American Canyon, CA · Napa County
Transient Occupancy Tax Exemption Claim Detail Form for Occupancies Over 30 Days
Lodging establishment owners or agents use this form to claim multiple transient occupancy tax exemptions for guests staying more than 30 days.
What this form is
This form records exemption details for guests occupying rooms for more than 30 days when a lodging establishment claims multiple transient occupancy tax exemptions. It asks for the establishment name, reporting period, guest names, occupancy dates, exempt days, average daily room rates, and tax-exempt amounts. The total claimed must equal the amount deducted on Line 2a of the quarterly tax return.
Who needs it
A lodging establishment owner or agent claiming multiple tax exemptions for guests occupying rooms for more than 30 days should complete this form.
How to submit it
Remit this form with the Quarterly TOT return. The form does not specify a submission address or method.
About notarization
This form has no notary block; the owner or agent signs and dates a declaration under penalty of perjury.
How to submit this form
- 1
Download the Form
Download the transient occupancy tax exemption claim detail form.
- 2
Complete the Guest Details
Enter the establishment name, reporting period, and requested occupancy and exemption details for each guest.
- 3
Check the Total
Make sure the total exemption amount equals the amount deducted on Line 2a of the Quarterly TOT return.
- 4
Sign and Remit
Sign and date the form, then remit it with the Quarterly TOT return.
Frequently asked questions
- Do I need a notary for the TOT exemption claim form?
- No. The form has no notary block; the owner or agent signs and dates a declaration under penalty of perjury.
- How do I submit the TOT exemption claim form?
- Remit the completed form with the Quarterly TOT return. The form does not specify a submission address or method.
- What information does the form ask for?
- It asks for the establishment name, reporting period, guest names, occupancy dates, exempt days, average daily room rates, and tax-exempt amounts.