Form Ht 4 is a form that is used to request an administrative hearing. This form can be used to dispute a parking ticket, ask for a refund, or contest a decision made by a government agency. Anyone who wishes to dispute a decision made by a government agency can use this form. It is important to understand the procedures and deadlines associated with Form Ht 4 so that you can make the best case possible for your appeal. By following the instructions on this form, you can ensure that your appeal is handled properly.
| Question | Answer |
|---|---|
| Form Name | Form Ht 4 |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | saratoga form download, saratoga form print, form ht 4, saratoga form online |
FORM
COUNTY OF SARATOGA
OFFICE OF THE TREASURER
OCCUPANCY TAX
(PURSUANT TO CHAPTER 501 OF THE LAWS OF 1975 OF THE STATE OF NEW YORK)
__________________________________________________________________________________________________________________________________________
NAME
NAME OF HOTEL
ADDRESS
NYS Sales Tax Identification No.:
PLEASE NOTE: THIS RETURN MUST BE
FILED WHETHER OR NOT THERE IS
TAX TO BE REMITTED.
(Please correct any errors in above imprint)
|
PAYMENT SCHEDULE |
QUARTERLY PAYMENT |
DUE ON OR BEFORE |
[] 1. December 1 - February 28..………....…......................................................................…….…March 20
[] 2. March 1 - May 31.…......….........................................................................................……….June 20
[] 3. June 1 - August 31……...............................................................................................……….September 20
[] 4. September 1 - November 30….…................................................................................. …….December 20
TYPE OF ESTABLISHMENT
______Hotel ______Motel ______Apartment Hotel ______Lodging House ______Other (describe) _________________________
BUSINESS ACTIVITY: Number of Rooms _____ If seasonal, indicate season _______________________________________________
If this is a FINAL PAYMENT, enter word “FINAL,” date sold and new owner’s name and address:
________________________________________________________________________________________________________________
________________________________________________________________________________________________________________
|
COMPUTATION OF TAX |
|
|
1. |
Gross Income from Occupancy of Rooms |
$ |
_____________________________________ |
2. |
LESS: |
$ |
_____________________________________ |
3. |
LESS: Refunds or Other Credits |
$ |
_____________________________________ |
4. |
Net Taxable Room Rentals |
$ |
_____________________________________ |
5. |
County Occupancy Tax Due (1% of Line 4) |
$ |
_____________________________________ |
6. |
Prior (Overpayment) or Underpayment |
$ |
_____________________________________ |
7.* |
Penalties and Interest |
$ |
_____________________________________ |
8. |
Total County Occupancy Tax Due (Total of Lines |
$ |
_____________________________________ |
________________________________________________________________________________________________________________
*File this return with your remittance in full for the amount of tax within 20 days after the period covered by the return to avoid imposition of penalties and interest: 5% penalty for late payment; also 1% interest for each month or fraction thereof that payment is delinquent commencing 30 days after late filing date.
Make remittance payable to and mail to: Saratoga County Treasurer 40 McMaster Street Ballston Spa NY 12020
CERTIFICATION OF TAXPAYER:
I hereby certify that this report, including any schedules, is true and complete to the best of my knowledge.
DATE: _______________________ |
SIGNATURE (Agent, Officer, etc.) _______________________________________________ |
|
TITLE _______________________________________________ |
Green Copy – return to Saratoga County |
|
White Copy – Individual records |
|