Business And Occupation Tax - City Of Cosmopolis

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City of Cosmopolis
Mail original with your remittance. Retain copy for your files.
BUSINESS AND OCCUPATION TAX
Ordinance 699 - As Amended
For Detail Instructions in completing this return, refer to reverse side.
FOR CITY CLERK'S USE ONLY
1. Make remittance payable to:
CITY OF COSMOPOLIS
Ext. Checked: ______ Audit
2. Mail with return to:
Clerk-Treasurer, PO Box 2007
Remittance
Office ________
Cosmopolis, WA 98537
Checked: __________ Field _________
Business License Number
RETURN THIS COPY
Name
Address
City, State
SECTION 1: BUSINESS AND OCCUPATION TAX
Line
Column 1
Column 2
Column 3
Column 4
Column 5
Column 6
Column 7
No.
BUSINESS CLASSIFICATION
GROSS AMOUNT
DEDUCTIONS
TAXABLE AMOUNT
RATE
TAX DUE
DO NOT USE
1
Retail
0.002
2
Professional& Other Services
0.002
Wholesale
3
0.002
Manufacturing
4
0.002
Extracting
5
0.002
Construction Contractors
6
0.002
Telephone
7
0.06
Electricity
8
0.06
Refuse
9
0.06
SECTION II
9 Total Tax Due (add columns 6, lines 1 thru 8)
Exemption & Deduction Detail
10 Multiple Activities Tax Credit (See Section III)
(Column 3 above)
11 Adjusted Tax Due after Multiple Activities Tax Credit
12 Penalty Due
Line
Description
Amount
13 Previous Balance Due (or Credit)
14 Total Tax Due (Combine lines 10,11,12)
Total Deduction & Exemptions
SECTION III: MULTIPLE ACTIVITIES TAX CREDIT
Taxable Amount
Gross Receipts Taxes Paid
Tax Credit
Lesser of Col. 2 or 3 (Column
(Column 1)
Cosmopolis (Column 2)
Non-Cosmopolis (Column 3)
4)
A. Selling in Cosmopolis products extracted, manufactured, or
printed outside of Cosmopolis
B. Manufacturing in Cosmopolis products extracted outside of
Cosmopolis
Total Multiple Activities Tax Credit (Total of Column 4) report on Line 10 Above
The undersigned taxpayer declares that they has read the foregoing return and certifies it to be correct.
Dated this _________ day of _________________________, _______
Firm Name
For the Period: ____________________________________, _______
Signature
through:____________________________________, _______
Office or Title
YOUR RETURN MUST BE FILED REGARDLESS OF THE AMOUNT OF TAX.
Phone Number
DUE 15 DAYS AFTER EACH QUARTER. 12% PER ANNUM WILL BE ASSESSED IF UNPAID.

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