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City of Puyallup Utility Tax 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 5.08, reports and payments shall be due and payable in 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. Business Classification Gross Amount Deductions Taxable Amount Rate Tax Due Furnishing electricity & electrical energy for lighting, heating, power & other public purposes 6.0% $ Carrying or furnishing natural or manufactured gas for lighting, heating, power & other public purposes 6.0% $ Furnishing water or sewer service for domestic or industrial purposes and storm/surface water removal 8.0% $ Furnishing garbage or refuse collection service - Private 6.0% $ Furnishing garbage or recycling service - Public 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: Rev: 01/01/2024