Business And Occupational Tax Report - City Of North Bend

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CITY OF NORTH BEND BUSINESS AND OCCUPATIONAL TAX REPORT
ALL BUSINESSES MUST FILE A BUSINESS AND OCCUPATIONAL TAX REPORT
Under City of North Bend Municipal Code Chapter 5.04, 5.05, & 5.06
BUSINESS ACCT NUMBER
You must pay business and occupational tax when the total of your quarterly taxable gross
receipts exceed the following levels for your business classification.
PERIOD
DUE DATE
CLASSIFICATION
QUARTERLY TAXABLE GROSS RECEIPTS
Utilities
$150.00
All Other Classifications
$5,000.00
NAME
PERIOD
DUE
PERIOD
DUE
ADDRESS
1 = JAN
2/28
7 = JUL
8/31
CITY, STATE, ZIP
2= FEB
3/31
8 = AUG
9/30
3 = MAR
4/30
9 = SEP
10/31
4 = APR
5/31
10 = OCT
11/30
5 = MAY
6/30
11 = NOV
12/31
6 = JUN
7/31
12 = DEC
1/31
COLUMN 1
COLUMN 2
COLUMN 3
COLUMN 4
COLUMN 5
COLUMN 6
BUSINESS
GROSS RECEIPT AMOUNT
DEDUCTIONS
TAXABLE AMOUNT
X RATE
TAX DUE
CLASSIFICATION
UTILITIES
1
.06
MANUFACTURING
2
.002
WHOLESALE
3
.002
RETAIL
4
.002
CONSTRUCTION REPAIR
5
.002
FINANCIAL INSTITUTIONS
6
.002
SERVICES
7
.002
NURSERY/SCHOOL/
8
.002
DAYCARE
OTHER
9
.002
LINE A – Total of Column 6
PENALTY:
LINE B - Penalty
1 to 30 days late ……..add 5% of tax due (minimum penalty $5.00)
31 to 60 days late …...add 15% of tax due (minimum penalty $5.00)
LINE C – Account Balance
61 to 90 days late …....add 25% of tax due (minimum penalty $5.00)
LINE D – Total Tax and Penalty
Type of Deduction
Explanation
Amount
Examples of the most common exemptions and deductions:
Liquor, beer, and wine sales
Manufacturing, selling, or distribution of motor vehicle fuel
Cash discounts taken by customers
Credit losses or bad debts sustained by customers
MAIL TAX RETURN TO: City of North Bend
MAKE CHECKS PAYABLE TO: City of North Bend
PO Box 896
North Bend, WA 98045
STATEMENT BY TAXPAYER
I/we hereby certify under the penalties of perjury that the sum above shown in the amount of tax for which I/we are liable for
the period above shown under and computed according to the provisions of this Ordinance. I/we further certify that the
information herein given and the amount of the tax liability herein reported are full and true and I/we know the same to be so.
SIGNED
DATE
BY
TITLE

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