Utility Tax Return Form - City Of Kent - Finance Customer Services

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Utility Tax Return
O
I
:
R
T
:
RGANIZATION
NFORMATION
EMIT
O
Organization Name:
Finance Customer Services
City of Kent
Address:
th
220 4
Avenue South
City/State/Zip Code
Kent, Washington 98032-5895
Washington State UBI No.
Please direct questions to the Financial
Planning Division at (253) 856-5266
Reporting Period:**
Month ___________ Year ________
(KMC Section 3.18.030)
Quarter __________
Year ________
Annual __________
A
*
LLOWABLE
ACCT
B
G
N
A
R
T
P
USINESS
ROSS
ET
MOUNT
ATE
AX
AYMENT
D
EDUCTIONS
C
I
ODE
NCOME
51421
Electricity Service
6.0%
51422
Gas Distribution
6.0%
51425.1390
Phone – Landline
6.0%
51425.1391
Phone – Cellular
6.0%
51425.1392
Phone – Pager
6.0%
51425.1393
Phone – Cable Modem
6.0%
51423
Solid Waste Service
7.8%
Sub-total
* Explanation of deductions (KMC Section 3.18.020 Part B):
**Penalty
10.0%
_________________________________________________
***Interest
12.0%
_________________________________________________
Total Paid
I certify under penalty of perjury that I am duly authorized to provide the above information and that the
information in this return is true and correct to the best of my knowledge.
Signature of Person Preparing Return
Title
Date
Return Prepared by (please print)
Email Address
Telephone No.
Fax No:
**Penalty: Payment is due and payable in monthly installments on or before the last day of the month
following the end of the month in which the tax is accrued. Taxpayers expecting to owe less than $1,000 per
month may submit taxes on a quarterly basis. Taxpayers expected to owe less than $5 per month may submit
taxes on an annual basis. Failure to pay required taxes within thirty days after the due date shall be subject
to a penalty of 10% (KMC Section 3.18.050).
***Interest: Delinquent taxes, including any penalty and interest, are subject to an interest charge of 12%
per year (1% per month) on any unpaid balance from the date the tax became due until paid (KMC Section
3.18.050).
Revised June 4, 2003

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