Account ,L Owner's Name /n/I r-1 Number r ` ° l�R (� Please correct any errors in name Business Name VdJ f �- �6 tlS I or address. r SNOTE:A return and payment is Business Address G 6 I r�s1+�W!�l Dr• `(�t� ymplArk-007 1 due immediately upon cessation of business. Statement For JAN. O FEB ❑ MAR. ❑ APR. ❑ MAY ❑ JUNE Month of JULY ❑ AUG. ❑ SEPT. ❑ OCT. ❑ NOV. ❑ DEC. Gross Rent For Occupancy of Rooms $ 1-1' s ALLOWABLE DEDUCTIONS 2 Rent for occupancies of 31 days or more $ O O j� (tl r 3 Exemptions As Defined in 3.55.010G t�J 111 (Attach completed Exemption Certificate) $ 4 Adjustment $ -` 5 Total Allowable Deductions $ /V 09 0 e 51) 6 Taxable Rent:Line 1 minus line 5 $ �/V ��( 7 Tax 10%of Line 6 $ Its 2N I 8 Penalty if Applicable-See No.3 of Instructions $ �f�-•l 9 Amount Due-Lines 7 and 8 $ I declare,under penalty of perjury,that to the best of my knowledge Make checks payable to: CITY OF SAN BERNARDINO and belief,the statements herein are correct and true. Signed s✓' Title V neWN.^ r-- Date �l �IJ t_7 Checked By 300 North"D"Street,San Bernardino,California 92418 Phone(909)384-5036 CITY OF SAN BERNARDINO CENTRAL PRINTING SERVICES Distribution: WHITE - City Clerk PINK - Customer(Retain for your records) CITY OF SAN BERNARDINO TRANSIENT LODGING TAX RETURN ! INSTRUCTIONS FOR FILING TRANSIENT LODGING TAX RETURN 1. EVEN IF THERE IS NO TAX DUE,a tax return must be filed are accepted subject to collection and do not constitute payment with the City Clerk. until cleared. The City assumes no responsibility for loss in REPORTING PERIOD:Monthly. Payments for the preceding transit or delay in deposit. month to be made between the 1st and 25th.Delinquent on the 5. RECEIPT: The canceled check becomes the receipt.No receipt 26th of the month following reporting period. will be mailed unless a demand for same is made at the time 3. PENALTY: If aid within 29 days after delinquent date, a p � f of payment. penalty of 25% of the amount of tax (line 6) will be added. 6. ALL RECORDS SUBSTANTIATING THE RETURN must If paid between the 30th and 60th day after delinquent date,a be retained by the operator for a period of not less than three penalty of 50%of the amount of tax(line 6)will be added. If years from the date of payment.For allowable deductions,please paid more than 60 days after delinquent date,a penalty of 100% refer to San Bernardino City Municipal Code Chapter 3.55. of the amount of the tax (line 6) will be added. (Whenever CHANGE OF ADDRESS OR OWNERSHIP MUST BE delinquent transient lodging tax fees and appropriate penalties REPORTED IMMEDIATELY TO THE CITY CLERK. City Clerk's Office cannot be collected after proper notification to the property! P.O. Box 1318 business owner,the total uncollected amount including penalties 8• UPON CESSATION OF BUSINESS FOR ANY REASON, and administrative fees shall become assessments).Interest in the RETURNS AND PAYMENTS ARE DUE IMMEDIATELY. San Bernardino,CA amount of 18% per annum shall be compounded from the 9. Operator is required to report gross rent accurately as this 92402 sixty-first day of such delinquency until paid. information will be reported to The California Franchise Tax 4. REMITTANCE: Checks should be payable to the City of San Board. We will return all forms that do not have a gross rent Bernardino. Checks, drafts, postal notes and money orders figure indicated. RACHEL G. CLARK, C.M.C. City Clerk -.;I �1' J �7 Account Number Owner's Name A rr., (t k {.� e / Please correct any errors in name Business Name / t r v%f/ or address. NOTE:A return and payment is Business Address C6 � ir►�A �r �N/1 if frn4-0- f/10 /A due immediatelyuponcessation of business. Statement For JAN. ❑ FEB ❑ MAR. ❑ APR. ❑ MAY JUNE ❑ Month of JULY ❑ AUG. ❑ SEPT. ❑/ OCT. ❑ NOV. ❑ DEC. ❑ Gross Rent For Occupancy of Rooms $ 25 ALLOWABLE DEDUCTIONS 2 Rent for occupancies of 31 days or more $ 3 Exemptions As Defined in 3.55.010G (Attach completed Exemption Certificate) $ i 4 Adjustment $ 5 Total Allowable Deductions $ (�' ��• C *• 6 Taxable Rent:Line I minus line 5 $ ?y !� 7 Tax 10%of Line 6 $ 8 Penalty if Applicable-See No.3 of Instructions $ 9 Amount Due-Lines 7 and 8 $ I declare,under penalty of perjury,that to the best of my knowledge Make checks payable to: CITY OF SAN BERNARDINO and belief,the statements herein are correct and true. .,.Aned f'`ti 1eW"' Title lrAl l aril f' Y" t CIS`- Date h )v Checked By 300 North"D"Street,San Bernardino,California 92418 Phone(909)384-5036 CITY OF SAN BERNARDINO CENTRAL PRINTING SERVICES Distribution: WHITE -City Clerk PINK - Customer(Retain for your records) f TCK.?O�.mmt CITY OF SAN BERNARDINO TRANSIENT LODGING TAX RETURN INSTRUCTIONS FOR FILING TRANSIENT LODGING TAX RETURN I -VEN IF THERE IS NO TAX DUE,a tax return must be filed are accepted subject to collection and do not constitute payment ch the City Clerk. until cleared. The City assumes no responsibility for loss in 2. REPORTING PERIOD:Monthly. Payments for the preceding transit or delay in deposit. N month to be made between the 1st and 25th.Delinquent on the q 5. RECEIPT: The canceled check becomes the receipt.No receipt 26th of the month following reporting period. will be mailed unless a demand for same is made at the time =' G 3. PENALTY If paid within 29 days after delinquent date, a of payment. penalty of 25% of the amount of tax (line 6) will be added. 6. ALL RECORDS SUBSTANTIATING THE RETURN must If paid between the 30th and 60th day after delinquent date, a be retained by the operator fora period of not less than three penalty of 50%of the amount of tax(line 6) will be added.oIf years from the date of payment.For allowable deductions,please N tN paid more than 60 days after delinquent date,a penalty of 100% refer to San Bernardino City Municipal Code Chapter 3.55. of the amount of the tax (line 6) will be added. (Whenever delinquent transient lodging tax fees and appropriate penalties 7• CHANGE OF ADDRESS OR OWNERSHIP MUST BE City Clerk's Office cannot be collected after proper notification to the property/ REPORTED IMMEDIATELY TO THE CITY CLERK. P. O. Box 1318 TI UPON CESSATION OF BUSINESS FOR ANY REASON, business owner,the total uncollected amount including penalties 8. San Bernardino,CA and administrative fees shall become assessments).Interest in the RETURNS AND PAYMENTS ARE DUE IMMEDIATELY. amount of 18% per annum shall be compounded from the 9. Operator is required to report gross rent accurately as this 92402 sixty-first day of such delinquency until paid. information will be reported to The California Franchise Tax 4. REMITTANCE: Checks should be payable to the City of San Board. We will return all forms that do not have a gross rent Bernardino. Checks, drafts, postal notes and money orders figure indicated. ++ yJ RACHEL G. CLARK, C.M.C City Clerk �D 7 3 7 � Account Owner's Name (�{r1 re !�_ kki /J Number Business Nam �j�V��. L L Please correct any errors in name e or address. p Business Address X � �y D f�js� r G NOTE:A return and payment is y VVV y (d L') �7 t / due immediately upon cessation of business. Statement For JAN. ❑ FEB ❑ MAR. ❑ APR. MAY ❑ JUNE ❑ Month of JULY ❑ AUG. ❑ SEPT. ❑ A OCT. ❑ NOV. ❑ DEC. ❑ t Gross Rent For Occupancy of Rooms $ JJJ — ALLOWABLE DEDUCTIONS 2 Rent for occupancies of 31 days or more $ J 3 Exemptions As Defined in 3.55.0 1OG (Attach completed Exemption Certificate) $ 4 Adjustment $ =— 5 Total Allowable Deductions $ 6 Taxable Rent:Line 1 minus line 5 $ t (�jJ' O 7 Tax 10%of Line 6 $ 8 Penalty if Applicable-See No.3 of Instructions 9 Amount Due-Lines 7 and 8 $ ' r I declare,under penalty of perjury,that to the best of my knowledge Make checks payable to: CITY OF SAN BERNARDINO and belief,the statements herein are correct and true. a Signed �� Title Q t ' h,1 Date J Checked By 300 North"D"Street,San Bernardino,California 92418 Phone(909)384-5036 CITY OF SAN BERNARDINO CENTRAL PRINTING SERVICES Distribution: WHITE - Ciry Clerk PINK - Customer(R-in for your records) CITY OF SAN BERNARDINO TRANSIENT LODGING TAX RETURN INSTRUCTIONS FOR FILING TRANSIENT LODGING TAX RETURN 1. EVEN IF THERE IS NO TAX DUE,a tax return must be filed are accepted subject to collection and do not constitute payment the City Clerk. until cleared. The City assumes no responsibility for loss in 2. . JRTING PERIOD:Monthly. Payments for the preceding transit or delay in deposit. N month to be made between the 1st and 25th.Delinquent on the 5. RECEIPT: The canceled check becomes the receipt.No receipt 26th of the month following reporting period. will be mailed unless a demand for same is made at the time = G 3. PENALTY Iff paid within 29 days after delinquent date, a of payment. F 4 penalty of 25% of the amount of tax (line 6) will be added. s If paid between the 30th and 60th day after delinquent date,a �' ALL CORDS SUBSTANTIATING THE RETURN m ust - penalty of 50%of the amount of tax(line 6) will be added. If beretained by the operator for a period of not less than three �. o t paid more than 60 days after delinquent date,a penalty of 100/o years from the date of payment.For allowable deductions,please of the amount of the tax (line 6) will be added. (Whenever refer to San Bernardino City Municipal Code Chapter 3.55. delinquent transient lodging tax fees and appropriate penalties 7• CHANGE OF ADDRESS OR OWNERSHIP MUST BE City Clerk's Office cannot be collected after proper notification to the property / REPORTED IMMEDIATELY TO THE CITY CLERK. P. O. Box 1318 business owner,the total uncollected amount including penalties 8• UPON CESSATION OF BUSINESS FOR ANY REASON, and administrative fees shall become assessments).Interest in the RETURNS AND PAYMENTS ARE DUE IMMEDIATELY. San Bernardino, CA amount of 18% per annum shall be compounded from the 9. Operator is required to report gross rent accurately as this 92402 sixty-first day of such delinquency until paid. information will be reported to The California Franchise Tax 4. REMITTANCE: Checks should be payable to the City of San Board. We will return all forms that do not have a gross rent Bernardino. Checks, drafts, postal notes and money orders figure indicated. RACHEL G. CLARK, C.M.C. City Clerk DD"-7 3 7 -ic4 Account Owner's Name /'r � V . � ' Number Business Name Please correct any errors in name y C 111 or address. Business Address r f V-d IN• Z I NOTE:A return and payment is due immediately upon cessation of business. Statement For JAN. ❑ FEB ❑ MAR. X APR. ❑ MAY ❑ JUNE ❑ Month of JULY ❑ AUG. ❑ SEPT. ❑ OCT. ❑ NOV. ❑ DEC. ❑ 1 Gross Rent For Occupancy of Rooms $ ALLOWABLE DEDUCTIONS 2 Rent for occupancies of 31 days or more $ 5L n i l °I I 3 Exemptions As Defined in 3.55.0 IOG (Attach completed Exemption Certificate) $ =J 4 Adjustment $ 03 5 Total Allowable Deductions $ 6 Taxable Rent.Line I minus line 5 $ Z. iZ - 7 Tax 10%of Line 6 $ 8 Penalty if Applicable-See No.3 of Instructions $ n 9 Amount Due-Lines 7 and 8 $ I declare,under penalty of perjury,that to the best of my knowledge Make checks payable to: CITY OF SAN BERNARDINO and belief,the statements herein are correct and true. �ignea_ � � '' Title Date / 3/ Checked By 300 North"D"Street,San Bernardino,California 92418 Phone(909)384-5036 CITY OF SAN BERNARDINO iisvibution: WHITE - City Clerk PINK -Cus[omcr(Retain for your records) CENTRAL PRINTING SERVICES —11 1.,-,.1-1 CITY OF SAN BERNARDINO TRANSIENT LODGING TAX RETURN INSTRUCTIONS FOR FILING TRANSIENT LODGING TAX RETURN 1. EVEN IF THERE IS NO TAX DUE,a tax return must be filed are accepted subject to collection and do not constitute payment vith the City Clerk. until cleared. The City assumes no responsibility for loss in _- REPORTING PERIOD:Monthly. Payments for the preceding transit or delay in deposit. month to be made between the 1st and 25th.Delinquent on the 5. RECEIPT: The canceled check becomes the receipt.No receipt 26th of the month following reporting period. will be mailed unless a demand for same is made at the time s 3. PENALTY: If paid within 29 days after delinquent date, a of payment. penalty of 25% of the amount of tax (line 6) will be added. 