County Room Tax Form

Contact Information



  • This tax is to be collected by the operator of each facility from each patron who rents a room. Each operator is required to file a tax return and remit tax due on or before the 25th day of the month following the end of each quarter for which the tax is levied. If there is no tax due for a given period, file return indicating "NO TAX DUE" on the tax due line.
  • SUBMIT BY THE 25TH OF THE MONTH FOLLOWING THE END OF EACH QUARTER Jason Miller, Susquehanna County Treasurer PO BOX 218 Montrose, Pa 18801-0218 Fax: 570-278-3372 Phone: 570-278-4600 X6695

First Month


Second Month


Third Month


Total Payment



  • I hereby certify that this return has been examined by me and that the information herein is true, correct and complete to the best of my knowledge.
  • If you would like a copy of your submission, press print now.