Lompoc, CA · Santa Barbara County

No notary required

Cannabis Cultivation Operations Tax Remittance Form

Cannabis cultivation operators use this form to report monthly gross receipts, calculate tax and any penalties or interest, and remit payment to the City of Lompoc.

What this form is

The form is for cannabis cultivation operators to report a month’s gross receipts and calculate the tax due, any late-payment penalty, and interest. It asks for the operator’s name, license number, month, due and delinquent dates, payment calculations, and the license holder’s signature and contact details. The form says payment must be received or postmarked by the due date to avoid a penalty.

Who needs it

Cannabis cultivation operators submitting monthly tax remittance information and payment to the City of Lompoc need this form.

How to submit it

Remit payment to the City of Lompoc Treasurers Department at 100 Civic Center Plaza, Lompoc, CA 93436. Cash payments require an appointment by phone; checks do not, and must be received or postmarked by the due date.

About notarization

This form is signed and dated without a notary; the license holder declares under penalty of perjury that the statements are true and correct.

How to submit this form

  1. 1

    Download The Form

    Download the City of Lompoc Cannabis Cultivation Operations Tax Remittance Form.

  2. 2

    Complete The Form

    Enter the operator and license details, reporting month, gross receipts, tax calculation, and license holder contact information.

  3. 3

    Sign And Date

    The CCU license holder signs and dates the form and declares the statements are true and correct.

  4. 4

    Remit Payment

    Send payment to the Treasurers Department address on the form. Schedule an appointment for cash payments; checks do not require one.

Frequently asked questions

Do I need a notary for the Cannabis Cultivation Tax Remittance Form?
No. The license holder signs and dates the form without a notary and declares under penalty of perjury that the statements are true and correct.
Who uses this tax remittance form?
Cannabis cultivation operators use it to report monthly gross receipts, calculate the tax due and any penalty or interest, and remit payment to the City of Lompoc.
How do I submit the Cannabis Cultivation Tax Remittance Form?
Remit payment to the Treasurers Department at 100 Civic Center Plaza, Lompoc, CA 93436. Cash requires an appointment; checks do not and must be received or postmarked by the due date.

Need something notarized?

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