6, ALL RECORDS SUBSTANTIATING THE RETURN must If paid between the 30th and 60th day after delinquent date, a be retained by the operator for a period of not less than three penalty of 50% of the amount of tax (line 6)will be added.oIf years from the date of payment.For allowable deductions,please paid more than 60 days after delinquent date,a penalty of 100% refer to San Bernardino City Municipal Code Chapter 3.55. of the amount of the tax (line 6) will be added. (Whenever delinquent transient lodging tax fees and appropriate penalties 7• CHANGE OF ADDRESS OR OWNERSHIP MUST BE City Clerk's Office cannot be collected after proper notification to the property/ REPORTED IMMEDIATELY TO THE CITY CLERK. n O. Box 1318 T UPON CESSATION OF BUSINESS FOR ANY REASON business owner,the total uncollected amount including penalties 8. r P.San Bernardino,CA and administrative fees shall become assessments).Interest in the RETURNS AND PAYMENTS ARE DUE IMMEDIATELY. amount of 18% per annum shall be compounded from the 9. Operator is required to report gross rent accurately as this 92402 sixty-first day of such delinquency until paid. information will be reported to The California Franchise Tax 4. REMITTANCE: Checks should be payable to the City of San Board. We will return all forms that do not have a gross rent Bernardino. Checks, drafts, postal notes and money orders figure indicated. RACHEL G. CLARK, C.M.C. City Clerk --2 A-13 J Account Owner's Name ��j./'�L7 � " �� Number Please correct any errors in name Business Name or address. �j l N �• \�n ►(�f n A��� P/I q 7 a� V NOTE:A return and payment is Business Address �y`` �" ,(� („/'7 1 e+ 000 due immediately upon cessation �- of business. Statement For JAN. ❑ FEB MAR. ❑ APR. ❑ MAY ❑ JUNE ❑ Month of JULY ❑ AUG. ❑ SEPT. ❑ OCT. ❑ NOV. ❑ DEC. ❑ Gross Rent For Occupancy of Rooms $ (j ALLOWABLE DEDUCTIONS 2 Rent for occupancies of 31 days or more $ r 00. 3 Exemptions As Defined in 3.55.010G V (, r (Attach completed Exemption Certificate) $ 4 Adjustment $ _ 7. .,_ 5 Total Allowable Deductions $ �}'Pre V A 6 Taxable Rent:Line 1 minus line 5 7 Tax 10%of Line 6 $ J 8 Penalty if Applicable-See No.3 of Instructions $ 9 Amount Due-Lines 7 and 8 1 (i I declare,under penalty of perjury,that to the best of my knowledge Make checks payable to: CITY OF SAN BERNARDINO and belief,the statements herein are correct and true. Srs,.ed Lam`' ` ''' 411 Title v' �''^s' N r• Date J D� Checked By. 300 North"D"Street,San Bernardino,California 92418 Phone(909)384-5036 CITY OF SAN BERNARDINO CENTRAL PRINTING SERVICES Distribution: WHITE - City Clerk PINK - Customer(Retain for your records) CIT'Y OF SAN BERNARDINO TRANSIENT LODGING TAX RETURN INSTRUCTIONS FOR FILING TRANSIENT LODG.1G�TAB RETURN L 1. EVEN IF THERE IS NO TAX DUE,a tax return must be filed are accepted subject to collection and do not constitute payment •h the City Clerk. until cleared. e7(F�y"_2ssUIJJcs pp. res onsibilit for loss in 2 .PORTING PERIOD:Monthly. Payments for the preceding transit or delay it deposit. F month to be made between the 1st and 25th.Delinquent on the 5. RECEIPT: The canceled check becomes the receipt.No receipt 26th of the month following reporting period. will be mailed unless a demand for same is made at the time 3 3. PENALTY If paid within 29 days after delinquent date, a 0 of payment. � penalty of 25% of the amount of tax (line 6) will be added. 6. ALL RECORDS SUBSTANTIATING THE RETURN must If paid between the 30th and 60th day after delinquent date, a penalty of 50%of the amount of tax(line 6)will be added. If be retained by the operator for a period of not less than three yo n t paid more than 60 days after delinquent date,a penalty of 100% years from the date of payment.For allowable deductions,please of the amount of the tax (line 6) will be added. (Whenever refer to San Bernardino City Municipal Code Chapter 3.55. delinquent transient lodging tax fees and appropriate penalties 7• CHANGE OF ADDRESS OR OWNERSHIP MUST BE City Clerk's Office cannot be collected after proper notification to the property / REPORTED IMMEDIATELY TO THE CITY CLERK. tY P. O. Box 1318 UPON CESSATION OF BUSINESS FOR ANY REASON, business owner,the total uncollected amount including penalties 8. San Bernardino,CA and administrative fees shall become assessments).Interest in the RETURNS AND PAYMENTS ARE DUE IMMEDIATELY. amount of 18% per annum shall be compounded from the 9. Operator is required to report gross rent accurately as this 92402 sixty-first day of such delinquency until paid. information will be reported to The California Franchise Tax 4• REMITTANCE: Checks should be payable to the City of San Board. We will return all forms that do not have a gross rent Bernardino. Checks, drafts, postal notes and money orders figure indicated. RACHEL G. CLARK, C.M.C. City Clerk a- 7 3 7 *4 Account Owner's Name 014/ 4y ��+ Number Business Name ✓ (f'r�'t•`�` (,+ (�rf �Pull-1/�t, Please correct any errors in name i or address. 6� ��•Fr v�d �� G P*�l�t�1.4 0 C` Zl �1� NOTE:A return and payment is Business Address ll]] /i due immediately upon cessation of business. Statement For JAN. FEB ❑ MAR. ❑ APR. ❑ MAY ❑ JUNE ❑ Month of JULY ❑ AUG. ❑ SEPT. ❑ OCT. ❑ NOV. ❑ DEC. ❑ 1 Gross Renr For Occupancy of Rooms 77) V 7 - 0 l $ ALLOWABLE DEDUCTIONS V 2 Rent for occupancies of 31 days or more $ � L'_7 � .a.a 3 Exemptions As Defined in 3.55.010G (Attach completed Exemption Certificate) $ ^' 4 Adjustment $ 5 Total Allowable Deductions $ 6 Taxable Rent:Line 1 minus line 5 $ 7 Tax 10%of Line 6 8 Penalty if Applicable-See No.3 of Instructions $ 1 9 Amount Due-Lines 7 and 8 I declare,under penalty of perjury,that to the best of my knowledge Make checks payable to: CITY OF SAN BERNARDINO and belief,the statements herein are correct and true. Sign Title qq � ate z l V) Checked By 300 North"D"Street,San Bernardino,California 92418 Phone(909)384-5036 CITY OF SAN BERNARDINO CENTRAL PRINTING SERVICES Dis[ribu[ion: WHITE - City Clerk PINK - Customer(Retain for your records) r,7cv_I m.mina CITY OF SAN BERNARDINO TRANSIENT LODGING TAX RETURN INSTRUCTIONS FOR FILING TRANSIENT LODGING TAX RETURN 1. EVEN IF THERE IS NO TAX DUE,a tax return must be filed are accepted subject to collection and do not constitute payment ith the City Clerk. until cleared. The City assumes no responsibility for loss in REPORTING PERIOD:Monthly. Payments for the preceding transit or delay in deposit. month to be made between the 1st and 25th.Delinquent on the 5. RECEIPT: The canceled check becomes the receipt.No receipt 26th of the month following reporting period. will be mailed unless a demand for same is made at the time 3. PENALTY If paid within 29 days after delinquent date, a of payment. penalty of 25% of the amount of tax (line 6) will be added. 6. ALL RECORDS SUBSTANTIATING THE RETURN must If paid between the 30th and 60th day after delinquent date,a be retained by the operator for a period of not less than three penalty of 50% of the amount of tax(line 6)will be added. If years from the date of payment.For allowable deductions,please paid more than 60 days after delinquent date,a penalty of 100% refer to San Bernardino City Municipal Code Chapter 3.55. of the amount of the tax (line 6) will be added. (Whenever CHANGE OF ADDRESS OR OWNERSHIP MUST BE delinquent transient lodging tax fees and appropriate penalties City Clerk's Office cannot be collected after proper notification to the property / REPORTED IMMEDIATELY TO THE CITY CLERK. P.O. Box 1318 business owner,the total uncollected amount including penalties 8. UPON CESSATION OF BUSINESS FOR ANY REASON, and administrative fees shall become assessments).Interest in the RETURNS AND PAYMENTS ARE DUE IMMEDIATELY. San Bernardino,CA amount of 18% per annum shall be compounded from the 9. Operator is required to report gross rent accurately as this 92402 sixty-first day of such delinquency until paid. information will be reported to The California Franchise Tax 4. REMITTANCE: Checks should be payable to the City of San Board. We will return all forms that do not have a gross rent Bernardino. Checks, drafts, postal notes and money orders figure indicated. RACHEL G. CLARK, C.MC. City Clerk J Number Owner's Name L�rru r 1/1£ /,t �/ / ^ 1 Please correct any errors in name Business Name C V L -6 t V d4�j �L � K 4 I�G 't 4 Lp 1-4 � or address. -. NOTE:A return and payment is / Business Address e'i V"Ca Wr f 1 2 [ ♦� due immediately upon cessation of business. Statement For JAN. ❑ FEB ❑ MAR. ❑ APR. ❑ MAY ❑ JUNE ❑ Month of JULY ❑ AUG. ❑ SEPT. ❑ OCT. ❑ NOV. ❑ DEC. iW Gross Rent For Occupancy of Rooms j ,6 $ J 77, �—� ALLOWABLE DEDUCTIONS �_ - 2 Rent for occupancies of 31 days or more $ ? ' 7 I 3 Exemptions As Defined in 3.55.010G (Attach completed Exemption Certificate) $ 4 Adjustment $ 5 Total Allowable Deductions $ LJ f, 6 6 Taxable Rent. Line 1 minus line 5 S ' 1�V�• [.� 7 Tax 10%of Line 6 $ 1 r Z d L] L' 8 Penalty if Applicable-See No.3 of Instructions $ —V 9 Amount Due-Lines 7 and 8 $ I '-1 J O I declare,under penalty of perjury,that to the best of my knowledge Make checks payable to: CITY OF SAN BERNARDINO and belief,the statements herein are correct and true. ogned J01 Title 1 P rA 'tn rll (,Date Checked By 300 North"D"Street,San Bernardino,California 92418 Phone(909)384-5036 CITY OF SAN BERNARDINO CENTRAL PRINTING SERVICES Distribution: WHITE - City Clerk PINK - Customer(Rctain for your rccords) I CITY OF SAN BERNARDINO TRANSIENT LODGING TAX RETURN INSTRUCTIONS FOR FILING TRANSIENT LODGING TAX RETURN TN IF THERE IS NO TAX DUE,a tax return must be filed are accepted subject to collection and do not constitute payment eith the City Clerk. until cleared. The City assumes no responsibility for loss in 2. REPORTING PERIOD:Monthly. Payments for the preceding transit or delay in deposit. month to be made between the 1st and 25th.Delinquent on the 5. RECEIPT: The canceled check becomes the receipt.No receipt 26th of the month following reporting period. will be mailed unless a demand for same is made at the time - G� 3. PENALTY: If paid within 29 days after delinquent date, a of payment. .` penalty of 25% of the amount of tax (line 6) will be added. 6. ALL RECORDS SUBSTANTIATING THE RETURN must If paid between the 30th and 60th day after delinquent date, a beretained by the operator for a period of not less than three penalty of 50%of the amount of tax (line 6) will be added. If ears from the date of payment.For allowable deductions,please paid more than 60 days after delinquent date,a penalty of 100% refer to San Bernardino City Municipal Code Chapter 3.55. of the amount of the tax (line 6) will be added. (Whenever CHANGE OF ADDRESS OR OWNERSHIP MUST BE delinquent transient lodging tax fees and appropriate penalties REPORTED IMMEDIATELY TO THE CITY CLERK. City Clerk's Office cannot be collected after proper notification to the property / P.O. Box 1318 business owner,the total uncollected amount including penalties 8. UPON CESSATION OF BUSINESS FOR ANY REASON, and administrative fees shall become assessments).Interest in the RETURNS AND PAYMENTS ARE DUE IMMEDIATELY. San Bernardino,CA amount of 18% per annum shall be compounded from the 9. Operator is required to report gross rent accurately as this 92402 sixty-first day of such delinquency until paid. information will be reported to The California Franchise Tax 4. REMITTANCE: Checks should be payable to the City of San Board. We will return all forms that do not have a gross rent Bernardino. Checks, drafts, postal notes and money orders figure indicated. jj __ ,,-,, j RACHEL G. CLARK C.M.C. City Clerk Z Z7 3 Account Owner's Name �(�►�'n/ r' t• �k� Number (f �(u^ Please correct any errors in name Business Name 0 'y (� or address. Business Address (J �(ii r1•�C-�,� 1!..