CITY OF FEDRAL WAY
ADMISSIONS TAX RETURN
Date: UBI #________________________
Name/Organization
Mailing Address
Form of Entertainment
Reporting Period
From: To:
Location of Event
Tickets Sold or Admissions Charged During Reporting Period:
Beginning # Ending #
See back of this form for instructions. Refer to
Sections 4 and 5 under Admission Charge if
activity or rental fees are charged IN ADDITION
TO entry or admission fees.
ENTER EACH ITEM SEPARATELY
Send check payable to:
CITY OF FEDRAL WAY
FINANCE DEPARTMENT
33325 8TH AVENUE SOUTH
FEDERAL WAY, WA 98003-6325
Please direct questions to the Tax & Billing Division at
(253)835-2524 or email taxes@cityoffederalway.com
(a)
(b)
(c)
(d)
Type of Admission
Gross Price
Per Admission
(excludes tax)
Number of
Admissions
Sold
Gross
Receipts
Total
Tax Due
==
(Column a x b)
(Column c x 5%)
Regular Admissions
TOTAL TAX
PENALTIES
TOTAL REMITTANCE
SEE INSTRUCTIONS ON BACK OF FORM
FOR CITY USE ONLY
I hereby certify under penalty of perjury that I am duly authorized to provide the
above information and that the information on this return is true and correct to the
best of my knowledge.
Account Code:
Signature of Person Preparing Return Date
Returned Prepared By and Position (please print)
Phone Number E-mail Address
001-0000-000-318-11-000
QUAD Code: 1490
ADMISSION TAX FORM INSTRUCTIONS
EXEMPT ORGANIZATIONS:
1.
2.
Public or Private Secondary and Elementary Schools and Related Student Body Associations.
3.
Accredited Colleges, Junior Colleges and Universities and Related Student Body Associations.
Federal, State and Local Governments.
ADMISSION CHARGE:
By way of illustration only, this tax applies to any non-exempt admission charge collected for admission
to any theater, cinema, dance hall, cabaret, circus, side show, outdoor amusement park, dinner theatre,
music concerts, radio shows, and television shows.
Admission charges are defined as a monetary charge for an event open to the public including, but not
limited to the following:
1. A charge made for season tickets or subscriptions.
2. A cover charge or charge made for use of seats and tables, reserved or otherwise, and
similar accommodations.
3. A charge made for food and refreshments in any place where any free entertainment, recreation,
or amusement is provided.
4. If a charge is made for entry onto the premises where an activity occurs (such as, without limitation,
a bowling alley or ice skating rink), the combined charges for entry plus the activity charge.
5. If a charge is made for entry onto the premise where a rental occurs, the combined charges for entry
plus all charges for rental of equipment or facilities (but only if that rental is necessary to the activity
for which a general admission is charged).
6. Automobile parking charges if the amount of the charge is determined according to the number
of passengers in the automobile.
7. Any other charge for entrance and observation.
REMITTANCE DUE DATES
The tax is due and payable in monthly installments on or before the fifteenth day of the month
immediately succeeding the monthly period in which the tax accrued. Such payments shall be due on or
before 15 of every month.
DELINQUENT FILING
1. Admission taxes not paid within fifteen (15) days after the due date are considered delinquent.
2. A charge of one (1) percent of the amount of unpaid taxes or five dollars ($5.00) will be imposed at the
end of each succeeding monthly period (whichever is higher), until all past due amounts are paid in
full.
3. Delinquent accounts will be assigned to our collection agency for collection of amounts due, plus
related costs.
FAILURE TO FILE
The Finance Director may make a determination of the tax due, based on available information,
and assess tax, interest and penalties. In addition, legal action may be taken.
SAMPLE RETURN
(a)
(b)
(c)
(d)
Type of Admission
Gross Price
Per Admission
(excludes tax)
Number of
Admissions
Sold
Gross
Receipts
Total
Tax Due
(Column a - b)
(Column a x b)
(Column c x 5%)
Regular Admissions
Adult
$20.00
1,000
$20,000.00
$1,000.00
Adult
$12.00
1,348
$16,176.00
$808.80
Student
$8.00
845
$6,760.00
$338.00
TOTAL
$2,146.80
If you would like assistance completing this form, please call Tax and Billing at (253) 835-2524.
$22,936.00
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