Form Tc-71t - Transient Room Tax Return

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Utah State Tax Commission
TC-71T
Transient Room Tax Return
Rev. 1/98
Tax Period
Please correct any name
or address errors.
Return due on or before
Account Number
Use this number for all
references
Check box if AMENDED and enter
correct TAX PERIOD (above) being
amended.
THIS RETURN MUST BE FILED, EVEN IF NO TAX IS DUE
(1)
(2)
(3)
(4)
(5)
(6)
LOCALITY
NUMBER OF OUTLETS
TOTAL TAXABLE
TAX
CNTY/CITY
TAX DUE
$
IN EACH LOCALITY
CODES
CHARGES
RATE
$
Total Tax Due
$
Check here if payment is made by electronic funds transfer for TAX TYPE CODE 0401
I declare under the penalties provided by law that to the best of my knowledge this is a true and correct return.
Authorized Signature
Date
Telephone
Please return original; make a copy for your records.
71T.FRM Rev. 1/98
*
See instructions on back of page.

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