` ��/� ' er^,A.,djy 64 q204-1r NOTE:A return and payment is due immediately upon cessation of business. Statement For JAN. ❑ FEB ❑ MAR. ❑ APR. ❑ MAY ❑ JUNE ❑ Month of JULY ❑ AUG. ❑ SEPT. ❑ OCT. ❑ NOV. DEC. ❑ Gross Rent For Occupancy of Rooms $ 4211 7 ALLOWABLE DEDUCTIONS [[[fff C_77) 2 Rent for occupancies of 31 days or more $ 3 Exemptions As Defined in 3.55.01OG 1 (Attach completed Exemption Certificate) $ Ca 4 Adjustment $ ; 5 Total Allowable Deductions $ 6 Taxable Rent:Line I minus line 5 $ 12 7 h 7 Tax 10%of Line 6 $ z 1 7 8 Penalty if Applicable-See No.3 of Instructions $ 9 Amount Due-Lines 7 and 8 $ f Z 749 I declare,under penalty of perjury,that to the best of my knowledge / Make checks payable to: CITY OF SAN BERNARDINO and belief,the statements herein are correct and true. Signed�/"�1/ a l' � Title Cr01 t�; f�'�/1t ` � V y l J� �fel>�te 1 � 6tl y 6 Checked By 300 North"D"Street,San Bernardino,California 92418 Phone(909)384-5036 CITY Or"SAN BERNARDINO CENTRAL PRINTING SERVICES CITY OF SAN BERNARDINO TRANSIENT LODGING TAX RETURN INSTRUCTIONS FOR FILING TRANSIENT LODGING TAX RETURN VEN IF THERE IS NO TAX DUE,a tax return must be filed are accepted subject to collection and do not constitute payment .th the City Clerk. until cleared. The City assumes no responsibility for loss in 2. REPORTING PERIOD:Monthly. Payments for the preceding transit or delay in deposit. month to be made between the 1st and 25th.Delinquent on the 5. RECEIPT: The canceled check becomes the receipt.No receipt 26th of the month following reporting period. will be mailed unless a demand for same is made at the time — 3. PENALTY: If paid within 29 days after delinquent date, a of payment. penalty of 25% of the amount of tax (line 6) will be added. 6. ALL RECORDS SUBSTANTIATING THE RETURN must If paid between the 30th and 60th day after delinquent date,a be retained by the operator for a period of not less than three penalty of 50%of the amount of tax(line 6)will be added. If ears from the date of payment.For allowable deductions,please paid more than 60 days after delinquent date,a penalty of 100% refer to San Bernardino City Municipal Code Chapter 3.55. of the amount of the tax (line 6) will be added. (Whenever CHANGE OF ADDRESS OR OWNERSHIP MUST BE delinquent transient lodging tax fees and appropriate penalties REPORTED IMMEDIATELY TO THE CITY CLERK. City Clerk's Office cannot be collected after proper notification to the property / P. O. Box 1318 business owner,the total uncollected amount including penalties 8. UPON CESSATION OF BUSINESS FOR ANY REASON, and administrative fees shall become assessments).Interest in the RETURNS AND PAYMENTS ARE DUE IMMEDIATELY. San Bernardino,CA amount of 18% per annum shall be compounded from the 9. Operator is required to report gross rent accurately as this 92402 sixty-first day of such delinquency until paid. information will be reported to The California Franchise Tax 4. REMITTANCE: Checks should be payable to the City of San Board. We will return all forms that do not have a gross rent Bernardino. Checks, drafts, postal notes and money orders figure indicated. - 'r7 l...( RACHEL G. CLARK C.M.C City Clerk Number 7 3 J Account l^ �]] Owner's Name � ii !`� � A ' I` j Please correct any errors in name Business Name I'�1/L+G,Y L� or address.'[ Business Address '1�ij��-,,,rr ,C/'� ,� )7?r W° ? (� Z��/ J' NOTE:A return and payment is /�L� T ` (/ due immediately upon cessation of business. Statement For JAN. ❑ FEB ❑ MAR. ❑ APR. ❑ MAY ❑ JUNE ❑ Month of JULY ❑ j AUG. ❑ SEPT. ❑ OCT. NOV. ❑ DEC. ❑ Gross Rent For Occupancy of Rooms L P' / 1), Do' $ ALLOWABLE DEDUCTIONS 2 Rent for occupancies of 31 days or more 3 Exemptions As Defined in 3.55.01 OG .•�,rr 0 (, (Attach completed Exemption Certificate) $ 4 Adjustment $ C7 5 Total Allowable Deductions $ 6 Taxable Rent:Line 1 minus line 5 "o - 7 Tax 10%of Line G ,� 8 Penalty if Applicable-See No.3 of Instructions $ 9 Amount Due-Lines 7 and 8 $ I declare,under penalty of perjury,that to the best of my knowledge Make checks payable to: CITY OF SAN BERNARDINO and belief,the statements herein are correct and true. Signed Cf"(/1 `� Title Date [ �9 Checked By 300 North"D"Street,San Bernardino,California 92418 Phone(909)384-5036 CITY OF SAN BERNARDINO CENTRAL PRINTING SERVICES n;...;l.,rL n• WHITF - (-4v0-6 U1AIK September 2006 Transient Lodging Tax Return was not received. When the summary of Taxes, penalties and interest due was generated, the amount of the return for the previous year (September 2005) was used for our calculations. That amount was $1,654.21. I I I CITY OF SAN BERNARDINO TRANSIENT LODGING TAX RETURN INSTRUCTIONS FOR FILING TRANSIENT LODGING TAX RETURN - 'rVEN IF THERE IS NO TAX DUE,a tax return must be filed are accepted subject to collection and do not constitute payment ith the City Clerk. until cleared. The City assumes no responsibility for loss in 2. REPORTING PERIOD:Monthly. Payments for the preceding transit or delay in deposit. month to be made between the 1st and 25th.Delinquent on the 5. RECEIPT: The canceled check becomes the receipt.No receipt 26th of the month following reporting period. will be mailed unless a demand for same is made at the time =_ 3 3. PENALTY If paid within 29 days after delinquent date, a of payment. penalty of 25% of the amount of tax (line 6) will be added. 6. ALL RECORDS SUBSTANTIATING THE RETURN must If paid between the 30th and 60th day after delinquent date,a be retained by the operator for a period of not less than three penalty of 50%of the amount of tax(line 6) will be added. If ears from the date of a ment.For allowable deductions, lease paid more than 60 days after delinquent date,a penalty of 100% refer co San Bernardino City Municipal Code Chapter 3.55. � of the amount of the tax (line 6) will be added. (Whenever CHANGE OF ADDRESS OR OWNERSHIP MUST BE delinquent transient lodging tax fees and appropriate penalties REPORTED IMMEDIATELY TO THE CITY CLERK. City Clerk's Office cannot be collected after proper notification to the property / P. O. Box 1318 business owner,the total uncollected amount including penalties 8. UPON CESSATION OF BUSINESS FOR ANY REASON, and administrative fees shall become assessments).Interest in the YMENTS ARE DUE IMMEDIATELY. RETURNS AND PA San Bernardino, CA amount of 18% per annum shall be compounded from the 9. Operator is required to report gross rent accurately as this 92402 sixty-first day of such delinquency until paid. information will be reported to The California Franchise Tax 4. REMITTANCE: Checks should be payable to the City of San Board.We will return all forms that do not have a gross rent Bernardino. Checks, drafts, postal notes and money orders figure indicated. Al RACHEL G. CLARK C.M.C. City Clerk 211_31 Account Owner's Name L Ar r`y ! v l Number li Please correct any errors in name Business Name 66 k 1`4 i T Hl or address. Business Address tj �`C 1°'�'�c r Y`. �1.n �l-f r/s AL­ Ih C `� �t�(f NOTE:A return and payment is due immediately upon cessation of business. Statement For JAN. ❑ FEB ❑ MAR. ❑ APR. ❑ MAY ❑ JUNE ❑ Month of JULY ❑ AUG. SEPT. ❑ OCT. ❑ NOV. ❑ -=; I�EC. ❑ _ � J Gross Rent For Occupancy of Rooms ALLOWABLE DEDUCTIONS 2 Rent for occupancies of 31 days or more $ � I 3 Exemptions As Defined in 3.55.010G �-: (Attach completed Exemption Certificate) $ 4 Adjustment $ 5 Total Allowable Deductions $ 6 Taxable Rent:Line I minus line 5 $ 9 6 2 ), �0 7 Tax 10%of Line 6 $ 9 / ' i 8 Penalty if Applicable-See No.3 of Instructions $ I o L 9 Amount Due-Lines 7 and 8 $ I declare,under penalty of perjury,that to the best of my knowledge Make checks payable to: CITY OF SAN BERNARDINO and belief,the statements herein are correct and true. Signed N Title 0 P re, t171J1 / '1 Date J1 106 Checked By 300 North"D"Street,San Bernar-dino,,C-alifo_rnia 92418 Phone(909)384-5036 CITY OF SAN BERNARDINO CENTRAL PRINTING SERVICES h:...ih.,...n WHITE - C'i. r 1-1, ntgnt _ C' ......,..!R..,�,.r,...,..,.._....d. CITY OF SAN BERNARDINO TRANSIENT LODGING TAX RETURN INSTRUCTIONS FOR FILING TRANSIENT LODGING TAX RETURN 'vEN IF THERE IS NO TAX DUE,a tax return must be filed are accepted subject to collection and do not constitute payment rith the City Clerk. until cleared. The City assumes no responsibility for loss in 2. REPORTING PERIOD:Monthly. Payments for the preceding transit or delay in deposit. month to be made between the 1st and 25th.Delinquent on the 5. RECEIPT: The canceled check becomes the receipt.No receipt 26th of the month following reporting period. will be mailed unless a demand for same is made at the time 3. PENALTY: If paid within 29 days after delinquent date, a of payment. ' v I penalty of 25% of the amount of tax (line 6) will be added. 6. ALL RECORDS SUBSTANTIATING THE RETURN must If paid between the 30th and 60th day after delinquent date,a be retained by the operator for a period of not less than three penalty of 50%of the amount of tax(line 6) will be added.If years from the date of payment.For allowable deductions,please paid more than 60 days after delinquent date,a penalty of 100% refer to San Bernardino City Municipal Code Chapter 3.55. of the amount of the tax (line 6) will be added. (Whenever 7 CHANGE OF ADDRESS OR OWNERSHIP MUST BE delinquent transient lodging tax fees and appropriate penalties City Clerk's Office cannot be collected after proper notification to the property / REPORTED IMMEDIATELY TO THE CITY CLERK. P. O. Box 1318 business owner,the total uncollected amount including penalties 8. UPON CESSATION OF BUSINESS FOR ANY REASON, and administrative fees shall become assessments).Interest in the RETURNS AND PAYMENTS ARE DUE IMMEDIATELY. San Bernardino, CA amount of 18% per annum shall be compounded from the 9. Operator is required to report gross rent accurately as this 92402 sixty-first day of such delinquency until paid. information will be reported to The California Franchise Tax 4. REMITTANCE: Checks should be payable to the City of San Board.We will return all forms that do not have a gross rent Bernardino. Checks, drafts, postal notes and money orders figure indicated. RACHEL G. CLARK, C.M.C. City Clerk ��'`��.3 ] Account Owner's Name I ���y Number L-. �` ` Please correct any errors in name Business Name tr 1 b1J _/ or address. lr S TT J{- S^ J7 ^,)c1 p (A �j I t NOTE:A return and payment is Business Address U j"(/� t'Wl�..,� C )(�/�1'� 7Jt / �,/ due immediately upon cessation of business. Statement For JAN. ❑ FEB ❑ MAR. ❑ APR. ❑ MAY ❑ JUNE ❑ Month of JULY AUG. ❑ SEPT. ❑ OCT. ❑ NOV. ❑ DEC. ❑ - 7 Ay - Gross Rent For Occupancy of Rooms $ h ALLOWABLE DEDUCTIONS , 2 Rent for occupancies of 31 days or more $ �3 2 OW t ; ; t Ti 3 Exemptions As Defined in 3.55.01OG J 1 Y (Attach completed Exemption Certificate) $ e 4 Adjustment $ ^ O 5 Total Allowable Deductions $ 6 Taxable Rent:Line I minus line 5 $ 7 Tax 10%of Line 6 $ i (' 8 Penalty if Applicable-See No.3 of Instructions $ 9 Amount Due-Lines 7 and 8 $ 1 declare,under penalty of perjury,that to the best of my knowledge Make checks payable to: CITY OF SAN BERNARDINO and belief,the statements herein are correct and true. Signed `L�^� �� Title __o l' �fE"^J r _ Date I ) I L! ' Checked By. 300 North''D"Street,San Bernardino,California 92418 Phone(909)384-5036 CITY OF SAN BERNARDINO CENTRAL PRINTING SERVICES IN—it.nri— WHITE - C'i-0—1, mn,k - C---, CITY OF SAN BERNARDINO TRANSIENT LODGING TAX RETURN INSTRUCTIONS FOR FILING TRANSIENT LODGING