Telephone Utility Tax Return Form
MONTHLY TELEPHONE UTILITY
TAX RETURN
BUSINESS INFORMATION
Company UBI/Account#
Filing Period (Taxes are due the last day of the subsequent month)
TAX REMITTANCE INFORMATION
Gross Revenues for Filing Period
Deductions (Please itemize below)
Taxable Amount
Tax Rate 6%
Total Tax Due
DEDUCTIONS SUMMARY (Spokane Valley Municipal Code 3.70.060)
Description Value
TOTAL DEDUCTIONS
The undersigned swears or affirms under penalty of perjury that the information herein is full and true and that
he/she knows the same to be so.
________________________________________
Signature
________________________________________
Name (Printed or Typed)
________________________________________
Date
Preparer Information:
Name Phone No.