Moses Lake, WA · Grant County
Quarterly Gambling Tax Return
Businesses use this form to report quarterly gambling receipts and tax due to the City of Moses Lake.
What this form is
Businesses use this return to report quarterly gambling activity and calculate tax due to the City of Moses Lake. It asks for business details, gross receipts, prize costs, net receipts, tax amounts, and Washington State Gambling Commission license information; the form says to attach the commission report for the same period.
Who needs it
A business reporting gambling activity in Moses Lake completes this return and provides its Washington State Gambling Commission report for the same period.
How to submit it
Return the original form with remittance payable to the Finance Department at 401 S. Balsam, Moses Lake, WA 98837.
About notarization
This document is signed without a notary; attach a copy of the Washington State Gambling Commission report for the same period, and sign and date the return.
How to submit this form
- 1
Download The Return
Download the Quarterly Gambling Tax Return PDF.
- 2
Complete The Form
Enter business details, quarterly gambling receipts, tax information, license details, and the preparer and officer signatures and dates.
- 3
Gather The Attachment
Attach a copy of the Washington State Gambling Commission report for the same period.
- 4
Submit The Return
Return the original form with remittance payable to the Finance Department at 401 S. Balsam, Moses Lake, WA 98837.
Frequently asked questions
- Who files the Quarterly Gambling Tax Return?
- Businesses reporting gambling activity to the City of Moses Lake use this return to provide quarterly receipts and tax information.
- What should I attach to the return?
- The form instructs filers to attach a copy of the Washington State Gambling Commission report for the same period.
- How do I submit the Quarterly Gambling Tax Return?
- Return the original form with remittance payable to the Finance Department at 401 S. Balsam, Moses Lake, WA 98837.
- Do I need a notary for the Quarterly Gambling Tax Return?
- No. This document is signed without a notary. Attach the commission report for the same period, then sign and date the return.
Need something notarized?
This Quarterly Gambling Tax Return doesn’t need a notary — but if you have another Moses Lake form that does, a commissioned online notary can help.