Form Tc-29 - Emergency Services Telephone Fee Return Instructions printable pdf download

Em er gency Ser vi ces Tel ephone Fee Ret ur n I nst r uct i ons

Li ne 1 Ent er t he num ber of t ot al t axabl e l i nes subj ect t o t he 911

These f ees ar e i n addi t i on t o ot her t axes and f ees. The f ees ar e

em er gency f ee and i dent i f y t hem as r adi o and/ or l and. These

r equi r ed on bot h l ocal exchange ser vi ce swi t ched access l i ne and

t ot al s m ust agr ee wi t h t he t ot al s of det ai l bei ng subm i t t ed on

r evenue- pr oduci ng r adi o com m uni cat i ons access l i nes as def i ned i n

t he suppl em ent al schedul e ( TC- 29Q ) . Ent er t he dol l ar

Ut ah Code Ann. Sect i on 69- 2- 5.

am ount t o be r em i t t ed. .

Com pl et e and f i l e t hi s r et ur n al ong wi t h t he r equi r ed 911 suppl em ent al

Li ne 2 Ent er t he num ber of t ot al t axabl e l i nes subj ect t o t he poi son

schedul e ( TC- 29Q ) wi t h t he Ut ah St at e Tax Com m i ssi on t o t he addr ess on

cont r ol f ee and i dent i f y t hem as r adi o and/ or l and. Appl y t he

t he f r ont of t he coupon by t he l ast day of t he m ont h f ol l owi ng t he cal endar

r at e t o t he t ot al l i nes and ent er t he am ount t o be r em i t t ed.

m ont h i n whi ch t he f ee i s bi l l ed.

Li ne 3 Add t he am ount s on l i nes 1 and 2 and ent er t he t ot al on t hi s

I f you have quest i ons r egar di ng t he Em er gency Ser vi ces Tel ephone Fee

l i ne.

Ret ur n, pl ease cal l ( 801) 297- 2200 or ( 800) 662- 4335.

Li ne 4 Adj ust m ent s m ay be m ade f or bad debt s and cancel ed

I f you need an accom m odat i on under t he Am er i cans wi t h Di sabi l i t i es Act ,

ser vi ces upon whi ch t he f ee has been r epor t ed and pai d i n

cont act t he Tax Com m i ssi on at ( 801) 297- 3811 or TDD 297- 2020. Pl ease

f ul l by ser vi ce pr ovi der s t o t he Tax Com m i ssi on. I n t he case

al l ow t hr ee wor ki ng days f or a r esponse.

of cancel ed ser vi ces, a r ef und or cr edi t f or t he f ee m ust be

gi ven t o t he pur chaser bef or e t he pr ovi der m ay t ake an

adj ust m ent . The adj ust m ent am ount al l owed i s t he t ot al

PLEASE RETURN O RI G I NAL TO ADDRESS O N FRO NT

em er gency ser vi ces t el ephone f ees char ged of f as bad debt

or cancel ed ser vi ces, pl us r ecover i es m ade on t he bad

RETAI N PHO TO CO PY FO R YO UR RECO RDS

debt s.

29. FRM Rev. 7/ 03

Land

Radi o

Tot al

Access

Li nes

Rat e

Am ount

Em er gency Ser vi ces Tel ephone Fee Ret ur n - TC- 29

1. 911 Em er gency Ser vi ces

2. Poi son Cont r ol

. 07

Fed. I D Num ber

Fi l i ng Per i od

Due Dat e

3. Subt ot al

I decl ar e under penal t y of per j ur y t hat t o t he best of m y knowl edge and

4. Adj ust m ent s

bel i ef t hi s i nf or m at i on i s cor r ect and com pl et e.

5. Tot al f ees due

Aut hor i zed Si gnat ur e

Check her e i f f unds ar e r em i t t ed by EFT. Use EFT code 0407.

Dat e

Tel ephone

UTAH STATE TAX COMMISSION

EMERGENCY SERVICES FEE RETURN

210 N 1950 W

SLC UT

84134-3500

Form Tc-29 - Emergency Services Telephone Fee Return Instructions

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