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
B. Telephone business, competetive telephone services Pursuant 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