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MAIL TAX RETURNS TO: City of Everett <br /> CITY OF EVERETT LOCKBOX <br /> POBOX 94430 MULTI-PURPOSE TAX RETURN z- ' 7 <br /> 4th Quarter or Annual Filing <br /> SEATTLE, WA 98124-6730 <br /> For more information visit: Date Due Reporting Period Account# <br /> everettwa.gov/businesstax Ending <br /> MM/DD/YYYY <br /> Or contact City of Everett Tax Division: 1/31/2019 12/31/2018 58630 <br /> businesstax@everettwa.gov or <br /> 425-257-8610 <br /> AVATAR ELECTRIC NOV 0 6 2019 <br /> 14726 MANOR WAY <br /> LYNNWOOD WA 98087 CITY OF EVERETT <br /> City Clerk <br /> Section 1: Business&Occupation Tax—WORLDWIDE GROSS RECEIPTS <br /> Line# Column 1 Code Column 2 Column 3 Column 4 Column 5 Column 6 <br /> Tax Classification Gross Receipts Deductions*Sch.D Taxable Receipts Tax Rate Tax Due <br /> 1 Wholesaling 02, Q C7 C.7 0.001 <br /> 2 Retailing/Retail Services 03 0.001 <br /> 3 Service&Other(Not Apportioned) 06 0.001 <br /> 4 Service&Other(Apportioned) 12_ Use Schedule A-------------------* 0.001 <br /> 5 Manufacturing/Processing for Hire 01 0.001 <br /> 6 Printing/Publishing 04 0.001 <br /> 7 Extracting/Extracting for Hire 11 0.001 <br /> 8 Less Multiple Activities Tax Credit* 20 Use Schedule C---------------------------- --- ----)0- <br /> 9 <br /> ---►9 Taxable Receipts Subtotal------------------------------------------ * Subtotal <br /> (If taxable receipts are less than or equal to$5,000 for quarterly filers or$20,000 for annual filers,then no Gross Receipts Tax is due) <br /> Section 2: Utility Taxes (Due Monthly) <br /> 10 Telephone 40` 0.060 <br /> 11 Natural Gas42" 0.060 <br /> 12 Electricity 43 0.060 <br /> 13 Cable TV 44' 0.060 <br /> 14 Garbage 46 0.060 <br /> 15 Utility Tax Subtotal --- * Subtotal <br /> Section 3: Other Taxes(Due Quarterly) <br /> 16 Amusement Games .60 0.020 <br /> 17 Pull Tabs/Punch boards 61 0.040 <br /> 18 Bingo 62 0.035 <br /> 19 Raffles 63 0.035 <br /> 20 Admissions 64 0.050 <br /> 21 Other Taxes Subtotal -► Subtotal <br /> Section 4:Annual Renewal General Business License(Required) <br /> 22 Business License Renewal Fee 88 Please add to your Tax&License Subtotal below ,.$28,00- A10 FEE <br /> *Deductions require SCHEDULE D to be enclosed.Forms are available on everettwa.gov/businesstax Tax&License Subtotal <br /> Account Balance $0.00 <br /> Tax Penalty(see back) <br /> Prepared by:Name(please print) Title ------- ---Phone License Penalty(see back) <br /> Interest(see back) <br /> Total Due <br /> I hereb rtify that the statements and information provided on this tax return are true and complete to the best of my knowledge. <br /> Signature Date Phone Email <br />