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CITY OF REDMOND City Cashier, MS: 2SPL PO Box 97010 Redmond, WA 98073-9710 (425) 556-2144 ADMISSIONS TAX RETURN Within the Corporate Limits of the City Business Name Address Business License # RED Telephone email address Redmond Municipal Code 3.28.030 imposes a tax of 5% of the amount paid for admission. Tax is due in the Finance Department by 5 pm on or before the last day of each April, July, October and January, after which penalties apply. Submit original return with payment made payable to the City of Redmond. This report is for the quarter ending 20 Type of Admission* Number of Admissions Sold Price of Each Admission Total Admissions Tax Rate Tax Due Senior Citizen 5% Adult 5% Student 5% Child 5% Matinee 5% Other 5% SUBTOTALS 5% Add applicable penalty** GRAND TOTAL DUE $ *Admissions tax is charged on theaters, dinner theaters, carnivals, circuses, amusement activities, shows, exhibitions, public dances, swimming pools, bowling alleys, skating rings, sporting events, golf and any other events charging admission fees, either in the form of membership fees or charges for the privilege of using a particular area. **Penalties applicable for late returns: 1-15 days late: 10% of total tax due, minimum of $10.00 over 15 days late: 15% of total tax due, minimum of $10.00 If the admission charge is of a temporary or transitory nature as from a transient theater, circus, show, exhibition, entertainment or amusement, remittance of the tax is due immediately at the conclusion of the performance or series of performances. I declare under the penalties of perjury that this return (including any accompanying schedules and statements) has been examined by me and to the best of my knowledge and belief is a true, correct and complete return. Signature of Applicant Title Printed Name Date