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: email@example.com. 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 Enter the characters shown in the image. Get new captcha!