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Utah State Tax Commission
210 N 1950 W • SLC, UT 84134 •
TC-62E
Municipal Energy
Rev. 8/09
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. Taxable Amounts
4. Tax
5. Tax
6. Credit
7. Net Tax
(Tax paid to supplier)
Rate
Beaver County
.
.
.
.
Beaver City
01002 _ _ _ _ __ _ _ _ __
_ _ _
.0600 _ __ _ _ _ _ _ _
_ _ _
_ _ _ _ _ _ _ _ _
_ _ _
_ _ _ _ __ __ _
_ __
Box Elder County
.
.
.
Brigham
02017
_ _ _ _ _ _ _ __ _ _ ._ _ _
.0225 __ _ _ _ _ _ _ _
_ _ _
_ _ _ _ _ _ _ _ _
_ _ _
_ _ _ __ __ _ _
_ __
.
.
.
Tremonton
02113
_ _ _ _ _ _ _ __ _ _ ._ _ _
.0600 __ _ _ _ _ _ _ _
_ _ _
_ _ _ _ _ _ _ _ _
_ _ _
_ _ _ __ __ _ _
_ __
Cache County
.
.
.
Hyrum
03033
_ _ _ _ _ __ _ _ _ _ ._ _ _
.0600 _ __ _ _ _ _ _ _
_ _ _
_ _ _ _ _ _ _ _ _
_ _ _
_ _ _ _ __ __ _
_ __
.
.
.
Logan
03038
_ _ _ _ _ __ _ _ _ _ ._ _ _
.0600 _ __ _ _ _ _ _ _
_ _ _
_ _ _ _ _ _ _ _ _
_ _ _
_ _ _ _ __ __ _
_ __
.
.
.
Richmond
03059
_ _ _ _ _ __ _ _ _ _ ._ _ _
.0600 _ __ _ _ _ _ _ _
_ _ _
_ _ _ _ _ _ _ _ _
_ _ _
_ _ _ _ __ __ _
_ __
.
.
.
Smithfield
03062
_ _ _ _ _ __ _ _ _ _ ._ _ _
.0600 _ __ _ _ _ _ _ _
_ _ _
_ _ _ _ _ _ _ _ _
_ _ _
_ _ _ _ __ __ _
_ __
Carbon County
.
.
.
Price
04035
_ _ _ _ _ __ _ _ _ _ ._ _ _
.0600 _ __ _ _ _ _ _ _
_ _ _
_ _ _ _ _ _ _ _ _
_ _ _
_ _ _ _ __ __ _
_ __
Davis County
.
.
.
Bountiful
06004
_ _ _ _ _ __ _ _ _ _ ._ _ _
.0600 _ __ _ _ _ _ _ _
_ _ _
_ _ _ _ _ _ _ _ _
_ _ _
_ _ _ _ __ __ _
_ __
Continued next page.
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-62E_1.ai Rev. 11/07
MUNICIPAL ENERGY RETURN — TC-62E
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.
Detach check stub.
UTAH STATE TAX COMMISSION
SALES TAX - MUNICIPAL ENERGY
210 N 1950 W
SLC UT
84134-3500