Admission Tax Return -City Of Kent

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CITY OF KENT
ADMISSIONS TAX RETURN
Date: _______________________
Name/Organization
Mailing Address
Form of Entertainment
Reporting Period
From:
To:
Location of Event
Tickets Sold or Admissions Charged During Reporting Period:
Beginning #
Ending #
Send check payable to:
See back of this form for instructions. Refer to
FINANCE CUSTOMER SERVICES
Sections 4 and 5 under Admission Charge if
CITY OF KENT
activity or rental fees are charged IN ADDITION
220 FOURTH AVENUE SOUTH
TO entry or admission fees.
KENT, WASHINGTON 98032-5895
Please direct questions to the Financial Planning
ENTER EACH ITEM SEPARATELY
Division at (253) 856-5266
(a)
(b)
(c)
(d)
Gross Price
Number of
Type of Admission
Per Admission
Admissions
Gross
Total
(excludes tax)
Sold
Receipts
Tax Due
(Column a - b)
(Column a x b) (Column c x 5%)
Regular Admissions
TOTAL TAX
PENALTIES (KMC 3.26.060)
TOTAL REMITTANCE
SEE INSTRUCTIONS ON BACK OF FORM
I hereby certify under penalty of perjury that I am duly authorized
FOR CITY USE ONLY
to provide the above information and that the information on this
return is true and correct to the best of my knowledge
Account Code: _________________
Signature of Person Preparing Return
Date
Class Item No: _________________
Returned Prepared By and Position (please print)
Phone Number
E-mail Address

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