1. TC-64_1.ai Rev. 11/07
Utah State Tax Commission
TC-64
Multi-Channel Video and Audio
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.
Multi-Channel Video and Audio Service Tax Return Instructions TC-64_2.ai Rev. 11/07
to the purchaser before the provider may take the adjustment.
Providers of multi-channel video or audio service must file this
The adjustment amount allowed is the total sales tax charged
return. A return must be filed for every period, even if no activity
off as bad debts or cancelled services, less any amounts
occurred.
recovered on the bad debts.
If business was discontinued, a new business was started, or there has
Line 3 Add or subtract line 2 from line 1 and enter the total on this line.
been a change in ownership, attach a statement of explanation.
Remit this amount.
The tax on multi-channel video and audio services applies to the
Sign and date the coupon return. Include your telephone number and
purchaser of these services. The provider must complete and file the
e-mail address.
coupon return by the last day of the month following the calendar quarter
in which the sale occurs. Filing dates, penalties, interest and other Remit payment with the coupon return in the envelope provided.
administrative provisions are the same as for general sales tax returns.
Please file original. Retain photocopy for your records.
If you have questions or concerns regarding the return or schedule,
Line 1 Enter the amount of multi-channel video and audio services please call (801) 297-2200 or (800) 662-4335, outside Salt Lake area.
sold during the quarter. Multiply this amount by the tax rate
indicated and enter the total in the quot;Tax Duequot; column.
Line 2 Adjustments include bad debts, canceled services and the
nonrefundable credit for franchise fees paid to local counties If you need an accommodation under the Americans with Disabilities Act,
and municipalities provided for in §59-26-104.5. In the case of contact the Tax Commission at (801) 297-3811 or TDD 297-2020. Please
canceled services, the original tax must have been reported allow three working days for a response.
and paid in full and a refund or credit for the fee must be given
TC-64_3.ai Rev. 11/07
Multi-Channel Video and Audio Service Tax – TC-64 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. Video and Audio Services .0625 $ 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
CABLE/SATELLITE MULTI-CHANNEL TAX E-mail address
210 N 1950 W Enter business name below this line
Print Form
SLC UT 84134-0130
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