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Navigation: Home > Trade > Tourism Levy Return and Statistics Form

Tourism Levy Return and Statistics Form

Instructions : Click here to download the Instructions .pdf

Please make sure that all mandatory fields (*) are filled out properly. Invalid form values will be displayed in red.

Please mark the appropriate month for which these levy and statistic figures are reported:

1 2 3 4 5 6 7 8 9 10 11 12

2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000

*Name of Establishment

*NTB Registration Number

*P.O.Box

*Payment Reference Code

*Town

*Region

Rooms/Bungalows/Units

Beds

days of the month

beds available

* Establishments total number of :

of these how many were for:

Rooms/Bungalows/Units

Beds

Leisure       Business     Conference

*Total number sold this month :

ACCOMODATION SOLD

CALCULATION OF LEVY PAYABLE

Number of bednights sold :

Bednight Revenue for this month (excl. VAT) Total Amount in N$

x Levy

Total Levy Amount in N$

*for Bed only :

2%

*for Bed & Breakfast :

2%

*for All Inclusive :

1%

*for Full Complimentary :

zero amount

zero amount

*Total levy payable :

add 5% for late payment :

*Total Amount Payable (Do Not Round Off) :

* Payment Method : bank transfer cheque cash credit card electronic *Effected on:

I herby certify that the particulars as provided by me in this levy form are true and correct. I am equally aware that severe penalties shall be imposed on false declaration.
*Submitted By :
*Position/Capacity :
*Email :
Date :
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