Blythe, CA · Riverside County

No notary required

Cannabis Business Activity Gross Receipts Tax Remittance Form

Blythe-permitted cannabis businesses use this form to report monthly gross receipts and remit the business tax to the City of Blythe.

What this form is

This form reports gross receipts and calculates the tax, penalties, interest, and total payment for a cannabis business operating under a City-issued permit. Businesses subject to the tax must file monthly, including when no tax is due, and report each license separately. The form asks for business and owner contact details, the reporting period, receipts by business activity, payment calculations, and an authorized signature.

Who needs it

Cannabis businesses operating with a City of Blythe-issued permit must file this monthly return for each license, even when no tax is due.

How to submit it

Send the remittance form and payment to the City of Blythe, Attn: Finance Department, 235 N. Broadway, Blythe, CA 92225. For cash payment, the form asks filers to make best efforts to schedule an appointment in advance.

About notarization

This document is signed without a notary; the authorized signer signs and dates a declaration under penalty of perjury, and no notarized attachment is specified.

How to submit this form

  1. 1

    Download The Form

    Download the Cannabis Business Activity Gross Receipts Tax Remittance Form.

  2. 2

    Complete The Return

    Enter business and owner details, the reporting period, receipts by activity, and the tax calculation.

  3. 3

    Sign And Date

    Have an authorized person sign and date the declaration under penalty of perjury.

  4. 4

    Send The Form And Payment

    Send the return and payment to the City of Blythe Finance Department at 235 N. Broadway, Blythe, CA 92225.

Frequently asked questions

Who files the Cannabis Business Activity Gross Receipts Tax Remittance Form?
Cannabis businesses operating with a City of Blythe-issued permit and subject to the gross receipts tax file this monthly return. A separate return is required for each license.
Do I need a notary for the Cannabis Business Activity Gross Receipts Tax Remittance Form?
No. The authorized signer signs and dates a declaration under penalty of perjury; the form does not specify a notarized attachment.
How do I submit the Cannabis Business Activity Gross Receipts Tax Remittance Form?
Send the form and payment to the City of Blythe, Attn: Finance Department, 235 N. Broadway, Blythe, CA 92225. For cash payment, make best efforts to schedule an appointment in advance.
Do I file a return if no tax is due?
Yes. The form says returns must be filed even if no tax is due. It also states that returns and payment are due monthly for the previous month's reporting period.

Need something notarized?

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