TAX RETURN VEN IF THERE IS NO TAX DUE,a tax return must be filed are accepted subject to collection and do not constitute payment tth the City Clerk. until cleared. The City assumes no responsibility for loss in 2. REPORTING PERIOD:Monthly. Payments for the preceding transit or delay in deposit. month to be made between the 1st and 25th.Delinquent on the 5. RECEIPT: The canceled check becomes the receipt.No receipt 26th of the month following reporting period. will be mailed unless a demand for same is made at the time 3. PENALTY: If paid within 29 days after delinquent date, a of payment. `y penalty of 25% of the amount of tax (line 6) will be added. P P Y G. ALL RECORDS SUBSTANTIATING THE RETURN must If paid between the 30th and 60th day after delinquent date, a be retained by the operator for a period of not less than three penalty of 50%of the amount of tax (line 6) will be added. If ears from the date of payment.For allowable deductions,please paid more than 60 days after delinquent date,a penalty of 100% refer to San Bernardino City Municipal Code Chapter 3.55. of the amount of the tax (line 6) will be added. (Whenever CHANGE OF ADDRESS OR OWNERSHIP MUST BE delinquent transient lodging tax fees and appropriate penalties City Clerk's Office cannot be collected after proper notification to the property / REPORTED IMMEDIATELY THE CITY CLERK P.O. Box 1318 business owner,the total uncollected amount including penalties 8• UPON CESSATION OF BUSINESS SS FOR ANY REASON, RETURNS AND PAYMENTS ARE DUE IMMEDIATELY. San Bernardino,CA and administrative fees shall become assessments).Interest in the amount of 18% per annum shall be compounded from the 9. Operator is required to report gross rent accurately as this 92402 sixty-first day of such delinquency until paid. information will be reported to The California Franchise Tax 4. REMITTANCE: Checks should be payable to the City of San Board.We will return all forms that do not have a gross renr Bernardino. Checks, drafts, postal notes and money orders figure indicated. RACHEL G. CLARK, C.M.C. City Clerk 7 Account J 3 1 � Number Owner's Name L�/�r�, � 1��� �1 G G Please correct any errors in name Business Name ^r t-W ry' or address. ( �✓ L/ NOTE:A rcturn and payment is Business Address �+ �J 1 (r 1'!i�J(.L ^. J�/t tr�'V:✓'L{�,�ar �� 1 Z ` 1) due immediately upon cessation of business. Statement For JAN. ❑ FEB ❑ MAR. ❑ APR. ❑ MAY ❑ JUNE Month of JULY ❑ AUG. ❑ SEPT. ❑ OCT. ❑ NOV. ❑ DEC. ❑ Gross Rent For Occupancy of Rooms $ ra ALLOWABLE DEDUCTIONS ' <-Z 2 Rent for occupancies of 31 days or more 2S- 3 Exemptions As Defined in 355.010G (Attach completed Exemption Certificate) $ _ 4 Adjustment $ C'7 5 Total Allowable Deductions $ SCE Z y5, 2� , 6 Taxable Rent:Line I minus line 5 $ / 0 2 � n 7 Tax 10%of Line 6 $ 11 ( o , L 8 Penalty if Applicable-See No.3 of Instructions $ / J l J 9 Amount Due-Lines 7 and 8 $ I declare,under penalty of perjury,that to the but of my knowledge Make checks payable to: CITY OF SAN BERNARDINO and belief,the statements herein are correct and true. Signed f�/� r � Title �� p�C�J fc'�!� YZ&.—A!J t`Date /9 1y 6 Checked By 300 North"D"Street,San Bernardino,California 92418 Phone(909)384-5036 CITY OF SAN BERNARDINO CENTRAL PRINTING SERVICES WHITF . f i-risk . PiNK CITX OF SAN BERNARDINO TRANSIENT LODGING TAX RETURN INSTRUCTIONS FOR FILING TRANSIENT LODGING TAX RETURN I EVEN IF THERE IS NO TAX DUE,a tax return must be filed are accepted subject to collection and do not constitute payment ith the City Clerk. until cleared. The City assumes no responsibility for loss in AEPORTING PERIOD:Monthly. Payments for the preceding transit or delay in deposit. month to be made between the 1st and 25th.Delinquent on the 5. RECEIPT: The canceled check becomes the receipt.No receipt 26th of the month following reporting period. will be mailed unless a demand for same is made at the time 3. PENALTY. If paid within 29 days after delinquent date, a of payment. r ry penalty of 25% of the amount of tax (line 6) will be added. 6. ALL RECORDS SUBSTANTIATING THE RETURN must If paid between the 30th and 60th day after delinquent date,a be retained by the operator for a period of not less than three penalty of 50%of the amount of tax(line 6) will be added. If ears from the date of payment.For allowable deductions,please paid more than 60 days after delinquent date,a penalty of 100% refer to San Bernardino City Municipal Code Chapter 3.55. of the amount of the tax (line 6) will be added. (Whenever CHANGE OF ADDRESS OR OWNERSHIP MUST BE delinquent transient lodging tax fees and appropriate penalties REPORTED IMMEDIATELY TO THE CITY CLERK. City Clerk's Office cannot be collected after proper notification to the property / P. O. Box 1318 business owner,the total uncollected amount including penalties 8• UPON CESSATION OF BUSINESS FOR ANY REASON, and administrative fees shall become assessments).Interest in the RETURNS AND PAYMENTS ARE DUE IMMEDIATELY. San Bernardino,CA amount of 18% per annum shall be compounded from the 9. Operator is required to report gross rent accurately as this 92402 sixty-First day of such delinquency until paid. information will be reported to The California Franchise Tax 4. REMITTANCE: Checks should be payable to the City of San Board.We will return all forms that do not have a gross rent Bernardino. Checks, drafts, postal notes and money orders figure indicated. r- I ( RACHEL G. CLARK, C.M.C. City Clerk „?,j 7� � � Account 66 � •L A I r�*%I L Number Owner's Name f i���� Q �� ��^ ����n�� 1�o d correct any errors in name Business Name 'C or or address. /� Business Address p 1 rL A)P w4y �>^. �Dr/� I*,a T C Z L�0 NOTE:A return and payment is � due immediately upon cessation of business. Statement For JAN. ❑ FEB ❑ MAR. ❑ APR. ❑ MAY JUNE ❑ Month of JULY ❑ AUG. ❑ SEPT. ❑ OCT. ❑ NOV. ❑ DEC. ❑ Gross Rent For Occupancy of Rooms $ ALLOWABLE DEDUCTIONS r C? 2 Rent for occupancies of 31 days or more $ ���dI I 3 Exemptions As Defined in 3.55.01 OG (Attach completed Exemption Certificate) $ 4 Adjustment $ , 5 Total Allowable Deductions $ 0 1) �3 6 Taxable Rent:Line 1 minus line 5 $ '2 .3 1�'' / l l 7 Tax 10%of Line 6 $ 8 Penalty if Applicable-See No.3 of Instructions $ 9 Amount Due-Lines 7 and 8 $ I declare,under penalty of perjury,that to the best of my knowledge / Make checks payable to: CITY OF SAN BERNARDINO and belief,the statements herein are correct and true. Signed Title IfA I ?"A -At Date� / Checked By 300 North"D"Street,San Bernardino,California 92418 Phone(909)384-5036 CITY OF SAN BERNARDINO CENTRAL PRINTING SERVICES Diuribution: WHITE - City Clerk PINK -Customer(Retain for your records) I-T(-it-7 n7.ruin; mod" JAN 15hKNAKUIN V TRANSIENT LODGING TAX RETURN INSTRUCTIONS FOR FILING TRANSIENT LODGING 1. EVEN IF THERE IS NO TAX DUE,a tax return must be filed are accepted subject to collection and do not constitute payment rith the City Clerk, until cleared. The Ciui�14F��l� ilia-—2sp4*107 in REPORTING PERIOD:Monthly. Payments for the preceding transit or delay in deposit. month to be made between the 1st and 25th.Delinquent on the 5. RECEIPT: The canceled check becomes the receipt.No receipt 26th of the month following reporting period. will be mailed unless a demand for same is made at the time d 3. PENALTY: If paid within 29 days after delinquent date, a of payment. penalty of 25% of the amount of tax (line 6) will be added. 6. ALL RECORDS SUBSTANTIATING THE RETURN must If paid between the 30th and 60th day after delinquent date, a be retained by the operator for a period of not less than three penalty of 50%of the amount of tax (line 6)will be added. If ears from the date of payment.For allowable deductions,please paid more than 60 days after delinquent date,a penalty of 100% refer to San Bernardino City Municipal Code Chapter 3.55. of the amount of the tax (line 6) will be added. (Whenever CHANGE OF ADDRESS OR OWNERSHIP MUST BE delinquent transient lodging tax fees and appropriate penalties City Clerk's Office cannot be collected after proper notification to the property ! REPORTED IMMEDIATELY TO THE CITY CLERK P P P P tl' P. O. Box 1318 business owner,the total uncollected amount including penalties 8. UPON CESSATION OF BUSINESS FOR ANY REASON, and administrative fees shall become assessments).Interest in the RETURNS AND PAYMENTS ARE DUE IMMEDIATELY. San Bernardino,CA amount of 18% per annum shall be compounded from the 9. Operator is required to report gross rent accurately as this 92402 sixty-first day of such delinquency until paid. information will be reported to The California Franchise Tax 4. REMITTANCE: Checks should be payable to the City of San Board. We will return all forms that do not have a gross rent Bernardino. Checks, drafts, postal notes and money orders figure indicated. Account /� �n /� (,� RACHEL G. CLARK, C.M.C. City Clerk ��7_�� � Number Owner's Name �P "` F /F�A�,4 D LL Business Name D 1-0h-G& F- �i41J ., w I Please correct any errors in name Q GR A/U� or address. n r NOTE:A return and payment is Business Address ( 6$ r h J ewa� �� � SAN 438P-W, z A��v, c� 9a �o due immediately upon cessation of business. Statement For JAN. ❑ FEB ❑ MAR. ❑ APR. MAY ❑ JUNE ❑ Month of JULY ❑ AUG. ❑ SEPT. ❑ OCT. ❑ NOV. ❑ DEC. ❑ Gross Rent For Occupancy of Rooms $ 14 . / 56- 146 ALLOWABLE DEDUCTIONS r3 2 Rent for occupancies of 31 days or more $ 3/ ,+ 7 c) 3 Exemptions As Defined in 3.55.01 OG V (Attach completed Exemption Certificate) $ -� 4 Adjustment $ 5 Total Allowable Deductions $ -31, oao. ya 6 Taxable Rent:Line 1 minus line 5 $ I o 7 Tax 10%of Line 6 $ (� 8 Penalty if Applicable-See No.3 of Instructions $ 9 Amount Due-Lines 7 and 8 $ L ^ ' 6 C) I declare,under penalty of periury,that to the best of my knowledge Y 1 Make checks payable to: CITY OF SAN BERNARDINO and belief,the statements herein are correct and true. e.,rd Tatlr h l lL ( �jQry 2 Date �lv� y 0 t0 Checked By 300 North"D"Street,San Bernardino,California 92418 Phone(909)384-5036 CITY OF SAN BERNARDINO CENTRAL PRINTING SERVICES Distribution: WHITE - City Clerk PINK . Customer(Retain for your records) r-TCK.J 07•rntnl �t t r yr an>� nnrci�nnLii�v ' TRANSIENT LODGING TAX RETURN INSTRUCTIONS FOR FILING TRANSIENT LODGII Gr,R� 1. EVEN IF THERE IS NO TAX DUE,a tax return must be filed are accepted subject to collection and do not constitute payment Nith the City Clerk. until cleared. The �4 ;ies Po respgnsihtihry-for loss in REPORTING PERIOD:Monthly. Payments for the preceding transit or delay in J bd7-a , `'J ° month to be made between the 1st and 25th.Delinquent on the 5, RECEIPT: The canceled check becomes the receipt.No receipt 26th of the month following reporting period. will be mailed unless a demand for same is made at the time :; $ 3. PENALTY: If paid within 29 days after delinquent date, a of payment. t: penalty of 25% of the amount of tax (line 6) will be added. 