Artesia, CA · Los Angeles County

No notary required

Cannabis Business Tax Remittance Form

Cannabis businesses use this form to report taxable gross receipts for a tax period and submit their tax calculation and payment to the City of Artesia.

What this form is

This form reports a cannabis business’s gross receipts, adjustments, taxable receipts, and tax due for a reporting quarter. The city says filings are due by the last day of the month following the quarter; the form calculates penalties and interest for late payments and asks for business and permit details, a signature, and supporting documentation for adjustments.

Who needs it

A person engaged in cannabis business within the City of Artesia uses this form to report and remit the cannabis business tax.

How to submit it

Submit the completed form and payment to the City of Artesia Finance Department, Cannabis Business Tax, 18747 Clarkdale Ave., Artesia, CA 90701, by the due date.

About notarization

This document is signed and dated without a notary; the signer declares the information and accompanying documentation true, correct, and complete under penalty of perjury.

How to submit this form

  1. 1

    Download the Form

    Download the Cannabis Business Tax Remittance Form.

  2. 2

    Complete Business Information

    Enter the business name, business license number, tax period, cannabis permit number, and address.

  3. 3

    Calculate and Sign

    Complete the tax calculation, select the late-payment option if applicable, then sign and date the form.

  4. 4

    Gather and Submit

    Attach itemized, documented adjustments and submit the completed form and payment to the City of Artesia Finance Department by the due date.

Frequently asked questions

Who uses the Cannabis Business Tax Remittance Form?
A person engaged in cannabis business within Artesia uses the form to report gross receipts and calculate the tax due for a reporting quarter.
How do I submit the Cannabis Business Tax Remittance Form?
Submit the completed form and payment to the City of Artesia Finance Department, Cannabis Business Tax, 18747 Clarkdale Ave., Artesia, CA 90701, by the due date.
Do I need a notary for the Cannabis Business Tax Remittance Form?
No. The form has a signature and date field and a declaration under penalty of perjury; it does not contain a notary block.