City of Fife, Washington

Utility Tax Return

For businesses providing services within the corporate limits of Fife, Washington

Please make checks Payable to:
City of Fife 5411 23^rd Street East
Fife, Washington 98424

Return Two Copies with Payment

Reporting Period:
Due last day of the following month

BUSINESS CLASSIFICATION	GROSS AMOUNT	DEDUCTION	TAXABLE AMOUNT	RATE	TAX DUE
A. Sale, delivery or distribution of natural gas and/or artificial gas for domestic, business or industrial consumpton Perusant to Ordinance 1238 effective October 1, 1996		$	$	4.5%	$
	No dollar signs or commas in the form please.

TAX DEDUCTIONS	TOTAL
Credit Losses & Uncollectibles		Total Tax Deductions	$
Interstate-Foreign Commerce		LATE PENALTIES DUE: RATE 12% FMC 3.60.070
Other		LATE PENALTIES DUE: RATE 12% FMC 3.60.070
Explanation		TOTAL TAX & PENALTY DUE	$

During this reporting period were your records audited by the State Dept of Revenue?

If yes, were additional Business and Occupation Taxes assessed?

I declare under the penalties of perjury that I have examined this return (including any accompanying schedules and statements) and to the best of my knowledge and belief, it is a true, correct and complete return.

Firm Name
First & Last Name
Title
Address
City
State
Zip Code
Date Business Discontinued (If applicable)
SALE OR TRANSFER shall include but not be limited to the following: The adding or dropping of a partner or partners, incorporating or discontinueing a business, sale to another person

Utility Tax Return

Utility Tax Return

Finance And Administration