Blythe, CA · Riverside County

No notary required

Cannabis Business Activity Cultivation Tax Remittance Form

This form reports annual cultivation activity and tax for businesses operating under a City of Blythe permit, and accompanies the tax payment.

What this form is

Businesses operating with a City-issued permit under Chapter 5.10 of the BMC use this form to report cultivation area and calculate the tax, penalties, interest, and total remittance. The form says returns and payment are due annually at the end of January for the preceding calendar year, even when no tax is due. It requests business and owner contact details, reporting period, cultivation area, payment calculations, and an authorized signature.

Who needs it

A business with a City of Blythe permit subject to the cultivation tax uses this form to report its cultivation area and remit any tax due.

How to submit it

Send the completed tax remittance form and payment to City of Blythe, Attn: Finance Department, 235 N. Broadway, Blythe, CA 92225. The form asks cash payers to use best efforts to schedule an appointment in advance.

About notarization

This form is signed without a notary; the authorized signer declares under penalty of perjury that the return is true, correct, and complete.

How to submit this form

  1. 1

    Download The Form

    Download the Cannabis Business Activity Cultivation Tax Remittance Form.

  2. 2

    Complete The Return

    Enter business and owner details, reporting period, cultivation area, tax calculations, and authorized signer information.

  3. 3

    Calculate The Remittance

    Complete the applicable tax, penalty, and interest lines and determine the total amount due.

  4. 4

    Submit To The City

    Send the signed return and payment to the City of Blythe Finance Department at the address printed on the form.

Frequently asked questions

Do I need a notary for the Cannabis Cultivation Tax Remittance Form?
No. The form has no notary block. An authorized signer signs and dates it, declaring under penalty of perjury that the return is true, correct, and complete.
Who uses the Cannabis Cultivation Tax Remittance Form?
Businesses operating with a City-issued permit under Chapter 5.10 of the BMC use it to report cultivation area and remit the applicable tax.
How do I submit the Cannabis Cultivation Tax Remittance Form?
Send the form and payment to the City of Blythe, Attn: Finance Department, 235 N. Broadway, Blythe, CA 92225. The form advises cash payers to try to schedule an appointment in advance.
When are the cultivation tax return and payment due?
The form says returns and payment are due at the end of every January for the preceding calendar year. Returns must be filed even if no tax is due.

Need something notarized?

This Cannabis Business Activity Cultivation Tax Remittance Form doesn’t need a notary — but if you have another Blythe form that does, a commissioned online notary can help.