Transient Occupancy Tax Form – The Town Of Irvington

Click here to download the form for mail-in or hand-in submittal.

(Note: if using the mail-in option linked above, you need to download the pdf to your local device, then open it in an Adobe product in order for the fillable pdf to function properly.)

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MONTHLY TRANSIENT OCCUPANCY TAX FORM

1 (804) 438-6230 info@irvingtonva.gov
PO Box 174, Irvington, VA 22480

INSTRUCTIONS

Facilities offering rooms or lodgings rented out for continuous occupancy for fewer than 30 consecutive days are required to submit this report along with their collected taxes on a monthly basis. Please use this form to submit your report and payment.

To avoid any penalties and/or interest, this return must be filed and paid on or before the 20th day of the following month. There is a 10% penalty for any form received after the 20th day of the following month. Taxes may be paid by completing this form online or downloading it from the link above and submitting it by mail with payment to the Town Clerk, Town of Irvington, P. O. Box 174, Irvington, VA 22480. Make checks payable to "Town of Irvington."

Accommodations intermediaries or STR owners using accommodations intermediaries MUST provide an itemized listing of addresses with the gross receipts attributable to each address reflected in this filing. Use the file upload to submit an itemized list.

SECTION A - BUSINESS INFORMATION

Business Name

Account Number (if known)

Physical Address

Address Line 1

Address Line 2

City

State

Zip Code

Business / Owner Name

SECTION B - CALCULATE TAX LIABILITY

Jurisdiction - THE TOWN OF IRVINGTON (4%)

Filing For Month

Year

1 - Total Gross Receipts

All revenue collected during the month & year selected above.

2 - Less Qualified Deductions (if none, leave 0)

Examples: exempt rentals, refunds on rentals, discounts, etc.

3 - Taxable Gross Receipts

Calculated Taxable Revenue from entries 1 & 2

4 - Tax Due (4% of Taxable Gross Receipts)

Calculated Tax Due

5 - Are payments made to the Town on your behalf by any accommodations providers or other third party intermediaries?

TOTAL TAX DUE

Amount: $0.00

Calculated tax due to the Town of Irvington

SECTION C - DECLARATION OF OWNER OR PREPARER

Virginia Code Section 58.1-3907; I hereby certify that this return has been examined by me, the below signee, and is to the best of my knowledge, a true, correct, and complete return.

Name

First

Last

Title

Confirm Email

You will receive a confirmation and copy of this form after submission.

Phone

Mailing Address

Address Line 1

City

State

Zip Code

Agreement Certification

By checking this box and typing my name below, I am electronically signing this application and agree that all the information provided above is accurate and true to the best of my knowledge.

Authorized Signer

Total

$0.00

No Online Payment

I am only submitting the form online. A corresponding payment will either be: 1) mailed to the Town Office at PO Box 174, Irvington, VA 22480; 2) delivered to the Town Office; or 3) sent by the Accommodations Provider or other third party intermediary. I understand that this form will not be processed until payment is received.