Form Tc-5pc - Payment Coupon For Oil & Gas Conservation Fee
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1Utah State Tax Commission
Oil & Gas Conservation Fee Payment Coupon
TC-5PC
Rev. 5/12
Instructions
Save Time and Money Online
Make this payment online at taxexpress.utah.gov (see below).
File your returns and schedule payments using our FREE online
service, Taxpayer Access Point (TAP).
Or, send your payment coupon and payment to :
• File any time, day or night.
Utah State Tax Commission
• File early and schedule payments for the due date
210 N 1950 W
(e-check/ACH debit).
Salt Lake City, UT 84134-0550
• Get immediate confirmation.
Do not send a coupon if you paid electronically.
Check it out at taxexpress.utah.gov.
Separate and return only the bottom portion.
Payment Coupon for Oil & Gas Conservation Fee
TC-5PC
Rev. 5/12
Period Ending
O
Oil & Gas Cons. Fee Acct. ID
Print Form
G
C
Amount Paid:
Make check or money order payable to the Utah State Tax
Name of Filer
Commission. Do not send cash. Do not staple check to
this coupon. Remove stub from check.
Address
USTC use only
City
State
ZIP Code
Mail to: Utah State Tax Commission, 210 N 1950 W, SLC UT 84134-0550
Clear form
IMPORTANT: To protect your privacy, use the "Clear form" button when you are finished.
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Parent category: Financial