Sand City, CA · Monterey County

No notary required

Utility Users Tax Remittance Form

Utility service providers use this form to report taxable charges and remit utility users tax to the City of Sand City for a specific tax period.

What this form is

The form reports utility service charges and calculates the tax remittance owed to the City of Sand City. Utility service providers complete a separate form for each tax period, listing provider and billing agent details, service types, gross charges, deductions, adjustments, and payment calculations. It also asks for a signed declaration and contact information.

Who needs it

Utility service providers remitting utility users tax to Sand City need to complete a separate form for each tax period.

How to submit it

Remit the payment and completed form to the City of Sand City Finance Department at 1 Pendergrass Way, Sand City, CA 93955. Payment must be received by the 20th day of the following month.

About notarization

This form is signed without a notary; the signer declares the form and any attachments true and correct under penalty of perjury, then signs and dates it.

How to submit this form

  1. 1

    Download the Form

    Download the Utility Users Tax Remittance Form.

  2. 2

    Complete the Form

    Enter the provider and service details, tax period, charges, deductions, adjustments, and remittance calculations.

  3. 3

    Sign and Date

    Provide the signer’s printed name or title and phone number, then sign and date the declaration.

  4. 4

    Submit the Form and Payment

    Send both to the City of Sand City Finance Department at 1 Pendergrass Way, Sand City, CA 93955.

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 Sand City for a tax period.
How do I submit the Utility Users Tax Remittance Form?
Send the completed form and payment to the City of Sand City Finance Department at 1 Pendergrass Way, Sand City, CA 93955. Payment must arrive by the 20th day of the following month.
Do I need a notary for the Utility Users Tax Remittance Form?
No. The signer signs and dates the form and declares under penalty of perjury that the form and any attachments are true and correct.

Need something notarized?

This Utility Users Tax Remittance Form doesn’t need a notary — but if you have another Sand City form that does, a commissioned online notary can help.