Comune di Urbino
TOURIST TAX
OMISSION OF PAYMENT
(TO BE COMPLETED BY THE GUEST)
Full Name________________________________________________________________
Date of birth __________________place of birth _________________________________
address ____________________________town __________________________________
phone _________________________ mobile__________________ fax________________
e-mail__________________________________
•I am aware that with resolution n°31 of 18/04/2015 the Municipality of Urbino introduced, with effect from 01/06/2015, the Tourist Tax according to the article 4 of Leg. Dec. 23/2011.
•I am aware that the omission, delay or incomplete payment of this tax is subject to the administrative sanctions according to the article 8 of the tourist tax regulation;
I DECLARE UNDER FULL RESPONSABILITY THAT:
•I have spent the night at the accomodation facility _________________________________
located in _______________________________ n. ___________
From the date _________________________to the date ___________________________
•I have been informed about the obligation to pay the tourist tax by the accomodation operator;
•I have decided not to pay the tourist tax to the accomodation operator for an amount of € _____________, as established by the Municipality of Urbino;
•I have decided not to pay the tourist tax for the following reasons:
(this specification is optional) _________________________________________________
INFORMATIVE FOR THE TAXPAYER (art. 13 of Legislative Decree 196/2003)
We wish to inform you that the Legislative Decree no. N. 196 of 30 June 2003 ("Code regarding the protection of personal data")
provides for the protection of persons and other subjects regarding the processing of personal data. According to the law,this treatment will based on principles of correctness, lawfulness and transparency and the protection of your privacy and your rights. Pursuant to Article 13 of Legislative Decree no. N. 196/2003, we hereby provide the following information: 1.The information you provide will be used for institutional tasks Entity 2. The data will be in a manual and / or computerized 3. The conferment of data is necessary for the performance of materials in art. 66 of Legislative Decree no.
196/2003(taxation) 4. The data collected will be disclosed to third parties, both public and private, who on behalf of the Administration carry out treatments included in the aims mentioned above, or disseminated at the offices of this Administration 5. The data controller is the Mayor of the Municipality of Urbino located in Via Puccinottin.3- 61029 Urbino.The controller is theResponsible Officer of the Tribute, with headquarters at Via Gagarin n.4-61029 Urbino. At any time you can exercise your rightstowards the data controller, inaccordance with article 7 of
Legislative Decree no. N. 196/2003 (Right to access personal data and other rights).
