Daly City, CA · San Mateo County
Utility Users Tax Remittance Form
Utility service providers use this form to report taxable charges, calculate utility users tax, and remit payment to Daly City.
What this form is
Utility service providers use this form to report utility users tax for a covered tax period and remit payment to Daly City. It asks for provider and billing agent information, the utility service type, gross charges, deductions and adjustments, and calculations of net taxable charges, tax, penalties, interest, and total remittance. Payment must be received by the City by the twentieth day of the following month.
Who needs it
Utility service providers remitting utility users tax to Daly City should complete this form for each tax period.
How to submit it
Remit the completed form and payment to Daly City Accounts Receivables, 333 - 90 Street, Daly City, CA 94015-1895. Payment must be received by the twentieth day of the following month.
About notarization
This document is signed and dated without a notary; it includes a certification that the information supplied is true and accurate, but no notarized attachment or sworn step.
How to submit this form
- 1
Download The Form
Download the Utility Users Tax Remittance Form.
- 2
Complete Provider Information
Enter provider and billing agent information, select the utility service type, and identify the tax period covered.
- 3
Calculate The Remittance
Report gross charges, deductions, and adjustments, then complete the tax, penalty, interest, and total remittance calculations.
- 4
Sign And Date
Certify that the supplied information is true and accurate, then sign and date the form.
- 5
Remit To The City
Send the form and payment to Daly City Accounts Receivables at the address printed on the form by the stated due date.
Frequently asked questions
- What is the Utility Users Tax Remittance Form for?
- Utility service providers use it to report charges and adjustments, calculate utility users tax, and remit payment to Daly City for a tax period.
- Who should complete this form?
- The form is for utility service providers remitting utility users tax. It requests provider details, utility service type, tax period, charges, adjustments, and payment calculations.
- Do I need a notary for the Utility Users Tax Remittance Form?
- No. The form has a certification and signature line but no notary block; the signer just signs and dates it.
- How do I submit the Utility Users Tax Remittance Form?
- Remit it to Daly City Accounts Receivables at the address printed on the form. Payment must be received by the twentieth day of the following month.
Need something notarized?
This Utility Users Tax Remittance Form doesn’t need a notary — but if you have another Daly City form that does, a commissioned online notary can help.