Fairfield County, Ohio

Hotel/Motel Operators Occupancy Tax Return

ORC 5739.09

Hotel or Motel Information

Remit Tax Quarterly as noted
Please indicate which quarter this form is in reference to by checking one of the following:
Please indicate which quarter this form is in reference to
Tax Calculation
1. Gross Room Sales for Quarter
2. Exempt Sales for Non-Transient Guests
3. Other exemptions (attach copy of exemption certificate)
4. Total Exempt Sales (add lines 2 and 3)
5. Net Taxable Sales (line 1 less line 4)
6. Tax Due for Fairfield County Visitors and Convention Bureau
(enter 3% of line 5) (Does not apply in Reynoldsburg)
7. Tax Due for Cultural Arts Facility (1.5% of line 5)
(Including Reynoldsburg)
8. Total Tax Due for current quarter (add lines 6 and 7)
9. Credit or Debit (over or underpayment in prior quarters)
10. Amount Enclosed (add lines 8 and 9)

I declare under penalty of perjury that this return, including any attachments, has been examined by me, and to the best of my knowledge and belief is a true, correct, and complete return.

Remittance Information

Make check payable to Fairfield County Treasurer.

Mail tax return, checks, and correspondence to:

Carri L. Brown, PhD, MBA, CGFM

Fairfield County Auditor

210 East Main Street

Lancaster, Ohio 43130

P: (740) 652-7020

Email: FCLodgingTax@fairfieldcountyohio.gov

If business is no longer operating or if a change in ownership, corporate structure, or tax status has occurred, please notify the County Auditor by calling (740) 652-7020.