Do I need a notary for the Cannabis Retail Operations Tax Remittance Form?

No. The form has no notary block; the signer signs and dates it and declares the statements true under penalty of perjury.

How do I submit the Cannabis Retail Operations Tax Remittance Form?

Remit payment to the City Treasurer’s Department at 100 Civic Center Plaza, Lompoc, CA 93436. Cash payments require an appointment; checks do not.

What information does the tax remittance form ask for?

It asks for the operator’s name, month covered, CCU license number, non-medical gross receipts, payment calculations, and the license holder’s signature and contact details.

Lompoc, CA · Santa Barbara County

No notary required

Cannabis Retail Operations Tax Remittance Form

Cannabis retail operators use this form to report monthly non-medical gross receipts and remit tax, penalties, and interest due to the City of Lompoc.

What this form is

This form is for reporting monthly non-medical gross receipts and calculating tax due, any 25% penalty, and daily accrued interest for cannabis retail operations. Operators provide their CCU license number, the month covered, due and delinquent dates, and contact details, then sign and date the declaration. The form directs payment to the City Treasurer’s Department and says payment must be received or postmarked by the due date to avoid penalty.

Who needs it

Cannabis retail operators use this form to report monthly non-medical gross receipts and remit the tax due to the City of Lompoc.

How to submit it

Remit payment to the City of Lompoc Treasurer’s Department, 100 Civic Center Plaza, Lompoc, CA 93436. Cash payments require an appointment at (805) 875-8239 or (805) 875-8257; checks do not require an appointment.

About notarization

This document is signed without a notary; the signer declares the statements true under penalty of perjury and signs and dates the form.

How to submit this form

1
Download The Form
Download the Cannabis Retail Operations Tax Remittance Form.
2
Complete The Form
Enter the operator and license details, month covered, gross receipts, tax calculation, and signer information.
3
Sign And Date
The CCU license holder signs and dates the declaration that the statements are correct and true.
4
Remit Payment
Send payment to the City Treasurer’s Department. Cash payments require an appointment; checks do not.

Frequently asked questions

Do I need a notary for the Cannabis Retail Operations Tax Remittance Form?: No. The form has no notary block; the signer signs and dates it and declares the statements true under penalty of perjury.
How do I submit the Cannabis Retail Operations Tax Remittance Form?: Remit payment to the City Treasurer’s Department at 100 Civic Center Plaza, Lompoc, CA 93436. Cash payments require an appointment; checks do not.
What information does the tax remittance form ask for?: It asks for the operator’s name, month covered, CCU license number, non-medical gross receipts, payment calculations, and the license holder’s signature and contact details.

Need something notarized?

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