Form Tc-61e - Municipal Energy - Sales And Use Tax Return - Utah State Tax Commission
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Utah State Tax Commission
210 N 1950 W • SLC, UT 84134 •
TC-61E
Municipal Energy
Rev. 12/05
Sales and Use Tax Return
Account Number
Start below this line. Enter your company name and address.
Use this number for
all references
Tax Period
Return due on or before
Check box if AMENDED and enter correct
THIS RETURN MUST BE FILED,
TAX PERIOD being amended above.
EVEN IF NO TAX IS DUE.
1. Locality
2. Code 3. Quantity
4.Taxable Amount
5. Tax Rate
6. Tax
7. Credit
8. Net Tax
(Tax paid to supplier)
I declare under the penalties provided by law that to the
Total Tax
best of my knowledge this is a true and correct return.
Seller Discount, if applicable
(see instructions)
Net Tax Due
Please remit this amount
Authorized Signature
Date
Telephone
Check here if remitting payment by EFT
Use TAX TYPE CODE 0406.
Return ENTIRE form, coupon and payment to the address below. Please return original; make a copy for your records.
Refold the form so the Tax Commission address appears in the envelope window. If coupon becomes separated from form, do not reattach.
TC-61E_1.ai Rev. 12/05
MUNICIPAL ENERGY RETURN — TC-61E
Amount
Federal ID Number
Filing Period
Due Date
Paid
Make check or money order payable to the Utah State Tax Commission.
Do not send cash. Do not staple check to this coupon.
Business name:
Detach check stub.
IMPORTANT: To protect your privacy, use the "Clear form" button when you are finished.
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UTAH STATE TAX COMMISSION
SALES TAX - MUNICIPAL ENERGY
Print Form
210 N 1950 W
SLC UT
84134-3500
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