Business And Occupation Tax Report Form
ADVERTISEMENT
1BUSINESS and OCCUPATION TAX REPORT
CITY OF LAKE FOREST PARK
Account Number
17425 Ballinger Way NE
Lake Forest Park, Washington 98155
(206) 368-5440
REMITTANCE – Make remittance before the due date, payable to: CITY OF LAKE FOREST PARK
Be sure that name, address and zip are correct.
PERIOD
DATE DUE
NAME
ADDRESS
CITY, STATE
ZIP CODE
LOCATION
COLUMN 1
COLUMN 2
COLUMN 3
COLUMN 4
COLUMN 5
COLUMN 6
BUSINESS CLASSIFICATION
GROSS AMOUNT
DEDUCTIONS
TAXABLE AMOUNT
RATE
TAX DUE
(SHOW DETAIL BELOW)
1
.002
2
FORM
.002
MUST BE
SIGNED,
3
DATED
.002
AND
4
RETURNED
.002
5
.002
PLEASE COMPLETE AND SUBMIT REPORT.
NO TAX IS DUE IF GROSS SALES TOTAL LESS THAN
$5000.00.
LINE A – Total of Column 6
LINE B – Penalties
**PENALTIES
LINE B – penalty – 1 –30 days delinquent – 10% of tax due (minimum
LINE C - Overpayment
penalty $5.00); 31-60 days delinquent – 15% of tax due (minimum
penalty $10.00); 61 or more days delinquent – 20% of tax due
LINE D – Total Tax and Penalty
(minimum penalty $15.00).
(Remittance attached)
DEDUCTIONS
Detail of Column 3
Type of Deduction
Explanation
Amount
I do hereby affirm that information contained on this return
Complete this space if you are NO LONGER OPERATING
is complete and true.
Or if there has been a SALE OR TRANSFER
Date Discontinued
Signature of Licensee:
or
Name of New Owner
Date:
RETURN ORIGINAL
KEEP COPY
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Financial