Tourism Accommodation Levy Remittance Report Reporting Period From: Reporting Period To: REGISTRANT INFORMATION Registration Number: Corporate Name: Operating Name: Contact Name: Telephone: Email: REMITTANCE INFORMATION Total Room Revenue for Period: $ Adjustment for Bad Debts and Refund due to Errors (Deduct): $ (Do Not Include Stays of 30+ Days) Adjustment to Revenue (Add): $ Adjusted Room Revenue subject to Levy in reporting period: $ Tourism Accommodation Levy Collected: $ Tourism Accommodation Remitted: $ TOTALS Total Number of Available Room Nights This Month: Total Number of Room Nights Sold this Month: Amount collected should equal amount remitted. Please explain any variances below: How will you be remitting the Tourism Accommodation Levy payment? Cheque Mailed to: City of Moncton, 655 Main Street, Moncton, NB E1C 1E8 Electronic Payment: submitted by you to City of Moncton Note: If you would like to be set up to remit marketing levy funds electronically or to find out more about this option, please contact us at: firstname.lastname@example.org. We are currently unable to direct debit your account for the levy, electronic payments must be initiated by you to City of Moncton. What code is in the image 3 + 1 = Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.