Ellensburg, WA · Kittitas County

No notary required

Utility Users Tax Form

Businesses use this form to report utility users tax information, including sales figures and tax due, to the City of Ellensburg.

What this form is

This form records a company's reporting period, FEIN, contact information, gross sales, tax-exempt sales, net sales subject to tax, and gross tax at the listed 6% rate. The form includes fields for the taxpayer and tax preparer to sign and date declarations that the information is true, complete, and accurate. It also provides the Finance Department's remittance address.

Who needs it

A company reporting utility users tax information to the City of Ellensburg can use this form to provide its business and tax figures.

How to submit it

Complete the form and remit it to the City of Ellensburg Finance Department, 501 N. Anderson Street, Ellensburg, WA 98926.

About notarization

This document is signed without a notary; the taxpayer and tax preparer sign and date their declarations.

How to submit this form

  1. 1

    Download The Form

    Download the Utility Users Tax Form PDF.

  2. 2

    Complete Company And Tax Details

    Enter the reporting period, company and contact information, sales figures, and gross tax.

  3. 3

    Sign And Date

    The taxpayer and tax preparer sign and date their declarations.

  4. 4

    Remit To The Finance Department

    Send the completed form to the City of Ellensburg Finance Department at 501 N. Anderson Street, Ellensburg, WA 98926.

Frequently asked questions

What information does the Utility Users Tax Form request?
It requests the reporting period, company and contact details, FEIN, tax identification number, gross sales, tax-exempt sales, net sales subject to tax, and gross tax.
Who completes the Utility Users Tax Form?
A company reporting utility users tax information to the City of Ellensburg can complete the form. It includes signature and date fields for both the taxpayer and tax preparer.
Do I need a notary for the Utility Users Tax Form?
No. This form is signed without a notary; the taxpayer and tax preparer sign and date their declarations.
How do I submit the Utility Users Tax Form?
Complete the form and remit it to the City of Ellensburg Finance Department at 501 N. Anderson Street, Ellensburg, WA 98926.

Need something notarized?

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