City of Burlington, VT

Restaurant, Hotel, Amusements and Admissions Tax Return

Questions about this form? Contact: GrossReceiptsHelp@BurlingtonVT.gov

City ID #

1. Taxable Admissions

.00

2. Taxable Alcoholic Beverages

.00

3. Taxable Amusements

.00

4. Taxable Meals

.00

5. Taxable Rents

.00

6. Total Gross Receipts
(Add lines 1 through 5)

.00

7. Taxes Due
(Multiply line 6 by 2%)

.00

8. Penalty ($13.00 or 1% of Line 7, whichever is greater)

.00

9. Total Amount Liable for Interest (Add lines 7 and 8)

.00

10. Interest Owed for Late Payment (Line 9 × 1% × (Number of Months Late))

.00

11. Total Penalty and Interest (Add lines 8 and 10)

.00

12. Total Tax, Penalty and Interest Due (Add lines 7 and 11)

.00

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