ALAN HAROLD
STARK COUNTY AUDITOR
110 CENTRAL PLAZA S., SUITE 220
CANTON, OH  44702
(330) 451-7325
	RETURN FOR QUARTER ENDING.
	GROSS SALES OF LODGING ACCOMMODATIONS TO TRANSIENTS
	DURING THE QUARTER.								$_____________
	TAX DUE (3% OF ABOVE AMOUNT OR COUNTY LODGING TAX
	CHARGED AND COLLECTED WHICHEVER IS GREATER).								$_____________
	10% PENALTY IF FILED AFTER THE 20TH DUE DATE.								$_____________
	TOTAL								$_____________
"I declare under penalties of perjury that this statement has been examined by me and to the best of my knowledge and
belief is a true and correct statement"
				_____________________________________
				Signature of Taxpayer's Agent				Date
				Mailing address if different from above
				City, State, Zip Code				Phone
NOTE:  Tax collected and reporting forms by said hotels/motels shall be submitted quarterly, and due in the office of the
County Auditor on or before the 20th day of the month which follows the calendar quarter being reported.  Failure to do
so will result in a penalty of 10% of the amount of the unpaid tax.  Interest will begin on the first day following the month that
taxes are due and will continue until taxes are paid in full.  ORC Section 5703.47
Tax due is on gross sales of lodgings only.  Tax does not apply to sales of food, entertainment, miscellaneous
services, etc.  Tax does not apply to sales of lodging to non-transients, i.e., those who occupy lodgings under lease or
rental arrangement for 30 days or more.
Please make all checks payable to :				STARK COUNTY TREASURER
Please return this form with tax due to:				Alan Harold, STARK COUNTY AUDITOR
				110 CENTRAL PLAZA S, SUITE 220
				CANTON, OH 44702