Quarterly reports and payments are delinquent unless they are either paid in our office or postmarked by the last day of the month following the end of the quarterly report period. Retain copy of this printed form for your records.
City of Modesto, P.O. Box 3442, Modesto, CA 95353
For additional information, please call 209-577-5389.
Enter amount of rent collected by those who have signed an agreement to rent for more than 27 consecutive days. (Used to Calculate Allowable Deductions)
A copy is required to be submitted with this form in order to claim deduction.
(Used to Calculate Allowable Deductions)
Used to Calculate Tax Due
Equal to Gross Rent for Occupancy of Rooms subtracted by allowable deductions.
Equal to Gross Rent for Occupancy of Rooms.
Equal to Taxable Rents multiplied by 9% (0.09). Enter 0 if there is no tax or fee due. A return must be filed with the Finance Department even if no tax or fee is due.
Equal to Taxable Rents multiplied by 1% (0.01).
A return must be filed with the Finance Department even if no tax or fee is due.
If applicable. Penalty is 5% times number of months or fraction of month of delinquency to a maximum of 25% of tax due and fee due.
Equal to total of Tax plus Fees plus Penalties (if applicable)
By signing this form, I hereby certify that the statements made hereon are correct.
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