6. ALL RECORDS SUBSTANTIATING THE RETURN must If paid between the 30th and 60th day after delinquent date, a be retained by the operator for a period of not less than three penalty of 50%of the amount of tax(line 6)will be added. If years from the date of payment.For allowable deductions,please paid more than 60 days after delinquent date,a penalty of 100% refer to San Bernardino City Municipal Code Chapter 3.55. of the amount of the tax (line 6) will be added. (Whenever 7. CHANGE OF ADDRESS OR OWNERSHIP MUST BE delinquent transient lodging tax fees and appropriate penalties City Clerk's Office cannot be collected after proper notification to the property I REPORTED IMMEDIATELY TO THE CITY CLERK P P P P tl' P. O. Box 1318 business owner,the total uncollected amount including penalties 8• UPON CESSATION OF BUSINESS FOR ANY REASON, San Bernardino,CA and administrative fees shall become assessments).Interest in the RETURNS AND PAYMENTS ARE DUE IMMEDIATELY. amount of 18% per annum shall be compounded from the 9. Operator is required to report gross rent accurately as this 92402 sixty-first day of such delinquency until paid. information will be reported to The California Franchise Tax 4. REMITTANCE: Checks should be payable to the City of San Board. We will return all forms that do not have a gross rent Bernardino. Checks, drafts, postal notes and money orders figure indicated. Q e d r , RACHEL G. CLARK C.M.C. City Clerk Account Owner's Name �7 r ri 1 l�p W,4 T L L C Number �3U D G&-r LOA 6 E o 1- SA4 (3 �4kD N 0 Please correct any errors in name Business Name r_/�b A-. , t ' N � or address. t9& �l� /f.L.V/a 7� �Q S/4y f3f leN A+QA/N D , 9,A yob NOTE: a return and payment is Business Address , �%� due immediately upon cessation of business. Statement For JAN. ❑ FEB ❑ MAR. APR. ❑ MAY ❑ JUNE ❑ Month of JULY ❑ AUG. ❑ SEPT. ❑ OCT. ❑ NOV. ❑ DEC. ❑ Gross Rent For Occupancy of Rooms $ 7 1 a ALLOWABLE DEDUCTIONS ` v 2 Rent for occupancies of 31 days or more $ 3.(�^ 3 Exemptions As Defined in 3.55.010G 1 ! (Attach completed Exemption Certificate) $ 4 Adjustment $ ..� 5 Total Allowable Deductions $ 2 .Q 6 Taxable Rent:Line 1 minus line 5 $ 7 Tax 10%of Line 6 $ o 8 Penalty if Applicable-See No.3 of Instructions $ 9 Amount Due-Lines 7 and 8 $ i 9 a s. 3 I declare,under penalty of perjury,that to the best of my knowledge Make checks payable to: CITY OF SAN BERNARDINO and belief,the statements herein are correct and true. per, � Q —sned "0. �/ Title1ddk k 6 6 PeaQ Date L//;I-(*LQ Checked By 300 North"D"Street,San Bernardino,California 92418 Phone(909)384-5036 CITY OF SAN BERNARDINO CENTRAL PRINTING SERVICES Distribution: WHITE - City Clerk PINK - Customer(Retain for your records) r•Tr'K_7 n7.nl/ni C.11 T ur Jt11v tSnxlvt12UJ11vv TRANSIENT LODGING TAX RETURN INSTRUCTIONS FOR FILING TRANSIENT LODGING TAX RETURN I EVEN IF THERE IS NO TAX DUE,a tax return must be filed are accepted subject to collection and do not constitute payment th the City Clerk. until cleared. The City assumes no responsibility for loss in .. ..EPORTING PERIOD:Monthly. Payments for the preceding transit or delay in deposit. month to be made between the 1st and 25th.Delinquent on the 5. RECEIPT: The canceled check becomes the receipt.No receipt 26th of the month following reporting period. will be mailed unless a demand for same is made at the time 3. PENALTY: If paid within 29 days after delinquent date, a of payment. penalty of 25% of the amount of tax (line 6) will be added. 6. ALL RECORDS SUBSTANTIATING THE RETURN must If paid between the 30th and 60th day after delinquent date, a be retained by the operator for a period of not less than three y penalty of 50%of the amount of tax(line 6)will be added. If t years from the date of payment.For allowable deductions,please paid more than 60 days after delinquent date,a penalty of 100% refer to San Bernardino City Municipal Code Chapter 3.55. of the amount of the tax (line 6) will be added. (Whenever 7 CHANGE OF ADDRESS OR OWNERSHIP MUST BE delinquent transient lodging tax fees and appropriate penalties REPORTED IMMEDIATELY TO THE CITY CLERK. City Clerk's Office cannot be collected after proper notification to the property / P. O. Box 1318 business owner,the total uncollected amount including penalties 8. UPON CESSATION OF BUSINESS FOR ANY REASON, and administrative fees shall become assessments).Interest in the RETURNS AND PAYMENTS ARE DUE IMMEDIATELY. San Bernardino,CA amount of 18% per annum shall be compounded from the 9. Operator is required to report gross rent accurately as this 92402 sixty-first day of such delinquency until paid. information will be reported to The California Franchise Tax 4. REMITTANCE: Checks should be payable to the City of San Board. We will return all forms that do not have a gross rent Bernardino. Checks, drafts, postal notes and money orders figure indicated. ,/' ^ RACHEL G. CLARK, C.M.C. City Clerk 7 a`✓f,3zy � Account Owner's Name � � � �R j Qw�� LL C, Number Business Name B1A� GtZT Ld D GG C1 F -94, QE'`l r V ry Please correct any errors in name or address. (} £1"C (] ��Q NOTE:A return and payment is Business Address ((jS T iii zwoq 7 biz .. 91-1 m iseg 4,ck ago o CA _I UU due immediately upon cessation —i of business. Statement For JAN. ❑ FEB MAR. ❑ APR. ❑ MAY ❑ JUNE ❑ Month of JULY ❑ AUG. ❑ SEPT. ❑ OCT. ❑ NOV. ❑ DEC. ❑ Gross Rent For Occupancy of Rooms $ 145 51l` y� _ 9 Q_I -sue ALLOWABLE DEDUCTIONS 2 Rent for occupancies of 31 days or more $ 31 53. `13 N 3 Exemptions As Defined in 3.55.01OG (Attach completed Exemption Certificate) $ 4 Adjustment $ CID sal 5 Total Allowable Deductions $ J 3s7:5. 1 3 6 Taxable Rent:Line I minus line 5 $ 1J -A (5, 7 Tax 10%of Line 6 $ (J-� 5^ 8 Penalty if Applicable-See No.3 of Instructions $ ,g-f I 9 Amount Due-Lines 7 and 8 $ 1 I declare,under penalty of perjury,that to the best of my knowledge Make checks payable to: CITY OF SAN BERNARDINO and belief,the statements herein are correct and true. Stg..ed� Ttle Q 00J( CC C-P c P_ Date 3 )-Al 10S- Checked By 300 North"D"Street,San Bernardino,California 92418 Phone(909)384-5036 CITY OF SAN BERNARDINO CENTRAL PRINTING SERVICES Distribution: WHITE - City Clerk PINK - Customer(Retain for your records) CITY OF SAN BERNARDINO .—Tu NSIENT LODGING TAX RETURN INSTRUCTIONS FOR FILING TRANSIENT LODGING TAX RETURN I EVEN IF THERE IS NO TAX DUE,a tax return must be filed are accepted subject to collection and do not constitute payment th the City Clerk. until cleared. The City assumes no responsibility for loss in .&PORTING PERIOD:Monthly. Payments for the preceding transit or delay in deposit. month to be made between the 1st and 25th.Delinquent on the 5, RECEIPT: The canceled check becomes the receipt.No receipt 26th of the month following reporting period. will be mailed unless a demand for same is made at the time 3. PENALTY. If paid within 29 days after delinquent date, a of payment. ,, y penalty of 25% of the amount of tax (line 6) will be added. 6. ALL RECORDS SUBSTANTIATING THE RETURN must If paid between the 30th and 60th day after delinquent date,a be retained by the operator for a period of not less than three penalty of 50% of the amount of tax (line 6)will be added. If years from the date of payment.For allowable deductions,please paid more than 60 days after delinquent date,a penalty of 100% refer to San Bernardino City Municipal Code Chapter 3.55. of the amount of the tax (line 6) will be added. (Whenever CHANGE OF ADDRESS OR OWNERSHIP MUST BE delinquent transient lodging tax fees and appropriate penalties City Clerk's Office cannot be collected after proper notification to the property I REPORTED IMMEDIATELY TO THE CITY CLERK. P P P P Y P. O. Box 1318 business owner,the total uncollected amount including penalties 8• UPON CESSATION OF BUSINESS FOR ANY REASON, and administrative fees shall become assessments).Interest in the RETURNS AND PAYMENTS ARE DUE IMMEDIATELY. San Bernardino,CA amount of 18% per annum shall be compounded from the 9. Operator is required to report gross rent accurately as this 92402 sixty-first day of such delinquency until paid. information will be reported to The California Franchise Tax 4. REMITTANCE: Checks should be payable to the City of San Board. We will return all forms that do not have a gross rent Bernardino. Checks, drafts, postal notes and money orders figure indicated. /w Q n /� RACHEL G. CLARK C.M.C. City Clerk gol Account Owner's Name (fl`�U FA)1`wp� U_C Number Please correct any errors in name Business Name ~V✓v(97— Cob G G al" 5e A B G-9 HAIL 0''V 0 or address. Business Address 1� r 41 R W4 NOTE: a return and payment is � `i ��• i4iti1 Ig6�'4'e-D/KO �oZ y o� due immediately upon cessation of business. Statement For JAN. FEB ❑ MAR. ❑ APR. ❑ MAY ❑ JUNE ❑ Month of JULY ❑ AUG. ❑ SEPT. ❑ OCT. ❑ NOV. ❑ DEC. ❑ Gross Rent For Occupancy of Rooms $ ��(� 3 ALLOWABLE DEDUCTIONS 2 Rent for occupancies of 31 days or more ' 3 ! (L g/ 3 Q �f {A 0 3 Exemptions As Defined in 3.55.010G tX (Attach completed Exemption Certificate) $ -��, f � C 4 Adjustment $ I f G n 5 Total Allowable Deductions $ 3 g / •'� --� 6 Taxable Rent:Line 1 minus line 5 $ ) 3, ` lR © F.: 7 Tax 10%of Line 6 $ 3 (1 B Penalty if Applicable-See No.3 of Instructions $ _12)., 9 Amount Due-Lines 7 and 8 $ ? O O I declare,under penalty of perjury,that to the best of my knowledge Make checks payable to: CITY OF SAN BERNARDINO and belief,the statements herein are correct and true. Title DOhQ K6� � Date -112) (� Checked B s � � I � y 300 North"D"Street,San Bernardino,California 92418 Phone(909)384-5036 CITY OF SAN BERNARDINO CENTRAL PRINTING SERVICES Distribution: WHITE - City Clerk PINK - Customer(Retain for your records) TRANSIENT LODGING TAX RETURN INSTRUCTIONS FOR FILING TRANSIENT LODGING TAX RETURN 1. EVEN IF THERE IS NO TAX DUE,a tax return must be filed are accepted subject to collection and do not constitute payment the City Clerk. until cleared.The City assumes no responsibility for loss in 2. 1—.,ORTING PERIOD:Monthly. Payments for the preceding transit or delay in deposit. month to be made between the 1st and 25th.Delinquent on the 5, RECEIPT: The canceled check becomes the receipt.No receipt 26th of the month following reporting period. will be mailed unless a demand for same is made at the time 3. PENALTY: If paid within 29 days after delinquent date, a of payment. penalty of 25% of the amount of tax (line 6) will be added. 6, ALL RECORDS SUBSTANTIATING THE RETURN must If paid between the 30th and 60th day after delinquent date,a be retained by the operator for a period of not less than three penalty of 50%of the amount of tax(line 6)will be added. If years from the date of payment.For allowable deductions,please paid more than 60 days after delinquent date,a penalty of 100% refer to San Bernardino City Municipal Code Chapter 3.55. of the amount of the tax (line 6) will be added. (Whenever CHANGE OF ADDRESS OR OWNERSHIP MUST BE City Clerk's Office delinquent transient lodging tax fees and appropriate penalties REPORTED IMMEDIATELY TO THE CITY CLERK. cannot be collected after proper notification to the property I P.O. Box 1318 business owner,the total uncollected amount including penalties 8 UPON CESSATION OF BUSINESS FOR ANY REASON, San Bernardino,CA and administrative fees shall become assessments).Interest in the RETURNS AND PAYMENTS ARE DUE IMMEDIATELY. 92402 amount of 18% per annum shall be compounded From the 9. Operator is required to report gross rent accurately as this sixty-first day of such delinquency until paid. information will be reported to The California Franchise Tax 4. REMITTANCE: Checks should be payable to the City of San Board. We will return all forms that do not have a gross rent Bernardino. Checks, drafts, postal notes and money orders figure indicated. ,4 Account a /� n'", RACHEL G. CLARK, C.M.C. City Clerk �� '7�/ Number Owner's Name&(O FAIRWAY LLC Please correct any errors in name Business Name ��D��� aC, a f" SAN C ������ or address. Q �'�A, �.