Gross Receipt Rental Tax

Account Information

Account ID:
Remitting GRRT for year:
Ex: 2016, 2015, 2014, 2013, 2012, 2011, 2010, or prior
Street Address of Rental:
Property Owner's Name:
Phone:
Email:

Is mailing address on bill correct?

Yes No

Payment Information

Gross Rents Received During Period from all sources:
Amount Required Is 5% Of Gross Rents Received
Payment Amount:
$0.00
Name on Card:
Mailing Address:
Address 2:
City:
State:
Zip:
Card Number:
Expiration:
Security Code:
Security Code can be found on back of card.
Terms and Conditions

Do you accept these terms?

I Accept I Don't Accept