2. Admissions Tax Return Form

   Admissions Tax Return

   501 N. Anderson Street
   Ellensburg, WA  98926

   City Clerk's Office (509) 925-8614

3. 
5. Date of Admission Tax Return submittal*
   Date of Admission Tax Return submittal
7. There are two types of Admissions Tax Returns: Temporary and Quarterly. Returns for temporary events are due no later than five (5) business days following the end of the event. Quarterly returns are due on or before the fifteenth (15) day of the month following the end of each calendar quarter. I am filing the following type of return (select one):*

   1. Temporary return - due 5 days following event
   2. Quarterly return - due 15 days following end of quarter
9. Report of*
10. Business License #*
12. First Name*
13. Last Name*
15. Address*
17. Address Line 2
19. City*
20. State*
    -- Select One --ALAKAZARCACOCTDEFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWY
21. Zip Code*
23. Phone Number*
24. Email Address*
26. Quarter or Event Ending*
27. Type of Admission*
29. INSTRUCTIONS: Report ticket price and total number of tickets sold at each price. Indicate gross ticket sales and tax due for each price.
31. Ticket Price
32. # of Tickets Sold
33. Gross Ticket Sales
34. Tax Due (Gross ticket sales times 5%)
36. Ticket Price
37. # of Tickets Sold
38. Gross Ticket Sales
39. Tax Due (Gross ticket sales times 5%)
43. Ticket Price
44. # of Tickets Sold
45. Gross Ticket Sales
46. Tax Due (Gross ticket sales times 5%)
48. Enter the sum of the total tax due for all ticket sales*

50. ALONG WITH SUBMITTING THIS FORM, REMITTANCE IS DUE AND PAYABLE TO

    CITY OF ELLENSBURG
    501 N. Anderson St
    Ellensburg, WA  98926

    Checks for temporary events are due no later than five (5) business days following the end of the event.  Quarterly returns are due on or before the fifteenth (15) day of the month following the end of each calendar quarter.

Leave This Blank:


52. 1. Receive an email copy of this form.
53. Email address

    This field is not part of the form submission.

54. Submit

* indicates a required field