�y�/ NOTE:A return and payment is Business Address LQ !, /v S4 T SGN'AAa No C A q a Y©S due immediately upon cessation ��j of business. Statement For JAN. ❑ FEB ❑ MAR. ❑ APR. ❑ MAY ❑ JUNE ❑ Month of JULY ❑ AUG. ❑ SEPT. ❑ OCT. ❑ NOV. ❑ DEC. elRt N t Gross Rent For Occupancy of Rooms $ 149, 312,a — L � ALLOWABLE DEDUCTIONS 2 Rent for occupancies of 31 days or more $ ✓ —1 1 C� 3 Exemptions As Defined in 3.55.010G �� t (Attach completed Exemption Certificate) $ N C7 4 Adjustment $ -0— 5 Total Allowable Deductions $ L10 6 Taxable Rent:Line 1 minus line 5 $ Y go 7 Tax 10%of Line 6 8 Penalty if Applicable-See No.3 of Instructions $ 9 Amount Due-Lines 7 and 8 $ 5—A I. I declare,under penalty of perjury,that to the best of my knowledge Make checks payable to: CITY OF SAN BERNARDINO and belief,the statements herein are correct and true. o aieQ "V Title Date V O /0 ID Checked By 300 North"D"Street,San Bernardino,California 92418 Phone(909)384-5036 CITY OF SAN BERNARDINO CENTRAL PRINTING SERVICES Distribution: WHITE - City Clerk PINK-Customer(Retain for your records) �--� 1.11 x yr arily ts�tclvr�xullvv TRANSIENT LODGING TAX RETURN INSTRUCTIONS FOR FILING TRANSIENT LODGING TAX RETURN I. EVEN IF THERE IS NO TAX DUE,a tax return must be filed are accepted subject to collection and do not constitute payment �th the City Clerk. until cleared. The City assumes no responsibility for loss in SPORTING PERIOD:Monthly. Payments for the preceding transit or delay in deposit. month to be made between the 1st and 25th.Delinquent on the 5. RECEIPT: The canceled check becomes the receipt.No receipt 26th of the month following reporting period. will be mailed unless a demand for same is made at the time 3. PENALTY: If paid within 29 days after delinquent date, a of *� payment. � penalty of 25% of the amount of tax (line 6) will be added. 6. ALL RECORDS SUBSTANTIATING THE RETURN must If paid between the 30th and 60th day after delinquent date, a be retained by the operator for a period of not less than three h penalty of 50% of the amount of tax(line 6) will be added.If years from the date of payment.For allowable deductions,please paid more than 60 days after delinquent date,a penalty of 100% refer to San Bernardino City Municipal Code Chapter 3.55. of the amount of the tax (line 6) will be added. (Whenever CHANGE OF ADDRESS OR OWNERSHIP MUST BE delinquent transient lodging tax fees and appropriate penalties REPORTED IMMEDIATELY TO THE CITY CLERK. City Clerk's Office cannot be collected after proper notification to the property / P. O. Box 1318 business owner,the total uncollected amount including penalties g UPON CESSATION OF BUSINESS FOR ANY REASON, and administrative fees shall become assessments).Interest in the RETURNS AND PAYMENTS ARE DUE IMMEDIATELY. San Bernardino,CA amount of 18% per annum shall be compounded from the 9. Operator is required to report gross rent accurately as this 92402 sixty-first day of such delinquency until paid. information will be reported to The California Franchise Tax 4. REMITTANCE: Checks should be payable to the City of San Board. We will return all forms that do not have a gross rent Bernardino. Checks, drafts, postal notes and money orders figure indicated. RACHEL G. CLARK, C.M.C. City Clerk `v(�.,3 °� Account Owner'sNatne—(&6n FAirwi4u i..LC Number n / s Please correct any errors in name Business Name U>V� SW4 or address. 6�Q FAl A� `�,Y b f. � d n6 �2�I�n Py A ��y s®� NOTE:A return and payment is Business Address !> sC.KJ M fJ o, CA `� due immediately upon cessation of business. Statement For JAN. ❑ FEB ❑ MAR. ❑ APR. ❑ MAY ❑ JUNE ❑ Month of JULY ❑ AUG. ❑ SEPT. ❑ OCT. ❑ NOV. 'M DEC. ❑ 1 Gross Rent For Occupancy of Rooms $ L4 9 R . 3 3 ALLOWABLE DEDUCTIONS �L 2 Rent for occupancies of 31 days or more $ 10 0 3 Exemptions As Defined in 3.55.01OG •7 N (Attach completed Exemption Certificate) $ a crt J= 4 Adjustment $ PO M V* 5 Total Allowable Deductions $ �� ���� � �CD 6 Taxable Rent:Line I minus line 5 $ , 4 cZ Co O 7 Tax 10%of Line 6 $ O r T-'1 8 Penalty if Applicable-See No.3 of Instructions $ 9 Amount Due-Lines 7 and 8 $ /_0 6 q � 10 I declare,under penalty of perjury,that to the best of my knowledge Make checks payable to: CITY OF SAN BERNARDINO and belief,the statements herein are correct and true. Saa Title G ook-1C5EPate- Date Ia IA-1 f057 Checked By 300 North"D"Street,San Bernardino,California 92418 Phone(909)384-5036 CITY OF SAN BERNARDINO CENTRAL PRINTING SERVICES Distribution: WHITE - City Clerk PINK - Customer(Retain for your records) CITY OF SAN BERNARDINO TRANSIENT LODGING TAX RETURN INSTRUCTIONS FOR FI) Yfiklg8i L&6-GING TAX RETURN I. EVEN IF THERE IS NO TAX DUE,a tax returq� %t e� Q ;{� c t b'ect to collection and do not constitute payment th the City Clerk. [Ul$�1U `�7 fitfl ea The City assumes no responsibility for loss in .EPORTING PERIOD:Monthly. Payments for the preceding transit or delay in deposit. month to be made between the 1st and 25th.Delinquent on the 5. RECEIPT: The canceled check becomes the receipt.No receipt 26th of the month following reporting period. will be mailed unless a demand for same is made at the time 3. PENALTY: If paid within 29 days after delinquent date, a of payment. a penalty of 25% of the amount of tax (line 6) will be added. 6. ALL RECORDS SUBSTANTIATING THE RETURN must If paid between the 30th and 60th day after delinquent date, a be retained b the operator for period of not less than three penalty of 50%of the amount of tax (line 6) will be added.If y P P paid more than 60 days after delinquent date,a penalty of 100% years From the date of payment.For allowable deductions,please of the amount of the tax (line 6) will be added. (Whenever refer to San Bernardino City Municipal Code Chapter 3.55. delinquent transient lodging tax fees and appropriate penalties 7. CHANGE OF ADDRESS OR OWNERSHIP MUST BE REPORTED IMMEDIATELY TO THE CITY CLERK City Clerk's Office cannot be collected after proper notification to the property/ P. O. Box 1318 business owner,the total uncollected amount including penalties 8. UPON CESSATION OF BUSINESS FOR ANY REASON, and administrative fees shall become assessments).Interest in the RETURNS AND PAYMENTS ARE DUE IMMEDIATELY. San Bernardino, CA amount of 18% per annum shall be compounded from the 9. Operator is required to report gross rent accurately as this 92402 sixty-first day of such delinquency until paid. information will be reported to The California Franchise Tax 4• REMITTANCE: Checks should be payable to the City of San Board.We will return all forms that do not have a gross rent Bernardino. Checks, drafts, postal notes and money orders figure indicated. PP (� G RACHEL G. CLARK, CM.C. City Clerk e �g/� Account Owner's Name (o62 1j C 1+i 2w 4u [�C Number j� Please correct any errors in name Business Name Vu L�G(rj� L(7(� [� o r SAS t3C�AP- p yg o or address. GGg C-419WAY 7R SArt 13GfLN�cD K o , e-A Sago$ NOTE:A return and payment is Business Address due immediate) upon cessation of business. Statement For JAN. ❑ FEB ❑ MAR. ❑ APR. ❑ MAY ❑ JUNE ❑ Month of JULY ❑ AUG. ❑ SEPT. ❑ OCT. NOV. ❑ DEC. ❑ Gross Rent For Occupancy of Rooms s 06 ALLOWABLE DEDUCTIONS l 2 Rent for occupancies of 31 days or more $ '30 3 Exemptions As Defined in 3.55.010G `C(A (Attach completed Exemption Certificate) $ 4 Adjustment $ 5 Total Allowable Deductions 6 Taxable Rent:Line 1 minus line 5 $ 7 Tax 10%of Line 6 $ l DL 8 Penalty if Applicable-See No.3 of Instructions $ 9 Amount Due-Lines 7 and 8 $ I Laq.Sa I declare,under penalty of perjury,that to the best of my knowledge Make checks payable to: CITY OF SAN BERNARDINO and belief,the statements herein are correct and true. n CL 6006 Title (z I J3 �r � �1�� Date �� ` o� �®J Checked By 300 North"D"Street.San Bernardino,California 92418 Phone(909)384-5036 CITY OF SAN BERNARDINO CENTRAL PRINTING SERVICES Distribution: WHITE - City Clerk PINK - Customer(Retain for your records) CITY OF SAN BERNARDINO TRANSIENT LODGING TAX RETURN INSTRUCTIONS FOR FILING TRANSIENT LODGING TAX RETURN 1- FVEN IF THERE IS NO TAX DUE,a tax return must be filed are accepted subject to collection and do not constitute payment th the City Clerk. until cleared. The City assumes no responsibility for loss in I. .'EPORTING PERIOD:Monthly. Payments for the preceding transit or delay in deposit. month to be made between the 1st and 25th.Delinquent on the 5. RECEIPT: The canceled check becomes the receipt.No receipt 26th of the month following reporting period. will be mailed unless a demand for same is made at the time 3. PENALTY: If paid within 29 days after delinquent date, a of payment. penalty of 25% of the amount of tax (line 6) will be added. 6. ALL RECORDS SUBSTANTIATING THE RETURN must If paid between the 30th and 60th day after delinquent date,a beretained by the operator for a period of not less than three penalty of 50%of the amount of tax(line 6)will be added. If years from the date of payment.For allowable deductions,please t paid more than 60 days after delinquent date,a penalty of 100% refer to San Bernardino City Municipal Code Chapter 3.55. of the amount of the tax (line 6) will be added. (Whenever CHANGE OF ADDRESS OR OWNERSHIP MUST BE delinquent transient lodging tax fees and appropriate penalties REPORTED IMMEDIATELY TO THE CITY CLERK. City Clerk's Office cannot be collected after proper notification to the property! P. O. Box 1318 business owner,the total uncollected amount including penalties 8. UPON CESSATION OF BUSINESS FOR ANY REASON, and administrative fees shall become assessments).Interest in the RETURNS AND PAYMENTS ARE DUE IMMEDIATELY. San Bernardino, CA amount of 18% per annum shall be compounded from the 9. Operator is required to report gross rent accurately as this 92402 sixty-first day of such delinquency until paid. information will be reported to The California Franchise Tax 4. REMITTANCE: Checks should be payable to the City of San Board.We will return all forms that do not have a gross rent Bernardino. Checks, drafts, postal notes and money orders figure indicated. G FA I RWAY LL r, RACHEL G. CLARK, C.M.C. City Clerk l Account ��� Number Owner's Name �L1D� 1 Ob(;C Of ad correct any errors in name Business Name ! / QUI�iLCS l �j �'^`� or address. Business Address 4 p p r AiRw4 D R SAm /i of Q r4 a�Q� NOTE:A return and payment is �2 _A2�� due immediately upon cessation of business. Statement For JAN. ❑ FEB ❑ MAR. ❑ APR. ❑ MAY ❑ JUNE ❑ Month of JULY ❑ AUG. ❑ SEPT. OCT. ❑ NOV. ❑ DEC. ❑ - Gross Rent For Occupancy of Rooms $ 1 ALLOWABLE DEDUCTIONS C° :�D n rri © C> 2 Rent for occupancies of 31 days or more $ , ' f_ M{ F t'7 3 Exemptions As Defined in 3.55.O1OG Q (Attach completed Exemption Certificate) $ 1 4 Adjustment $ < C') 5 Total Allowable Deductions $ O�'1 ? ? 1 1(� . / � 01/ l �(3 6 Taxable Rent:Line 1 minus line 5 7 Tax 10%of Line 6 $ ' 8 Penalty if Applicable-See No.3 of Instructions $ 9 Amount Due- Lines 7 and 8 $ I declare,under penalty of perjury,that to the best of my knowledge Make checks payable to: CITY OF SAN BERNARDINO and belief,the statements herein are correct and true. Srjned Title O,IC �jG 2 DRte 101, Checked By 300 North"D"Street,San Bernardino,California 92418 Phone(909)384-5036 CITY OF SAN BERNARDINO CENTRAL PRINTING SERVICES Disrribution: WHITE - City Clerk PINK - Customer(Retain for your records) CITY OF SAN BERNARDINO TRANSIENT LODGING TAX RETURN INSTRUCTIONS FOR FILING TRANSIENT LODGING TAX RETURN t EVEN IF THERE IS NO TAX DUE,a tax return must be filed are accepted subject to collection and do not constitute payment ith the City Clerk. until cleared. The City assumes no responsibility for loss in r A. REPORTING PERIOD:Monthly. Payments for the preceding transit or delay in deposit. month to be made between the 1st and 25th.Delinquent on the 5. RECEIPT: The canceled check becomes the receipt.No receipt 26th of the month following reporting period. will be mailed unless a demand for same is made at the time G 3. PENALTY If a,ate delinquent aid within 29 days after delin d _ P y 9 of payment. penalty of 25% of the amount of tax (line 6) will be added. 