City Of Auburn Tax Return Form

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CITY OF AUBURN TAX RETURN
All persons, firms, or corporations operating a business within the city limits of the city of Auburn are required to
obtain a business license from the Planning Department. Businesses which engage in certain activities within the city
limits of Auburn may be subject to local taxation. If your business conducts gambling activities, collects admissions,
or provides utility services such as natural or manufactured gas, electricity, telephone or cable television, you are
required to obtain a City of Auburn Business License and report and remit taxes collected as provided below.
REPORTED FOR
BUSINESS LICENSE
YEAR:
MONTH/QUARTER OF:
NO:
BUSINESS NAME:
ADDRESS:
Street
City
State
Zip Code
TELEPHONE:
PREPARED BY:
LESS
TOTAL
TYPE OF TAX
GROSS
ALLOWABLE
TAXABLE
TAX
TAX
REVENUE
DEDUCTIONS
REVENUE
RATE
REMITTED
Pursuant to Chapter 3.80, Auburn City Code
GAMBLING
*Change from 5% of gross revenue to 10% of gross receipts less the amount awarded as cash
or merchandise prizes effective 2/27/2012 per Ordinance 6398
Bingo/Raffle
0.05
Punchboard*
0.10
Pull tabs*
0.10
Card room
0.12
Amusement
Game
0.02
Pursuant to Chapters 3.41, 3.42, 3.84, 3.88 and 13.36, Auburn City Code
UTILITY
Gas
0.06
Electric
0.06
Telephone
0.06
Cable TV
0.06
Solid Waste
0.07
Pursuant to Chapter 3.52, Auburn City Code
ADMISSIONS
NUMBER OF
TOTAL
PRICE OF EACH
TAXABLE
TAX
ADMISSIONS
TAX
TYPE
ADMISSION
REVENUE
RATE
SOLD
REMITTED
Adult
.05
Child
.05
Senior
.05
Other
.05
TOTAL
TAX DUE
I, ____________________________________________ (Name)____________________________ (Title)
Of ___________________________________________ (Name of Business), certify under penalty or
perjury under the laws of the state of Washington, that I am duly authorized to provide the above
information and that the above information is true and correct.
_____________
_________________________________
__________________________
(Date)
(Signature)
(City & State)
Revised July 1, 2012

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