In the bustling city of Dayton, Ohio, where hospitality thrives alongside its rich aviation heritage, the Dayton HM-4 form serves as a crucial document for the local hospitality industry. Specifically designed for hotels and motels within the city boundaries, this form plays a pivotal role in the reporting and remittance of the Hotel Motel Tax to the City of Dayton's Income Tax Division. The comprehensive form demands detailed financial reporting, covering aspects such as gross receipts from all lodging provided to guests, exemptions for long-term guests exceeding 30 days, and other possible deductions. Beyond mere tax calculations, it includes provisions for adjustments related to prior periods, alongside penalties and interest for late payments. Ensuring accuracy in this document is paramount, as it directly affects the net taxable receipts and the subsequent tax due to the city, calculated at a 3% rate. Additionally, the form carries significance for its legal attestations, requiring a certification that all information provided is truthful and correct, reinforcing the integrity of the financial data submitted. It is also a reminder for businesses to notify the Division of Revenue and Taxation about any significant changes, such as ownership or address amendments, and alerts them to the electronic debiting process in case of returned checks. The Dayton HM-4 form, therefore, stands as a critical component in the financial and regulatory landscape of Dayton’s hotel and motel operators, ensuring that each entity contributes fairly to the city's coffers.
| Question | Answer |
|---|---|
| Form Name | Dayton Form Hm 4 |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | MotelTaxform city of dayton lodging tax form |
For Office Use Only
FORM
City of Dayton Income Tax
PO Box 8746
Dayton, Oh.
Tele. (937)
www.cityofdayton.org
For Period of_________________________ To_____________________________
Account Number:
Name
Address
City, State, Zip
1. Gross Receipts (All Hotel/Motel Lodging Furnished Guests)
2. Exempt Receipts (Permanent Guests, Continuous Lodging Over 30 Days)
3. Other Exemptions (Attach Exemption Certificates)
4. Total Exempt Receipts (Add Lines 2 and 3)
5. Net Taxable Receipts (Line 1 Minus Line 4)
6. Tax Due (Line 5 x .03)
7. Adjustments - Prior Period - (Attach Explanation)
8. Penalty (10% Per Month For Late Payment)
9. Interest (1% Per Month For Late Payment)
10. Total Amount Due (Add Lines 6, 7, 8, and 9)
I hereby certify that the information and statements contained herein and in any schedule of exhibits are true and correct.
Signature_________________________________ Title____________________________ Date __________________
NOTIFY THE DIVISION
OF REVENUE AND
TAXATION PROMPTLY
OF ANY CHANGE IN
OWNERSHIP OR NAME
AND ADDRESSIn the event that your check is returned unpaid for insufficient or uncollected funds, we may electronically debit your account for the principal amount of the check