Utah State Tax Commission
210 N 1950 W • Salt Lake City, UT 84134 • tax.utah.gov
TC-62W
62092
Miscellaneous Sales Taxes,
Rev. 6/12
Fees and Charges Return
Acct. #:
9998
Period:
FROM (mmddyyyy)
TO (mmddyyyy)
Return Due Date:
(mmddyyyy)
____
Check here if this is an AMENDED return. Enter
the correct TAX PERIOD (above) being amended.
IF YOU SELL THESE ITEMS, YOU MUST FILE
THIS RETURN, EVEN IF NO TAX IS DUE.
Before filling out this return, complete the worksheet (TC-62WW) to figure the amount(s) due.
Tax Type
Amount Due
USTC
USE
•
•
1. Waste Tire (enter the amount from line 3 of the worksheet) ..................................... 1
WT
•
•
2. Prepaid Disposable Cell Phones (enter the amount from line 6 of the worksheet) ... 2
CP
•
•
3. Lubricating Oil (enter the amount from line 11 of the worksheet) ............................. 3
LT
•
•
4. Multi-Channel Video/Audio Service (enter the amount from line 15 of the worksheet) 4
VA
•
•
5. Sexually Explicit Business (enter the amount from line 17 of the worksheet) ........... 5
SX
•
6. Total due with this return (add lines 1 through 5) .................................................. 6
Check here if payment is made by electronic
funds transfer for TAX TYPE CODE 0405.
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
USTC use only
Return the original form; make a copy for your records.
___________ 1D Barcode ___________