State Public Utility Tax Addendum Form - January 2007

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January 2007
01 07
State Public Utility Tax
Addendum
Use Black Ink and Attach this Original Addendum to Your Return
Name ________________________________________________
Tax Registration Number
Water Distribution [60]
*
**
Gross Amount
Deductions Total from pg. 2
Taxable Amount
Tax Due
Rate
-
,
,
,
,
,
,
.
.
.
X
.
1.
=
.05029
Sewer Collection [61]
*
**
Gross Amount
Deductions Total from pg. 2
Taxable Amount
Tax Due
Rate
-
,
,
,
,
,
,
.
.
.
X
.
2.
=
.03852
Power [49]
*
**
Gross Amount
Deductions Total from pg. 2
Taxable Amount
Tax Due
Rate
-
,
,
,
,
,
,
X
.
.
.
.
3.
=
.03873
Gas Distribution; Telegraph [26]
*
**
Gross Amount
Deductions Total from pg. 2
Taxable Amount
Tax Due
Rate
-
,
,
,
,
,
,
.
.
.
X
.
4.
=
.03852
Motor Transportation; Railroad; Railroad Car [08]
*
**
Gross Amount
Deductions Total from pg. 2
Taxable Amount
Tax Due
Rate
-
,
,
,
,
,
,
X
.
.
.
.
5.
=
.01926
Urban Transportation; Vessels Under 65 Feet [12]
*
**
Gross Amount
Deductions Total from pg. 2
Taxable Amount
Rate
Tax Due
-
,
,
,
,
,
,
.
.
.
X
.
6.
=
.00642
Other Public Service Business [13]
*
**
Gross Amount
Deductions Total from pg. 2
Taxable Amount
Rate
Tax Due
-
,
,
,
,
,
,
X
.
.
.
.
7.
=
.01926
* Note: Deductions taken but not itemized on your Deduction Detail Sheet, on the reverse side, will be disallowed.
Total State Public Utility Taxes
8.
,
,
.
Reminder:
Attach this addendum to
(add tax due, lines 1-7)
your original return and
Add all Addendum totals and transfer the
**
(If taxable amounts on lines 1-7 total less
mail to the Department.
amount to the Total All Addendums line of
than $2,000, no public Utility Tax is due.)
your tax return.
For tax assistance, visit To inquire about the availability of this document in an alternate format for the visually impaired, please call (360) 705-6715. Teletype (TTY)
users may call 1-800-451-7985.
Internet/Fax
Page 1
(12-19-06)

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