Modesto, CA · Stanislaus County

No notary required

Utility Users Tax Prepayment Form

Businesses use this form to list utility accounts and prepay the maximum Utility Users Tax for the calendar year.

What this form is

Businesses use this form when they wish to prepay the maximum Utility Users Tax for the calendar year, listed as $1,500 per individual utility account. It asks for business contact details, utility account names and numbers, prepayment amounts, a total check amount, and the signer’s signature, title, date, and telephone number.

Who needs it

A business that wants to prepay the maximum Utility Users Tax for one or more individual utility accounts should complete this form.

How to submit it

Mail the completed form with a check payable to City of Modesto Finance Dept. to P.O. Box 642, Modesto, CA 95353; reply by December 15.

About notarization

This document is signed without a notary; no notarized or sworn attachment is mentioned, so the signer signs and dates it.

How to submit this form

  1. 1

    Download The Form

    Download the Utility Users Tax Prepayment Form.

  2. 2

    Complete The Form

    Enter the business details, utility account names and numbers, amounts, and signer information.

  3. 3

    Prepare The Check

    Calculate the total and enclose a check payable to City of Modesto Finance Dept.

  4. 4

    Mail It To The City

    Mail the form and check to P.O. Box 642, Modesto, CA 95353. The form says to reply by December 15.

Frequently asked questions

Do I need a notary for the Utility Users Tax Prepayment Form?
No. This form is signed without a notary, and it does not mention a notarized or sworn attachment. The signer signs and dates the form.
How do I submit the Utility Users Tax Prepayment Form?
Mail the completed form and a check payable to City of Modesto Finance Dept. to P.O. Box 642, Modesto, CA 95353. The form says to reply by December 15.
What information does the form ask for?
It asks for business contact information, utility account names and numbers, amounts, a total check amount, and the signer’s signature, title, date, and telephone number.

Need something notarized?

This Utility Users Tax Prepayment Form doesn’t need a notary — but if you have another Modesto form that does, a commissioned online notary can help.