Modesto, CA · Stanislaus County
Application for Utility Users Tax Refund
This application lets utility account holders request a refund when they have paid more than $1,500 in utility user tax during a calendar year.
What this form is
This form requests a refund of utility user tax paid in excess of $1,500 on a utility account during a calendar year. Applicants provide contact and service details, utility account numbers, claimed amounts, and monthly billing information on the attached worksheet. The application says the refund period is 12 months in arrears from receipt of the request and requires copies of utility bills.
Who needs it
An applicant seeking a refund must have paid more than $1,500 in utility user tax on a utility account during a calendar year.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This application is signed and dated without a notary; it asks for no notarized or sworn attachment, only copies of utility bills.
How to submit this form
- 1
Download The Application
Download the Utility Users Tax Refund Application and its attached worksheet.
- 2
Complete The Application
Enter applicant and service details, utility account numbers, claimed amounts, and monthly billing information.
- 3
Gather Supporting Documents
Attach copies of utility bills and any additional worksheet sheets needed.
- 4
Sign And Submit
Certify, sign, and date the application, then submit it to the city department named on the form.
Frequently asked questions
- Do I need a notary for the Utility Users Tax Refund Application?
- No. The application is signed and dated without a notary, and it asks for copies of utility bills rather than a notarized or sworn attachment.
- Who may qualify for a utility user tax refund?
- The application says the applicant must have paid more than $1,500 in utility user tax on a utility account during a calendar year.
- What documents should I attach?
- Attach copies of utility bills. The form also asks applicants to complete the attached worksheet with monthly billing information and summarize the information on the application.
- How do I submit the application?
- The form does not give submission instructions. Submit it to the city department named on the form; check the city website for current contact details.
Need something notarized?
This Application for Utility Users Tax Refund doesn’t need a notary — but if you have another Modesto form that does, a commissioned online notary can help.