Utility Tax Quarterly Report Form - City Of Burlington - State Of Washington

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CITY OF BURLINGTON
833 S. Spruce St. Burlington, WA 98233
(360) 755-0531
UTILITY TAX QUARTERLY REPORT
COMPANY NAME _______________________________________________________
ADDRESS _______________________________________________________________
QUARTERLY PERIOD ENDING _________________
LOCAL GROSS REVENUE $__________________
A) Telephone 3%
B) Electricity 3%
C) Water 3%
D) Central Heating Plant 3%
E) Natural Gas/Bottled Gas 3%
F) Telecommunication Business 6%
Deductions:
State Excise Taxes
$____________________
Burlington Franchise Taxes
$____________________
Total Deductions
$____________________
Taxable Income
$______________________X_________% of total tax due $_______________
th
Remittance shall be made on or before the 30
day of the month of the next succeeding end of the quarterly
th
th
th
th
period for which the tax accrues, that is on January 30
, April 30
, July 30
, and October 30
of each year.
I hereby affirm that the information provided on this form is complete and true.
Signature ________________________________
*****FOR OFFICE USE ONLY*****
Date tax return filed _________________________
By ______________________________

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