Form Tc-62e - Municipal Energy Sales And Use Tax Return (2011)
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Utah State Tax Commission
210 N 1950 W • SLC, UT 84134 •
TC-62E
Municipal Energy
Rev. 5/11
Sales and Use Tax Return
Account Number
Start below this line. Enter your company name and address.
Use this number for
all references
Tax Period
Return due on or before
Check box if AMENDED and enter correct
THIS RETURN MUST BE FILED,
TAX PERIOD being amended above.
EVEN IF NO TAX IS DUE.
1. Locality
2. Code
3. Delivered 4. Taxable Amounts 5. Tax
6. Tax
7. Credit
8. Net Tax
(Tax paid to supplier)
Volume
Rate
.
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Total Tax: ________
__
.
Seller Discount, if applicable: _ _______
__
(see instructions)
•
.
Net Tax Due: _ _______
__
Pay this amount.
Check here if paying by EFT:
Use TAX TYPE CODE 0406.
I declare under the penalties provided by law that, to the best of my knowledge, this is a true and correct return.
_ _______________________ _____
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Authorized Signature
Title
Date
Telephone
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