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TC-63_1.ai   Rev. 5/04

                                                                                                                           Utah State Tax Commission
                                                                                                                           TC-63
                                                                                                                           Sexually Explicit Business and
                                                                                                                           Escort Service Tax Return Coupons
                                                                                                                         Please verify coupon due-date before mailing.
                                                                                                                         Coupons are preprinted with company name
                                                                                                                         and tax period, and are not transferable to other
                                                                                                                         accounts.

                                                                                                                                  NEW TAX: Effective July 1, 2004.




                                  Sexually Explicit Business and Escort Service Tax Return Instructions                                                                TC-63_2.ai   Rev. 5/04



      Providers of sexually explicit and/or escort services must file this                                Sign and date the coupon return. Include your telephone number and
      return. A return must be filed for every period, even if no activity                                e-mail address.
      occurred.                                                                                           Remit payment with the coupon return in the envelope provided.
      If business was discontinued, a new business was started, or there has
      been a change in ownership, attach a statement of explanation.
                                                                                                          If you have questions or concerns regarding the return or schedule,
      The business must complete and file the coupon return by the last day of                            please call (801) 297-2200 or (800) 662-4335, outside Salt Lake area.
      the month following the calendar quarter in which the taxable transaction
      occurs. Filing dates, penalties, interest and other administrative provisions
      are the same as for general sales tax returns.
      Please file original. Retain photocopy for your records.
      Line 1       Enter the amount of sexually explicit business and escort                              If you need an accommodation under the Americans with Disabilities Act,
                   service transactions for the quarter. Multiply this amount by the                      contact the Tax Commission at (801) 297-3811 or TDD 297-2020. Please
                   tax rate indicated and enter the total in the quot;Tax Duequot; column.                        allow three working days for a response.
      Line 2       Enter any adjustments. Attach a complete explanation of any
                   adjustments.
      Line 3       Add or subtract line 2 from line 1 and enter the total on this line.
                   Remit this amount.




                                                                                                                                                                       TC-63_3.ai   Rev. 5/04
      Sexually Explicit Business / Escort Service Tax – TC-63                                                                          Gross
Start below this line. Enter your federal ID number, account number and filing period.
                                                                                                                                      Receipts         Tax Rate         Tax Due
          Fed. ID Number               Filing Period               Due Date
                                                                                         1. Sexually Explicit / Escort Services                            .10     $                    00
                                                                                         2. Adjustments (see instructions)                                                              00
         I declare under penalty of perjury that, to the best of my knowledge and
         belief, this information is correct and complete.                               3. TOTAL TAX DUE AND PAYABLE                                              $                    00

                                                                                                                                                                 Remit payment by check.
         Authorized Signature


                                                                                           Date                                           Telephone
            UTAH STATE TAX COMMISSION
            SEXUALLY EXPLICIT / ESCORT SERVICE TAX                                                                                        E-mail address
            210 N 1950 W                                                                                                          Enter business name below this line
                                                                                                     Print Form
            SLC UT 84134-0130

         IMPORTANT: To protect your privacy, use the quot;Clear formquot; button when you are finished.                                                       Clear form

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tax.utah.gov forms current tc tc-63

  • 1. TC-63_1.ai Rev. 5/04 Utah State Tax Commission TC-63 Sexually Explicit Business and Escort Service Tax Return Coupons Please verify coupon due-date before mailing. Coupons are preprinted with company name and tax period, and are not transferable to other accounts. NEW TAX: Effective July 1, 2004. Sexually Explicit Business and Escort Service Tax Return Instructions TC-63_2.ai Rev. 5/04 Providers of sexually explicit and/or escort services must file this Sign and date the coupon return. Include your telephone number and return. A return must be filed for every period, even if no activity e-mail address. occurred. Remit payment with the coupon return in the envelope provided. If business was discontinued, a new business was started, or there has been a change in ownership, attach a statement of explanation. If you have questions or concerns regarding the return or schedule, The business must complete and file the coupon return by the last day of please call (801) 297-2200 or (800) 662-4335, outside Salt Lake area. the month following the calendar quarter in which the taxable transaction occurs. Filing dates, penalties, interest and other administrative provisions are the same as for general sales tax returns. Please file original. Retain photocopy for your records. Line 1 Enter the amount of sexually explicit business and escort If you need an accommodation under the Americans with Disabilities Act, service transactions for the quarter. Multiply this amount by the contact the Tax Commission at (801) 297-3811 or TDD 297-2020. Please tax rate indicated and enter the total in the quot;Tax Duequot; column. allow three working days for a response. Line 2 Enter any adjustments. Attach a complete explanation of any adjustments. Line 3 Add or subtract line 2 from line 1 and enter the total on this line. Remit this amount. TC-63_3.ai Rev. 5/04 Sexually Explicit Business / Escort Service Tax – TC-63 Gross Start below this line. Enter your federal ID number, account number and filing period. Receipts Tax Rate Tax Due Fed. ID Number Filing Period Due Date 1. Sexually Explicit / Escort Services .10 $ 00 2. Adjustments (see instructions) 00 I declare under penalty of perjury that, to the best of my knowledge and belief, this information is correct and complete. 3. TOTAL TAX DUE AND PAYABLE $ 00 Remit payment by check. Authorized Signature Date Telephone UTAH STATE TAX COMMISSION SEXUALLY EXPLICIT / ESCORT SERVICE TAX E-mail address 210 N 1950 W Enter business name below this line Print Form SLC UT 84134-0130 IMPORTANT: To protect your privacy, use the quot;Clear formquot; button when you are finished. Clear form