Solid Waste Collection User'S Tax Return Form Municipality Of Woodinville
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1Solid waste collection USER’S TAX RETURN
MUNICIPALITY OF WOODINVILLE
Name of Jurisdiction:
City of Woodinville
rd
17301 133
Avenue NE
Woodinville, WA 98072-8563
Taxpayer Name:
Address:
City:
State:
ZIP:
Phone: (
)
Fax: (
)
Return for the month of: _________________________________________________
Gross Income
________________
Deductions
- ________________
Taxable Income
= ________________
Tax Rate
x 4.00%
Total Remittance
= ________________
Taxpayer’s Verification of Tax Return and Payment:
I, the undersigned, do hereby certify that the information set forth in this return is true and
accurate, to the best of my knowledge and belief, and that the amounts shown were taken from
the records of the business for which this return is made.
Date_______________________ Signed___________________________________________
Y:\Pdfwork\Manual\WA\Utility Tax Return for Solid Waste.doc
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