Return For Occupation Tax - Utilities Form - Washington Page 3

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Return completed form to:
City of Kirkland
Customer Accounts – Tax Section
123 Fifth Avenue
Kirkland, WA 98033
RETURN FOR OCCUPATION TAX – UTILITIES
SANITARY COLLECTION SERVICES
Voice (425) 828-1133 ** TTY (425) 828-2245 ** FAX (425) 828-1290
For the month of _____________, 20
(Returns due by tenth of each month following taxable period)
1.
Business Name:
2.
Business Address:
(Street)
(City)
(State)
(Zip)
3.
Business Activity:
4.
Gross income from business activity generated within Kirkland city limits for the taxable period:
A.
Residential Domestic Activities.................................................................. $
B.
Nonresidential Activities ........................................................................... $
5.
Total amount of exemptions and deductions from gross income
claimed (see No. 8 below)....................................................................................... $
6.
Amount of gross income subject to tax (No. 4 minus No. 5):
A.
Residential Domestic Activities.................................................................. $
B.
Nonresidential Activities ........................................................................... $
7.
Amount of tax due this return:
A.
Residential Domestic Activities:
$
x 6.50% =
$
B.
Nonresidential Activities:
$
x 6.50% =
$
Total Tax Due........................................................................................... $
Less unused credit claimed on last annual adjusted return ....................... $
Amount of Tax Due .............................................................................. $
(pay this amount when filing return)
MMS\FI\BL\OC-TAX/12-11-01/FN:JS

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