6. ALL RECORDS SUBSTANTIATING THE RETURN must If paid between the 30th and 60th day after delinquent date,a beretained by the operator fora period of not less than three penalty of 50%of the amount of tax(line 6)will be added.If years from the date of payment.For allowable deductions,please N paid more than 60 days after delinquent date,a penalty of 100% refer to San Bernardino City Municipal Code Chapter 3.55. of the amount of the tax (line 6) will be added. (Whenever CHANGE OF ADDRESS OR OWNERSHIP MUST BE delinquent transient lodging tax fees and appropriate penalties 7. CHANGE IMMEDIATELY TO THE CITY CLERK. City Clerk's Office cannot be collected after proper notification to the property / P. O. Box 1318 business owner,the total uncollected amount including penalties 8. UPON CESSATION OF BUSINESS FOR ANY REASON, and administrative fees shall become assessments).Interest in the RETURNS AND PAYMENTS ARE DUE IMMEDIATELY. San Bernardino, CA amount of 18% per annum shall be compounded from the 9. Operator is required to report gross rent accurately as this 92402 sixty-first day of such delinquency until paid. information will be reported to The California Franchise Tax 4. REMITTANCE: Checks should be payable to the City of San Board. We will return all forms that do not have a gross rent Bernardino. Checks, drafts, postal notes and money orders figure indicated. RACHEL G. CLARK. CM C. City Clerk J�a 7-ij4 Account ( /� Owner's Name \Q(@g FAI R A; L-L C Number Please correct any errors in name Business Name 11701 or address. w y �A gW 7 V�. p S/� 9 a�,l0(1 NOTE:A return and payment is Business Address AN 13 FAN 4 RDCA-ID CA O due immediately upon cessation of business. Statement For JAN. ❑ FEB ❑ MAR. ❑ APR. ❑ MAY ❑ JUNE ❑ Month of JULY ❑ AUG. SEPT. ❑ OCT. 13 NOV. ❑ DEC. C3 Gross Rent For Occupancy of Rooms $ `7 y �38� ALLOWABLE DEDUCTIONS I / 2 Rent for occupancies of 31 days or more $ 3 Exemptions As Defined in 3.55.01OG N (Attach completed Exemption Certificate) $ �' C= t r7 C-) 4 Adjustment $ Q CTI 1 5 Total Allowable Deductions $ 6 Taxable Rent:Line 1 minus line 5 $ 7 Tax 10%of Line 6 .... $ I y3a•d8 en 8 Penalty if Applicable-See No.3 of Instructions $ .� 9 Amount Due-Lines 7 and 8 $ I declare,under penalty of perjury,that to the best of my knowledge �+�'► Make checks payable to: CITY OF SAN BERNARDINO and belief,the statements herein are correct and true. Srgned Title Date Checked By 300 North"D"Street,San Bernardino,California 92418 Phone(909)384-5036 CITY OF SAN BERNARDINO CENTRAL PRINTING SERVICES Distribution: WHITE -City Clerk • PINK- Customer(Retain for your records) CH Y Ur JAN l5ttUNAKUI1NU TRANSIENT LODGING TAX RETURN INSTRUCTIONS FOR FILING TRANSIENT LODGING TAX RETURN 1_ EVEN IF THERE IS NO TAX DUE,a tax return must be filed are accepted subject to collection and do not constitute payment th the City Clerk. until cleared. The City assumes no responsibility for loss in .. .,EPORTING PERIOD:Monthly. Payments for the preceding transit or delay in deposit. month to be made between the 1st and 25th.Delinquent on the 5. RECEIPT: The canceled check becomes the receipt.No receipt 26th of the month following reporting period. will be mailed unless a demand for same is made at the time 3. PENALTY: If paid within 29 days after delinquent date, a of payment. penalty of 25% of the amount of tax (line 6) will be added. 6. ALL RECORDS SUBSTANTIATING THE RETURN must 4 If paid between the 30th and 60th day after delinquent date,a beretained by the operator for a period of not less than three p penalty of 50%of the amount of tax(line 6) will be added. If t ° years from the date of payment.For allowable deductions,please paid more than 60 days after delinquent date,a penalty of 100% refer to San Bernardino City Municipal Code Chapter 3.55. of the amount of the tax (line 6) will be added. (Whenever CHANGE OF ADDRESS OR OWNERSHIP MUST BE delinquent transient lodging tax fees and appropriate penalties REPORTED IMMEDIATELY TO THE CITY CLERK City Clerk's Office cannot be collected after proper notification to the property / P. O. Box 1318 business owner,the total uncollected amount including penalties 8• UPON CESSATION OF BUSINESS FOR ANY REASON, and administrative fees shall become assessments).Interest in the RETURNS AND PAYMENTS ARE DUE IMMEDIATELY. San Bernardino, CA amount of 18% per annum shall be compounded from the 9. Operator is required to report gross rent accurately as this 92402 sixty-first day of such delinquency until paid. information will be reported to The California Franchise Tax 4. REMITTANCE: Checks should be payable to the City of San Board. We will return all forms that do not have a gross rent Bernardino. Checks, drafts, postal notes and money orders figure indicated. RACHEL G. CLARK, C.M.C. City Clerk ����°,�] Account Owner's Name �ff �� r2wa� L Lc Number Rr I K Please correct any errors in name Business Name •J h C�X� L c) D GE or address. Business Address (0 G b �"W/ 7 b k I y qAX 86RNAk bwy q a yog NOTE:A return and payment is due Immediately upon cessation of business. Statement For JAN. ❑ FEB ❑ MAR. ❑ APR. ❑ MAY ❑ JUNE ❑ Month of JULY AUG. ❑ SEPT. ❑ OCT. ❑ NOV. ❑ DEC. ❑ Gross Rent For Occupancy of Rooms $ / ALLOWABLE DEDUCTIONS "] 2 Rent for occupancies of 31 days or more $ 'S0 tog I . U5 3 Exemptions As Defined in 3.55.010G u (Attach completed Exemption Certificate) $ N 4 Adjustment $ �® g MW U.0 5 Total Allowable Deductions $ 3d / _ '. Q� � � l/ 6 Taxable Rent:Line 1 minus line 5 $ ✓ (J r lJ C1� 7 Tax 10%of Line 6 $ �. no--1 8 Penalty if Applicable-See No.3 of Instructions $ 7 ti 9 Amount Due-Lines 7 and 8 $ I declare,under penalty of perjury,that to the best of my knowledge Make checks payable to: CITY OF SAN BERNARDINO and belief,the statements herein are correct and true. S,s..ed Title B00J(k9EP6sZ Date y 1 S Checked By 300 North"D"Street,San Bernardino,California 92418 Phone(909)384-5036 CITY OF SAN BERNARDINO CENTRAL PRINTING SERVICES Distribution: WHITE - City Clerk PINK - Customer(Retain for your records) CITY OF SAN BERNARDINO TRANSIENT LODGING TAX RETURN INSTRUCTIONS FOR FILING TRANSIENT LODGING TAX RETURN VEN IF THERE IS NO"TAX DUE,a tax return must be Filed are accepted subject to collection and do nor cunstinue payment with the Ciry Clerk. until cleared. The City assumes no responsibility for loss in 2. REPORTING PERIOD:Munthly. Pasrnenrs t; the preceding transit or delay in deposit. month to be made between the 1st am:15th. Dclinquen,or.the 5. RECEIPT: The canceled check becunics the rcc:ipc.No receipt 26th of the month following reporting period. will be mailed unless a demand fot same is made at the time 3. PENALTY: If paid within 29 days after delinquent dare, a of payment. penalty of 25% of the amount of tar, (lints 6) will be added. 6. ALL RECORDS SUBSTANTIATING THE RETURN must If paid between the 30th and 60th day after d61nquem date,a berrtained by the o erau;r fora suiu;} of not less than three penalty of 50%of the amount of tax (line ii) wits be added. If ears from the dare ot��aayrnrnt.Fur alio+vable deductions,please paid more than 60 days after delinquent date,a prnafty of 100% refer to San Bernardino City.'•-turilcipal Cud-,Chapter 3.55. of the amount of the tax (lin(. 6) will be added ,Whenever CHANGE OF ADDRESS OR OWNERSHIP MUST BE delinquent transient lodging tax fees and appropriate penalties 7. CHANGE IMMEDIATELY TO THE CITY CLERK. Ciry Clerk's Office cannot be collected after proper notification i.) the property / P. O. Box 1318 business owner,the total uncollected amount including penalties 8• UPON CESSATION OF BUSINESS FOR ANY RFASON, and administrative Fees shall become assessments,. Interest in the RETURNS AND PAYMENTS A.RE DUE IMMEDIATELY. San Bernardino. CA amount of 18% per annual shall be compounded frurn the 9. Operator is required to repurt grass rent accurately as this 92402 sixry-first day of such delinqutncy unlit paid. information will be reporter.' to The California Franchise Tax 4. REMITTANCE: Checks should be pavable m die City of San Board. We will return all furnis that di, not have a gross rent Bernardino. Checks, drafts, postal notes and rnonev orders figure indicated Q RA(.'HEL G. C1 ARK, CM.0 City Cierk Owner's Name V s '`umber Lob ' 6 ---- -- Please correct tam errors ir.name Business Name r+ or address NV rE:A return Arid ps}rr.cr;is Business Address k 6 r P 611W AY !GIZ VAb/n� �_ " due immediately up r.cessanon of business. Statement For JAN. ❑ FEB ❑ MAR. ❑ APR: !7 MAY ❑ JUNE Month of JULY ❑ AUG. ❑ SEPT. ❑ OCT. ❑ NOV. ❑ DEC. M Gross Rent For Occupancy of Rooms i 14 9 a I :—) a C-.11 ALLOWABLE DEDUCTIONS I rn 2 Rent for occupancies of 31 days or more x I G C 7 3c , 3 Exemprions As Defined in 3.55.01 O(; I ! a iArtach completed Exemption Cernficare) R r' 4 Adjustment g N 5 i Total Allowable Deductions — g 36t . 99 6 Taxable Rent. Line I minus line 5 — —--- I K 16' /' 1 v �Q f IG 7 Tar 10%of Lint:6 g 8 Penalty if Applicable-See No.3 of Instructions I b 9 Amount Due- Lines 7 and 8 I declare,under penalty of perjury,that to the best of my knowledge W* / Make checks payable to CITY OF SAN BERNARDINO and belief,the statements herein are correct and true. Signed ` �C `� Trdc r,2>C o ktCCEpE r- _ Dare 1 1,� � r s Checked By 300 North"D"Street.San Bernardino,California 92418 Phone(909)384-5036 CITS'OF SAN BERNARDINO CENTRAL PRINTI\G SER+ICES ' �tl l Vl Jlll� YLl\1�l 11W l��V TRANSIENT LODGING TAX RETURN INSTRUCTIONS FOR FILING TRANSIENT LODGING TAX RETURN I. EVEN IF THERE IS NO TAX DUE,a tax return must be filed are accepted subject to collection and do not constitute payment ith the City Clerk. until cleared. The City assumes no responsibility for loss in EPORTING PERIOD:Monthly. Payments for the preceding transit or delay in deposit. month to be made between the Ist and 25th.Delinquent on the 5. RECEIPT: The canceled check becomes the receipt.No receipt 26th of the month following reporting period. will be mailed unless a demand for same is made at the time 3. PENALTY If paid within 29 days after delinquent date, a of payment. penalty of 25% of the amount of tax (line 6) will be added. 6. ALL RECORDS SUBSTANTIATING THE RETURN must If paid between the 30th and 60th day after delinquent date, a be retained by the operator for a period of not less than three penalty of 50%of the amount of tax(line 6)will be added. If paid more than 60 days after delinquent date,a penalty of 100% fears from the date of payment.For allowable deductions,please of the amount of the tax (line 6) will be added. (Whenever refer to San Bernardino City Municipal Code Chapter 3.55. delinquent transient lodging tax fees and appropriate penalties 7. CHANGE OF ADDRESS OR OWNERSHIP MUST BE REPORTED IMMEDIATELY TO THE CITY CLERK City Clerk's Office cannot be collected after proper notification to the property / P.O. Box 1318 business owner,the total uncollected amount including penalties S. UPON CESSATION OF BUSINESS FOR ANY REASON, San Bernardino,CA and administrative fees shall become assessments).Interest in the RETURNS AND PAYMENTS ARE DUE IMMEDIATELY. amount of 18% per annum shall be compounded from the 9. Operator is required to report gross rent accurately as this 92402 sixty-first day of such delinquency until paid. information will be reported to The California Franchise Tax 4. REMITTANCE: Checks should be payable to the City of San Board. We will return all forms that do not have a gross rent Bernardino. Checks, drafts, postal notes and money orders figure indicated. RACHEL G. CLARK, C.M.C. City Clerk 0 .-Z73.,7 Account (p/ t-L�'f Number Owner's Name le {� l: uD 1, j O P)QT�� Please address. correct any errors in name Business Name [.- C [� i�2Q�^�A r,�.ee�� � j or address. Business Address(A b FOI RW A Y S ARN L-. 