Quarterly Reporting Sheet For Public Utilities Form printable pdf download

Quarterly Reporting Sheet For Public Utilities Form

QUARTERLY REPORTING SHEET FOR PUBLIC UTILITIES

PURSUANT TO LYON COUNTY CODE 5.01.05 (C)

Date of Report: __________

NAME OF PUBLIC UTILITY _________________________________________

Federal Tax Identification Number _____________________

Lyon County Business License Account No. _______________

Reporting for Quarter Ending: ___________________

Gross Revenues Derived with Lyon County................................. $ _________

Multiplied by:

Telecommunications Companies ...................... 2% }

Electric Energy Providers ................................. 1% }

Gas Providers ................................................... 1% }

Commercial Mobile Radio Services .................. 1% } ............ x _________

(of the gross revenue from the first fifteen dollars charged

monthly for each line of access)

Total Utility License Fees Paid: ..................................................... $ _________

Penalty and Interest:

If not paid within thirty (30) calendar days after the end of calendar

quarter, add penalty and interest of:

Interest .............................................................. 1%

_________

Penalty .............................................................. 1%

_________

(of the delinquent amount per month)

Total Amount, Plus Penalty and Interest Paid:............................. $ _________

Remit to: Lyon County Clerk Treasurer

Business License Desk

27 South Main Street

Yerington, NV 89447

Quarterly Reporting Sheet For Public Utilities Form