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City of Puyallup Admission Tax Report COMPANY NAME: FEDERAL TAX ID: CONTACT PERSON: ADDRESS: PHONE: EVENT NAME: EVENT DATE: EVENT LOCATION: INSTRUCTIONS: In accordance with Puyallup Municipal Code Chapter 5.40, the admissions tax is five percent on all paid admission for any event held within the City of Puyallup. Please complete and return this form with remittance to the City of Puyallup, P.O. Box 84911, Seattle, WA 98124-6211. DUE DATE: Admission taxes are due at the conclusion of the event. The Puyallup Municipal Code is available online at www.cityofpuyallup.org . PENALTY: Admission tax is due at the conclusion of the event. Failure to pay the admission tax within thirty days of the event will result in a penalty of 5% per month. ADMISSION TAX CALCULATION ADMISSION TYPE TICKET PRICE NUMBER OF TICKETS SOLD TOTAL SALES (A X B = C) TAX DUE (C X Example: Adult $5.00 2,000 $10,000.00 $500.00 PENALTY (IF ANY): $ TOTAL TAXES DUE: $ I hereby certify that the above Statement of Admission Tax is a true and complete record of the transactions which occurred. Signed: Date: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 0.00