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City of Belleville Municipal Accommodation Tax - Establishment Form

Establishment Information Sheet

Important: A Municipal Accommodation Tax Remittance Report must be filed online with the City by the 30th day of every month for the previous month's reporting period, even if no tax was collected. For example: July's MAT remittance must be received by August 30th.

Accommodator Information

Legal Name

Business Name

Contact Name

STA Address

City

Postal Code

Email Address

Mailing Address

Same as above

Mailing address if different than STA address

Address

City

Postal Code

Room Rental Information

Number of Rooms Available

Average Rate per Night

Annual Room Rental Revenue

Annual Room Rental Revenue Documentation

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Claimant Declaration

I certify that the information on this form and any applicable attachment(s) are true and correct

Note: Rental information is collected for the purposde of assessing the amount of Municipal Accommodation Tax payable to the Corporation of the City of Belleville. Personal information on this form is collected under the authority of the Municipal Act, 2001 for the purposes of administering payment of accounts owing pursuant to the Municipal Accommodation Tax By-Law 2019-126 to theCity of Belleville. Questions about this collection should be directed to the Finance Department at 169 Street, Belleville, Ontario, K8N 2Y8, by phone at 613-968-6481 or by email at financegeneral@belleville.ca