San Gabriel, CA · Los Angeles County
Utility Users Tax Remittance Form
Utility service providers use this form to report and remit San Gabriel utility users tax for a specific tax period.
What this form is
This form lets utility service providers report gross charges, deductions, adjustments, and net taxable charges for each tax period, then calculate the total remittance. Prepare a separate form for each period and send it to the City of San Gabriel Finance Department. The form states that taxes collected during a month must be received by the city by the 20th day of the following month.
Who needs it
Utility service providers collecting utility users tax in San Gabriel use this form to report charges and remit taxes for each tax period.
How to submit it
Mail the completed form and remittance to City of San Gabriel, Attn: Finance Dept. – UUT, 425 S Mission Drive, San Gabriel, CA 91776. The form says monthly taxes must be received by the 20th day of the following month.
About notarization
This form is signed without a notary; it includes a declaration under penalty of perjury, but states no notarized attachment or separate sworn step.
How to submit this form
- 1
Download The Form
Download the Utility Users Tax Remittance Form.
- 2
Complete The Form
Enter provider and utility service details, tax period, charges, deductions, adjustments, and remittance information.
- 3
Prepare Each Tax Period Separately
Complete a separate remittance form for each tax period; do not combine periods.
- 4
Sign And Date
Sign and date the declaration, and provide the requested contact information.
- 5
Mail To The City
Mail the form and remittance to the Finance Department address printed on the form.
Frequently asked questions
- Who uses the Utility Users Tax Remittance Form?
- Utility service providers use it to report charges and remit utility users tax to the City of San Gabriel for each tax period.
- How do I submit the Utility Users Tax Remittance Form?
- Mail it to the City of San Gabriel Finance Department, Attn: UUT, at 425 S Mission Drive, San Gabriel, CA 91776. The form says monthly taxes must be received by the 20th of the following month.
- Do I need a notary for the Utility Users Tax Remittance Form?
- No. The form is signed without a notary and includes a declaration under penalty of perjury; it states no notarized attachment or separate sworn step.
- Can I report multiple tax periods on one form?
- No. The form instructs providers to prepare a separate remittance form for each tax period and not combine periods.
Need something notarized?
This Utility Users Tax Remittance Form doesn’t need a notary — but if you have another San Gabriel form that does, a commissioned online notary can help.