Form 400-F-2 - Quarterly Business And Occupation Tax Form

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CITY OF EVERETT
Business Tax Division
2930 Wetmore Avenue
QUARTERLY
Everett, WA 98201
(425) 257-8610
BUSINESS AND OCCUPATION TAX FORM
ACCOUNT NUMBER
DATE TAX DUE
YEAR
QTR NUMBER OF EMPLOYEES
GROSS
AMOUNT
DEDUCTIONS
BE SURE THAT NAME AND ADDRESS ARE CORRECT
(SEE BACK)
NET
AMOUNT
RATE
X .001
TAX DUE
THIS PERIOD
PENALTY
(SEE BACK)
AMOUNT
FOR ANNUAL ACCOUNTS ONLY
DUE
st
nd
rd
th
QUARTER
1
JAN-FEB-MAR
2
APR-MAY-
3
JULY-AUG-
4
OCT-NOV-DEC
THIS PERIOD
JUNE
SEPT
OVER/UNDER
INCOME
PAYMENT
AMOUNT
SALE OR TRANSFER:
Complete this section if there has been any change in the structure of the
PAID
business. This shall include, but not be limited to: adding/removing partners, incorporating or liquidating the
DETAILS OF DEDUCTIONS
corporation, sale/transfer of the company or business.
BAD
Date Ownership
Name of
DEBTS
Changes/Closes *
New Owner
INTERSTATE
THE UNDERSIGNED TAXPAYER DECLARES THAT HE/SHE HAS READ THE FOREGOING
RETURN AND CERTIFIES IT TO BE CORRECT.
CASH AND
DATE
FIRM NAME
SIGNATURE AND TITLE
TRADE DISC.
OTHER
(EXPLAIN)
THIS IS MY FINAL RETURN.
TOTAL
DEDUCTIONS
PREVIOUS PERIOD’S TRANSACTIONS
RETURN THIS FORM TO: CITY CLERK • 2930 WETMORE AVE • EVERETT, WA 98201
MAKE CHECK PAYABLE TO: CITY OF EVERETT
400-F-2 New 6/2000
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