612,9R+C�h�O CA 9 ALIo8 NOTE: e return and payment is r due immediately upon cessation of business. Statement For JAN. ❑ FEB ❑ MAR. ❑ APR. ❑ MAY At JUNE ❑ Month of JULY ❑ AUG. ❑ SEPT. ❑ OCT. ❑ NOV. DEC. ❑ 1 Gross Rent For Occupancy of Rooms $ t /y� C') ALLOWABLE DEDUCTIONS (, .r I 2 Rent for occupancies of 31 days or more $ 3a 3 Exemptions As Defined in 3.55.010G NO c� (Attach completed Exemption Certificate) $ 4 Adjustment $ } 5 Total Allowable Deductions $ 3 ( oo 6 Taxable Rent:Line 1 minus line 5 $ (D v e y O 7 Tax 10%of Line 6 $ (0 0 ' 8 Penalty if Applicable-See No.3 of Instructions $ `1 9 Amount Due-Lines 7 and 8 $ I declare,under penalty of perjury,that to the best of my knowledge Make checks payable to: CITY OF SAN BERNARDINO and belief,the statements herein arc correct and true. 5'e Title Darr Checked By 300 North"D"Street,San Bernardino,California 92418 Phone(909)384-5036 CITY OF SAN BERNARDINO CENTRAL PRINTING SERVICES Distribution: WHITE -City Clerk PINK - Customer(Retain for your records) CIJY car JAN iSt'.KNA1tUIM) TRANSIENT LODGING TAX RETURN INSTRUCTIONS FOR FILING TRANSIENT LODGING TAX RETURN 'cVEN IF THERE IS NO TAX DUE,a tax return must be Fled are accepted subject to collection and do not constitute payment the City Clerk. until cleared. The City assumes no responsibility for loss in 2, A'ORTING PERIOD:Monthly. Payments for the preceding transit or delay in deposit. month to be made between the 1st and 25th.Delinquent on the 5. RECEIPT: The canceled check becomes the receipt.No receipt 26th of the month following reporting period. will be mailed unless a demand for same is made at the time 3. PENALTY: If paid within 29 days after delinquent date, a of payment. penalty of 25% of the amount of tax (line 6) will be added. 6. ALL RECORDS SUBSTANTIATING THE RETURN must If paid between the 30th and 60th day after delinquent date,a be retained by the operator for a period of not less than three penalty of 50%of the amount of tax(line 6)will be added.elf years from the date of payment.For allowable deductions,please paid more than 60 days after delinquent date,a penalty of 100% refer to San Bernardino City Municipal Code Chapter 3.55. of the amount of the tax (line 6) will be added. (Whenever CHANGE OF ADDRESS OR OWNERSHIP MUST BE delinquent transient lodging tax feu and appropriate penalties REPORTED IMMEDIATELY TO THE CITY CLERK. City Clerk's Office cannot be collected after proper notification to the property / P.O. Box 1318 business owner,the total uncollected amount including penalties 8• UPON CESSATION OF BUSINESS FOR ANY REASON, and administrative fees shall become assessments).Interest in the RETURNS AND PAYMENTS ARE DUE IMMEDIATELY. San Bernardino,CA amount of 18% per annum shall be compounded from the 9. Operator is required to report gross rent accurately as this 92402 sixty-first day of such delinquency until paid. information will be reported to The California Franchise Tax 4. REMITTANCE: Checks should be payable to the City of Jan Board. We will return all forms that do not have a gross rent Bernardino. Checks, drafts, postal notes and money orders figure indicated. RACHEL G. CLARK, CM C. City Clerk ;0`7 � � .r Account f'-A/k �t 9 L��+ Number Owner's Name ?r Ll 2 j r �� O C- or ad correct any errors in name Business Name IJ�'l or address. /_/!Q r i4( ,rte�'4y 9" 130�1 t n p b"Ald CA Q 0 Q NOTE:A return and payment is Business Address (0 lQ G7 1�I"F /L T /�/�i/M /aT d due immediately upon cessation of business. Statement For JAN. ❑ FEB ❑ MAR. ❑ APR. MAY T JUNE ❑ Month of JULY ❑ AUG. ❑ SEPT. ❑ OCT. ❑ NOV. m DEC. ❑ . � ly 1 Gross Rent For Occupancy of Rooms $ -rr. ly ALLOWABLE DEDUCTIONS .0.6 n--� a 1 2 Rent for occupancies of 31 days or more $ No C 1 p S •- '� 3 Exemptions As Defined in 3.55.01OG (Attach completed Exemption Certificate) $ 4 Adjustment $ $- 5 Total Allowable Deductions $ j O _ 6 Taxable Rent:Line 1 minus line 5 $ L 7 Tax 10%of Line 6 $ s 8 Penalty if Applicable-See No.3 of Instructions 9 Amount Due-Lines 7 and 8 $ 1 t1 I I declare,under penalty of perjury,that to the best of my knowledge Make checks payable to: CITY OF SAN BERNARDINO and belief,the statements herein are correct and true. Sign— Title Date Checked By 300 North"D"Street,San Bernardino,California 92418 Phone(909)384-5036 r9TYOF SAN BERNARDINO r TRANSIENT LODGING TAX RETURN INSTRUCTIONS FOR FILING TRANSIENT LODGING TAX RETURN 1. EVEN IF THERE IS NO TAX DUE,a tax return must be filed are accepted subject to collection and do not constitute payment ••rich the City Clerk. until cleared. The City assumes no responsibility for loss in PORTING PERIOD:Monthly. Payments for the preceding transit or delay in deposit. ._.onth to be made between the 1st and 25th.Delinquent on the 5. RECEIPT The canceled check becomes the receipt.No receipt 26th of the month following reporting period. will be mailed unless a demand for same is made at the time 3. PENALTY. If paid within 29 days after delinquent date, a of payment. penalty of 25% of the amount of tax (line 6) will be added. 6. ALL RECORDS SUBSTANTIATING THE RETURN must If paid between the 30th and 60th day after delinquent date,a be retained by the operator for a period of not less than three penalty of 50% of the amount of tax(line 6)will be added.If years from the date of payment.For allowable deductions,please paid more than 60 days after delinquent date,a penalty of 100% of the amount of the tax (line 6) will be added. (Whenever refer to San Bernardino City Municipal Code Chapter 3.55. CHANGE OF ADDRESS OR OWNERSHIP MUST BE delinquent transient lodging tax fees and appropriate penalties 7. REPORTED IMMEDIATELY TO THE CITY CLERK. City Clerks Office cannot be collected after proper notification to the property/ P. O. Box 1318 business owner,the total uncollected amount including penalties S. UPON CESSATION OF BUSINESS FOR ANY REASON, San Bernardino,CA and administrative fees shall become assessments).Interest in the RETURNS AND PAYMENTS ARE DUE IMMEDIATELY. 92402 amount of 18% per annum shall be compounded from the 9. Operator is required to report gross rent accurately as this sixty-first day of such delinquency until paid. information will be reported to The California Franchise Tax 4. REMITTANCE: Checks should be payable to the City of San Board. We will return all forms that do not have a gross rent Bernardino. Checks, drafts, postal notes and money orders figure indicated. RACHEL G. CLARK, C.M.C. City Clerk i��.'737.%4 Account (��n Number Owner's Name )� IT 1,1-C �," jj qq /� ✓ Please correct any errors in name Business Name 13 t1'a G W D�7 4 or address. Business Address Co E 4 RCOA� S�� C3(j q e�j�e� (� I d 8 NOTE: a return and payment is _ due immediately upon cessation of business. Statement For JAN. ❑ FEB ❑ MAR. APR. ❑ MAY ❑ JUNE ❑ Month of JULY ❑ AUG. ❑ SEPT. ❑ OCT ❑ NOV. ❑ DEC. ❑ 1 Gross Rent For Occupancy of Rooms $ l rig -33 .J R1 ALLOWABLE DEDUCTIONS m C 2 Rent for occupancies of 31 days or more E 'T C (V3 3 Exemptions As Defined in 3.55.010G �r, C7 (Attach completed Exemption Certificate) $ �- 4 Adjustment $ so I— 5 Total Allowable Deductions $ 3 op 2 r- A 6 Taxable Rent:Line 1 minus line 5 7 Tax 10%of Line 6 g 11 cog ` Penalty if Applicable-See No.3 of Instructions $ 9 Amount Due-Lines 7 and 8 $ G I dcdare,under penalty of perjur)4 that to the best of my knowledge Make checks payable to: CITY OF SAN BERNARDINO and belief,the statements herein are correct and true. 5 Title Dare Cbrrked By 300 North"D"Street,San Bernardino,California 92418 Phone(909)384-5036 CITY OF SAN BERNARDINO CENTRAL PRINTING SERVICES Disvibution: alrl'i1TE - Cirr Clerk m_yK -Cestcm:r(..e.a.a Ear pour a:ard;) (I I Y V C 3t%1N DLtC1VtUii J 111V 1J TRANSIENT LODGING TAX RETURN INSTRUCTIONS FOR FILING TRANSIENT LODGING TAX RETURN 1. EVEN IF THERE IS NO TAX DUE,a tax return must be filed are accepted subject to collection and do not constitute payment —ith the City Clerk. until cleared. The City assumes no responsibility for loss in PORTING PERIOD:Monthly. Payments for the preceding transit or delay in deposit. ---onth to be made between the 1st and 25th.Delinquent on the 5. RECEIPT: The canceled check becomes the receipt.No receipt 26th of the month following reporting period. will be mailed unless a demand for same is made at the time 3 3. PENALTY: If paid within 29 days after delinquent date, a of payment. penalty of 25% of the amount of tax (line 6) will be added. 6. ALL RECORDS SUBSTANTIATING THE RETURN must If paid between the 30th and 60th day after delinquent date,a be retained by the operator for a period of not less than three penalty of 50%of the amount of tax(line 6) will be added.If p Years from the date of payment.For allowable deductions,please aid more than 60 days after delinquent date,a penalty of 100% of the amount of the tax (line 6) will be added. (Whenever refer to San Bernardino City Municipal Code Chapter 3.55. delinquent transient lodging tax fees and appropriate penalties 7. CHANGE OF ADDRESS OR OWNERSHIP MUST BE REPORTED IMMEDIATELY TO THE CITY CLERK. City Clerk's Office cannot be collected after proper notification to the property/ P. O. Box 1318 business owner.the total uncollected amount including penalties 8. UPON CESSATION OF BUSINESS FOR ANY REASON, San Bernardino,CA and administrative fees shall become assessments).Interest in the RETURNS AND PAYMENTS ARE DUE IMMEDIATELY. amount of 18% per annum shall be compounded from the 9. Operator is required to report gross rent accurately as this 92402 sixty-first day of such delinquency until paid. information will be reported to The California Franchise Tax 4. REMITTANCE: Checks should be payable to the City of San Board. We will return all forms that do not have a gross rent Bernardino. Checks, drafts, postal notes and money orders figure indicated. RACHEL G. CLARK CM.C. City Clerk 737-t4 Account (��n i , C Number Owner's Name 1� IT 7 zrr ,, (�fir-�,r„ ✓ Please correct any errors in name Business Name IJ Ql G G T W D G Ni or address. Business Address LLJ K( �{,t/� �(7/T �L �/�f��6/7 `3 lb NOTE: return and payment is due immediately upon cessation of business. Statement For JAN. ❑ FEB ❑ MAR. APR. ❑ MAY ❑ JUNE ❑ Month of JULY ❑ AUG. ❑ SEPT. ❑ OCT. ❑ NOV. ❑ DEC. ❑ I I Gross Rent For Occupancy of Rooms $ r7 T .J rM ALLOWABLE DEDUCTIONS C) C 2 Rent For occupancies of 31 days or more $ 30 C At 3 3 Exemptions As Defined in 3.55.01OG n (Attach completed Exemption Certificate) S 4 � C7 4 Adjustment $ rn %0 t 5 Total Allowable Deductions $ 3 0 2 A x Yi 6 Taxable Rent:Line 1 minus line 5 $ I 7 Tax 10%of Line 6 $ �r Penalty if Applicable-See No.3 of Instructions $ � 9 Amount Due-Lines 7 and 8 $ G I declare,under penalty of perjury,that to the best of my knowledge Make checks payable to: CITY OF SAN BERNARDINO and belief,the statements herein are correct and true. S Title Darr Checked By 300 North"D"Street,San Bernardino,California 92418 Phone(909)384-5036 CITY OF SAN BERNARDINO CENTRAL PRINTING SERVICES Distribution:WHITE - City Clerk • PINK .Customer I Retain for your records) IM 77 OFFICE OF THE CITY CLERK RACHEL G.CLARK-CITY CLERK 300 North"D"Street•San Bernardino•CA 92418-0001 909.384.5002•Fax: 909.384.5158 San Bernar �ino www•sbcity.org SM June 17, 2008 Mr. Larry Hall Budget Lodge 1538 E. Main Street El Cajon, CA 92021-5901 Dear Mr. Hall: At the meeting of the Mayor and Common Council held on June 16, 2008, the following action was taken relative to the appeal hearing regarding the decision of the City Clerk concerning delinquent transient lodging taxes owed by the Budget Lodge: That the matter be continued 45 days to the Council/Commission meeting of August 4, 2008, at 4 p.m. If we can be of further assistance, please do not hesitate to contact this office. Sincerely, Rachel G. Clark City Clerk RGC:Ils pc: Mr. Frank A. Weiser, Attorney at Law, 3460 Wilshire Blvd., Suite 903, Los Angeles, CA 90010 Cindy Buechter, Business Registration Manager CITY OF SAN BERNARDINO ADOPTED SHARED VALUES: Integrity•Accountability •Respect for Human Dignity•Honesty