Get Form Tc 86 Utah

Print Form Clear form Utah State Tax Commission 210 North 1950 West Salt Lake City UT 84134 www. tax. utah. gov TC-86 Registration to Make Utah Tax Payments Through EFT ACH Credit Rev. 9/13 Taxpayers who make Utah tax payments using EFT ACH Credit must follow the terms and conditions set forth below. Print Form Clear form Utah State Tax Commission 210 North 1950 West Salt Lake City UT 84134 www. tax. utah. gov TC-86 Registration to Make Utah Tax Payments Through EFT ACH Credit Rev* 9/13 Taxpayers who make Utah tax payments using EFT ACH Credit must follow the terms and conditions set forth below. Complete and sign this application and submit it to the Tax Commission at the address below. Company Identification Company name Utah 14-digit tax account number list each separately Tax Type Code see below Address City State ZIP Code Telephone number Fax number Email address Federal EIN Contact person within the company If you do not know your 14-digit account number enter your EIN* Company Authorization and Agreement The above taxpayer will initiate tax payments to the Utah State Tax Commission using electronic funds transfer through the ACH Credit method. Funds will be electronically remitted from the taxpayer s bank account to the Tax Commission s bank account. The Taxpayer will follow all procedures for each tax type and will conform to the addendum transfer format and content detailed in Pub. 43 Electronic Funds Transfer. All Utah tax laws and rules will remain in effect. By signing this registration I confirm all the information is correct and I will follow the addendum format and content in Pub 43. Authorized signature Title Date To Request EFT Authorization*. Fill out sign and mail this form to the address below or fax to 801-297-7698 Electronic Funds Transfer Unit Salt Lake City UT 84134 Tax Type Beer Beer Tax Corporate/Partnership Fuel Fuel Tax Insurance Insurance Premium Tax Self Insurance Tax Oil Gas Severance Oil Gas Conservation Tax Mining Severance Tax Prepayments Other Taxes Lubricating oil fee Multichannel audio/visual tax Prepaid disposable cell phone fee Other Taxes Continued Sexually explicit business tax Waste Tire Recycling Fee Emergency Services Telephone Fee Municipal Telecommunications License Tax Radioactive Waste Tax Brine Shrimp Tax Sales Sales and Use Tax Transient Room Tax Motor Vehicle Rental Tax Restaurant Tax Municipal Energy Sales and Use Tax Tobacco Cigarette Stamps Tobacco Products Tax Wittholding Mineral Production Withholding IMPORTANT To protect your privacy use the Clear form button when you are finished*. utah. gov TC-86 Registration to Make Utah Tax Payments Through EFT ACH Credit Rev* 9/13 Taxpayers who make Utah tax payments using EFT ACH Credit must follow the terms and conditions set forth below. Complete and sign this application and submit it to the Tax Commission at the address below. Company Identification Company name Utah 14-digit tax account number list each separately Tax Type Code see below Address City State ZIP Code Telephone number Fax number Email address Federal EIN Contact person within the company If you do not know your 14-digit account number enter your EIN* Company Authorization and Agreement The above taxpayer will initiate tax payments to the Utah State Tax Commission using electronic funds transfer through the ACH Credit method.