Form Center

2. Village of Skokie
3. 
5. Hotel/Motel Tax Return
7. Hotel Name:*
9. Address:*
11. Reporting Period (Month/Year):*
13. Tax Calculation
15. Gross Receipts for Period ...............................................................................................
16. $*
18. Multiply Amount on Line 1 by 7.5% .............................................................................
19. $*
21. Multiply Amount on Line 2 by 2% ................................................................................
22. $*
24. Tax Due, Line 2 Minus Line 3 ..........................................................................................
25. $*
27. Make Check Payable to:
    Village of Skokie Attn: Cashier 5127 Oakton Street Skokie, IL 60077-3600
29. Payment must be received on or before the last day of the month following the reporting month.
31. Interest charges of 1% per month will be assessed to all late payments.
33. I hereby declare that I have examined this return and, to the best of my knowledge and belief it is true, correct and complete.
35. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
37. Electronic Signature*
39. Title:*
41. Date:*
42. Phone Number:*
Leave This Blank:


44. 1. Receive an email copy of this form.
45. Email address

    This field is not part of the form submission.

46. Submit Submit and Print

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