Bessemer, AL · Jefferson County
Lodging Tax Remittance Form
The City of Bessemer Revenue Department’s Lodging Tax Remittance Form lets an authorized lodging business representative report monthly room collections and the tax due to the city.
At a glance
- Issued by
- City of Bessemer · Bessemer, Jefferson County, Alabama
- Notarization
- Required: sign this form in front of a notary before filing it.
- Official source
- cdn.prod.website-files.com
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
- licensed online notary
- ~15 min average
- Notarized PDF emailed
What you’ll need
- Government-issued photo ID
- Webcam-enabled device (laptop or phone)
- This form, ready to upload as a PDF
What this form is
Lodging businesses use this form to report gross collections for rooms rented in Bessemer during the month ending on the date entered. An authorized representative certifies the amount under oath, calculates the 6% tax due, and signs before a notary. The form states that payment is due by the 20th of the following month and directs businesses to make checks or money orders payable to the City of Bessemer.
Who needs it
A lodging business with room rentals in Bessemer needs an authorized representative to complete this form and report its monthly gross collections and tax due.
Why it needs a notary
The form has a sworn-to-and-subscribed-before-me jurat; the duly authorized representative named on the form signs and swears to the statement before the notary.
How to get this notarized
- 1
Download The Form
Get the City of Bessemer Lodging Tax Remittance Form.
- 2
Fill In The Report
Provide the account and business information, reporting month, gross room collections, and 6% tax due.
- 3
Book An Online Notary
Arrange a notarization for the authorized representative who will swear to the report.
- 4
Sign On Video
Sign and swear to the statement before the notary during the online session.
- 5
Submit To The City
Send the completed form and payment to the City of Bessemer Revenue Department as directed.
Preview the form
The blank PDF straight from Bessemer. Look it over, then upload your filled copy to start the notary session.
You’ll need ID and a webcam.
A licensed online notary will join you on video, verify your government-issued ID, witness your signature, and apply their seal. You’ll receive the notarized PDF by email when the session ends.
Frequently asked questions
- How do I complete the Lodging Tax Remittance Form?
- Enter the account and business details, the month ending, gross room collections, and 6% tax due. An authorized representative signs and swears to the statement before a notary, then submits it with payment.
- Do I need to sign this form in front of a notary?
- Yes. The form includes a sworn-to-and-subscribed-before-me jurat, so the authorized representative must sign and swear to the statement before a notary.
- Can I use a commissioned online notary?
- Alabama authorizes remote notarization for its own notaries when they use two-way audio-video communication, but that authorization requires the notary to be physically in Alabama. Ask the City of Bessemer whether it accepts your notarized form; confirm with the city or town if unsure.
- When is payment due?
- The form says payment is due by the 20th of the following month. Checks and money orders should be payable to the City of Bessemer.