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ADMISSIONS TAX REGISTRATION FORM
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City Clerk's Office
501 N. Anderson St Ellensburg, WA 98926
CITY OF ELLENSBURG
Admissions Tax Registration Form
Phone: (509) 925-8614
Purpose
For the purpose of levying a tax for admissions to any place charging an admission in the City of Ellensburg pursuant to Ordinance No. 3907.
Name of Organization
*
Business License #
*
Address
*
City
*
State
*
Zip
*
Phone Number (day time)
*
Email address
*
Business Name and Address if different from above.
Responsible Party
Name and title of the person in charge of the books, records and accounts for the admission charges and tax collections, and the place where they may be examined and audited at all reasonable times.
Name of contact person
*
Title
*
Address
*
City
*
State
*
Zip
*
Electronic Submittal
By placing your typed initials in the box, and submitting this form electronically, I CERTIFY that all the information I am providing on this form is true and correct to the best of my knowledge. I also understand that my electronic signature is legally binding as if I were physically signing the form. I understand that any material misrepresentation, omission or falsehood may result in rejection or nullification of my application.
Initial for electronic submittal
*
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Be Heard Eburg
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