Municipal Accommodation Tax Return - Municipality of Northern Bruce Peninsula

Required fields are marked with asterisks (*)

Municipal Accommodation Tax Return (Pursuant to By-law 2021-83)	56 Lindsay Road 5 Lion's Head, ON N0H 1W0 Phone: 1-833-793-3537

Important: A Municipal Accommodation Tax Return form must be completed and received by the last day of the month following the previous quarter even if no tax was collected. For example: April's tax return (January 1 to March 31) must be received by April 30th. Late payment charges will be charged on outstanding balances at a rate of 1.25% on the first day of default and the first of the month until paid.

Accommodation Establishment Information

Enter the name of establishment, property location, email address, customer number, contact name and contact phone.

Name of Establishment

Licence Number

Property Location

Contact Name

Email Address

Contact Phone Number

Municipal Accommodation Tax Collection

Enter the details required for the applicable reporting period.

Number of Room Nights Sold

Accommodation Revenue for the Selected Reporting Period

Less Exemptions (provide details in Explanation of Exemptions section below)

Less Adjustments (provide details in Explanation of Adjustments section below)

Total Accommodation Revenue Subject to Accommodation Tax (Revenue - Exemptions - Adjustments)

Total Amount of Municipal Accommodation Tax Collected (Total Accommodation Revenue * 4%)

Tax Remitted on Your Behalf (By Agent or Internet Booking Platform - details required below)

Total Amount of Municipal Accommodation Tax To Be Collected (Total Accommodation Revenue * 4% - Any Tax Remitted on Your Behalf))

Claimant Declaration

I certify that the information on this form and any applicable attachment(s) are true and correct.

Signature

Clear

Date

Questions about this collection can be sent directly to us via our email form. More information about the Municipal Accommodation Tax Program can be found on our website.

Personal information on this form is collected under the authority of the Municipal Act, 2001, and will be used for the purpose of responding to your request. Questions regarding the collection of this information should be directed to the Clerk at 1-833-793-3537 ext. 236.