Lompoc, CA · Santa Barbara County

No notary required

Cannabis Manufacturing Tax Remittance Form

Cannabis manufacturing operators use this form to report monthly gross receipts and remit estimated tax to the City of Lompoc.

What this form is

This form lets cannabis manufacturing operators calculate and report monthly tax due based on gross receipts, an estimated tax rate, and any applicable penalty or interest. It asks for operator and license information, prior fiscal year and current-month receipts, payment details, and a signature. The form includes a declaration under penalty of perjury and notes that the estimated rate may be adjusted based on actual fiscal year receipts.

Who needs it

Cannabis manufacturing operators who need to report monthly gross receipts and remit tax to the City of Lompoc should complete this form.

How to submit it

Remit the form to the Treasurer's Department at 100 Civic Center Plaza, Lompoc, CA 93436. The form says to remit payment to the Treasurer's Department.

About notarization

This document is signed without a notary; it includes a declaration under penalty of perjury, but names no separate notarized or sworn attachment.

How to submit this form

  1. 1

    Download the Form

    Download the Cannabis Manufacturing Tax Remittance Form.

  2. 2

    Complete the Form

    Enter operator and license information, receipts, tax calculations, and the requested payment details; sign and date it.

  3. 3

    Gather Attachments

    The form does not specify any required attachments.

  4. 4

    Submit to the City

    Remit the form to the Treasurer's Department at 100 Civic Center Plaza, Lompoc, CA 93436.

Frequently asked questions

What is the Cannabis Manufacturing Tax Remittance Form for?
Cannabis manufacturing operators use it to report gross receipts and calculate monthly tax due, including any applicable penalty or interest.
Do I need a notary for the Cannabis Manufacturing Tax Remittance Form?
No. The form is signed without a notary. It includes a declaration under penalty of perjury but lists no separate notarized or sworn attachment.
How do I submit the Cannabis Manufacturing Tax Remittance Form?
Remit it to the Treasurer's Department at 100 Civic Center Plaza, Lompoc, CA 93436, as stated on the form.

Need something notarized?

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