2. Hotel/Motel No Receipts Tax Form

   This form is to report zero rental receipts during the preceding month or quarter for renting, leasing, or letting hotel or motel rooms within the City of Geneva.

   Quarterly Tax Form for operators whose average monthly tax liability does not exceed one hundred dollars ($100.00). 

4. Name of Operator
5. Phone Number
7. Contact Address Line 1
9. Contact Address Line 2
11. City
12. State
13. Zip
17. Address of Principal Place of Business*

    Geneva, Illinois, 60134

19. Reporting No Rental Receipts for Month or Quarter*

    1. Month
    2. Quarter
21. Month*

    1. January - 1
    2. February - 2
    3. March - 3

    1. April - 4
    2. May - 5
    3. June - 6

    1. July - 7
    2. August - 8
    3. September - 9

    1. October - 10
    2. November - 11
    3. December - 12
23. Quarter*

    1. Q1 - (Jan-Mar)

    1. Q2 - (Apr-June)

    1. Q3 - (Jul-Sep)

    1. Q4 - (Oct-Dec)
25. Year*
29. Agreement*

    I hereby affirm that the information presented in this report form is taken from the books and records of the above-named hotel/motel and is true and correct to the best of my knowledge. 

    1. By checking this box, I agree to the terms above.
31. Filer Name*
33. Filer Email*
34. Filer Phone Number*
Leave This Blank:


36. 1. Receive an email copy of this form.
37. Email address

    This field is not part of the form submission.

38. Submit

* indicates a required field