City of Puyallup
Utility Tax Report
COMPANY NAME:
FEDERAL TAX ID:
CONTACT PERSON:
ADDRESS:
PHONE:
REPORTING PERIOD:
INSTRUCTIONS:
DUE DATE:
Business Classification
THROUGH
Please complete and return this form with remittance to the City of Puyallup,
P.O. Box 84911, Seattle, WA 98124-6211.
As defined by Puyallup Municipal Code-Chapter 5.08, reports and payments
shall be due and payable in monthly installments. At the discretion of the
finance director, businesses may be assigned a quarterly or annual reporting
period depending on the tax amount owing or type of tax. Tax payments are
due on or before the last business day of the next month following the end of an
assigned reporting period covered by the return.
Gross Amount
Deductions
Taxable
Amount
Rate
Tax Due
Furnishing electricity & electrical energy
for lighting, heating, power & other
public purposes
2.2%
$
Carrying or furnishing natural or
manufactured gas for lighting, heating,
power & other public purposes
2.2%
$
Furnishing water or sewer service for
domestic or industrial purposes and
storm/surface water removal
8.0%
$
Furnishing garbage or refuse collection
service - Private
2.2%
$
Furnishing garbage or recycling service Public
2.2%
$
TAXES DUE
$
Tax Deductions
Credit Losses and Uncollectibles
Interstate - Foreign Commerce
Bad Debt
Other
Total Tax Deductions
$
$
$
$
$
TOTAL TAXES DUE:
$
I declare under the penalties of perjury that this return has been examined by me and to the best of my knowledge
and belief is a true, correct and complete return.
Signed:
Date:
Rev: 04/01/2016