Utility Tax Return Form Colville Washington printable pdf download

Utility Tax Return Form Colville Washington

CITY OF COLVILLE, WASHINGTON

UTILITY TAX RETURN FORM

Taxpayer Name: _________________________________________________________

Address:

_________________________________________________________

__________________________________________________ _______

Phone:

_________________________________________________________

Taxpayer ID:

_________________________________________________________

Type of Taxpayer Business:_________________________________________________

Return for the Month ending:_______________________________________________

Gross Sales to consumers within the

City of Colville during the month:

$__________________________________

Less deductions claimed

$__________________________________

Net Sales to consumers within the

City of Colville during the month:

$__________________________________

Tax (5.0% of Item 6)

$__________________________________

Tax remitted herewith

$__________________________________

Explain in full deductions claimed in Item 5:

10.

Date of this report:

____________________________________

I, the undersigned, do hereby certify under penalty of perjury that the information herein given is full and

true and that I know the same to be so.

Taxpayer:_____________________ ______________

By:____________________________________

Title:____________________________________

Mail return to:

City of Colville

Treasurer’s Office

170 S. Oak St.

Colville, WA 99114-2898

Utility Tax Return Form Colville Washington