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City of Puyallup Telephone Business Report COMPANY NAME: FEDERAL TAX ID: CONTACT PERSON: ADDRESS: PHONE: REPORTING PERIOD: THROUGH INSTRUCTIONS: Please complete and return this form with remittance to the City of Puyallup, P.O. Box 84911, Seattle, WA 98124-6211. DUE DATE: As defined by Puyallup Municipal Code-Chapter 5.10, telephone business reports and payments are due 1/31, 3/31, 5/31, 7/31, 9/30, 11/30 for the preceding two-month period. Payments may be made on a basis also. Business Classification Gross Amount Deductions Taxable Amount Rate Tax Due Telephone Business 6.0% $ 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: REMIT TO: City of Puyallup P.O. Box 84911 Seattle, WA 98124-6211 Re v: 01/01/2024