Form Cor - Public Rights-Of-Way Use Fee Quarterly Remittance

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RESET FORM
City of Newport News, Virginia
PUBLIC RIGHTS-OF-WAY USE FEE
QUARTERLY REMITTANCE
For assistance call (757) 926-8644 or fax
Along with this form, remit payment to:
us at (757) 247-2628. You may visit us at
Commissioner of the Revenue
our website at
Attn: COR - Related Tax Department
2400 Washington Avenue
Newport News, VA 23607-4389
Name of Company:
Address:
Federal ID Number:
City:
State:
Zip code:
Due Date: Two months after the end of each quarter in which the fee has been billed to ultimate end users as follows:
1st Quarter: Jan. - Mar., due May 31st
3rd Quarter: Jul. - Sept. due Nov. 30th
2nd Quarter: Apr. - June, due Aug. 31st
4th Quarter: Oct. - Dec. due Feb. 28th.
Please complete the following calculation for which you are remitting payment. Attach an itemized
listing of all deductions and additions to the total fees billed.
PUBLIC RIGHTS-OF-WAY USE FEE:
Newport News City Ordinance 5258-99
Code of Virginia §56-468.1
(includes definition of an access line).
Rates are as follows:
Effective July 1, 2011:
$0.83 per access line, per month
July 2010 thru June 2011: $0.89 per access line, per month
July 2009 thru June 2010: $0.89 per access line, per month
July 2008 thru June 2009: $0.72 per access line, per month
July 2007 thru June 2008: $0.67 per access line, per month
Month Billed to
Total Number of
End Users
access lines
Tax rate
Total Fees Billed
$__.__ __ per access line, per month
$
$__.__ __ per access line, per month
$
$__.__ __ per access line, per month
$
Deductions
$
Additions
$
$
TOTAL FEES REMITTED
I declare that the statements and figures herein given are true, full and
DECLARATION:
correct to the best of my knowledge and belief.
____________________________________
_____________________
SIGNATURE
DATE
____________________________________
(
)
TITLE
TELEPHONE NUMBER
COR
(Revised 2/11)

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