Utility Tax Worksheet - City Of Federal Way

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UTILITY TAX WORKSHEET
O
I
:
R
T
:
RGANIZATION
NFORMATION
EMIT
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Organization Name:
City of Federal Way
Contact Name:
Management Services Department
Address:
P.O. Box 9718
Federal Way WA 98063-9718
Phone: 253-835-2523
Fax: 253-835-2509
Reporting Period: Month ________ Year ________
Q
B
G
I
*A
N
A
R
T
P
UAD
USINESS
ROSS
NCOME
LLOWABLE
ET
MOUNT
ATE
AX
AYMENT
C
D
ODE
EDUCTIONS
1470
Electric
7.75%
1471
Gas
7.75%
1472
Solid Waste
7.75%
1473
Cable - TV
7.75%
1473
Cable - Modem
7.75%
1474
Phone – Landline
7.75%
1477
Phone – Cellular
7.75%
1476
Storm Drainage
7.75%
1478
Pager
7.75%
Sub-total
**Penalty
10.0%
***Interest
12.0%
Total Paid
* Explanation of deduction: _______________________________________________________________
Signature of Person Preparing Return
Title
Date
Return Prepared by (please print)
Email Address
Telephone Number
(
)
Fax Number
(
)
**Penalty: Payment is due and payable in monthly installments on or before the last day of the month
following the end of the monthly period in which the tax is accrued. Failure to pay required taxes within
fifteen days after the due date shall be subject to a penalty of 10%.
***Interest: Delinquent taxes, including any penalty and interest, are subject to an interest charge of 12%
per year on any unpaid balance from the date the tax became due until paid.

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