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CITY OF REDMOND City Cashier, MS: 2SPL PO Box 97010 Redmond, WA 98073-9710 (425) 556-2144 UTILITY TAX RETURN Within the Corporate Limits of the City Business Name Address Business License # RED Telephone email address Tax is due by 5 pm on or before the last day of each month in which the tax was accrued, after which penalties apply. Submit original return with payment made payable to the City of Redmond. (Redmond Municipal Code 5.44.060 and 5.48.010) This report is for the month ending 1. Gross revenue $ 2. Deductions 3. Taxable Revenue (line 1 minus line 2) 4. Tax @ 6.0% of line 3 TOTAL DUE $ 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