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Utah Self-Insurer's Tax Payment Coupon
Extracted from PDF file 2023-utah-form-tc-420pc.pdf, last modified October 2004Self-Insurer's Tax Payment Coupon
Utah State Tax Commission Self-Insurer’s Tax Payment Coupon TC-420PC Rev. 9/11 Payment Coupon Electronic Payment Use payment coupon TC-420PC to make quarterly insurance premium tax payments. You may make this payment online at taxexpress.utah.gov. ___________________ Instructions 1. Do not submit this form if no payment is due. 2. Quarterly prepayments are due only if the prior year’s tax was $10,000 or more. 3. Quarterly prepayments may be based on either: a. 27 percent of the prior year’s tax liability, or b. estimated insurance premium tax for the calendar quarter. If you have questions about the Self-Insurer’s Tax, please call 801-297-2200, or 1-800-662-4335 if calling from outside the Salt Lake area. If you need an accommodation under the Americans with Disabilities Act, contact the Tax Commission at 801-297-3811 or TDD 801-297-2020. Please allow three working days for a response. 4. Return this coupon and payment to the address listed on the coupon by the due date. Due dates are April 30, July 31 and Oct. 31 of the taxable year. Final payment is due with the annual return, which is due March 31. 5. The return and return payment are due on March 31. 6. Penalty and interest charges apply to any underpayment. Where to File Send your payment coupon and payment to : Utah State Tax Commission Self-Insurer’s Tax Payment 210 N 1950 W Salt Lake City, UT 84134-0130 TC-420PC Separate and return only the bottom portion. Tax Payment Coupon for Utah Self-Insurer, TC-420PC Rev. 9/11 Self-Insurer Account ID Payment Type: 1st qtr. estimate Taxable Year Ending (mm/dd/yyyy) 00 Amount Paid: Annual return pmt. 2nd qtr. estimate Make check or money order payable to the Utah State Tax Commission. Do not send cash. Do not staple check to coupon. Do not send check stub. 3rd. qtr. estimate Name of Filer Address City State ZIP Code Mail to: Utah State Tax Commission, 210 N 1950 W, SLC UT 84134-0130 Print Form IMPORTANT: To protect your privacy, use the "Clear form" button when you are finished. Clear form
TC-62PC, Utah Sales Tax Payment Coupon
More about the Utah Form TC-420PC Other Voucher TY 2023
Self-Insurer's Tax Payment Coupon
We last updated the Self-Insurer's Tax Payment Coupon in February 2024, so this is the latest version of Form TC-420PC, fully updated for tax year 2023. You can download or print current or past-year PDFs of Form TC-420PC directly from TaxFormFinder. You can print other Utah tax forms here.
Other Utah Other Forms:
TaxFormFinder has an additional 55 Utah income tax forms that you may need, plus all federal income tax forms.
| Form Code | Form Name |
|---|---|
| Form TC-42 | Application for a Letter of Good Standing |
| Form TC-420C | Self Insurer's Classification Codes and Tax Rates |
| Form TC-420PC | Self-Insurer's Tax Payment Coupon |
| Form TC-49PC | Insurance Premium Tax Payment Coupon (replaces TC-670) |
| Form TC-548 | Fiduciary Income Tax Prepayment Coupon (This is NOT an extension form) |
View all 56 Utah Income Tax Forms
Form Sources:
Utah usually releases forms for the current tax year between January and April. We last updated Utah Form TC-420PC from the State Tax Commission in February 2024.
Form TC-420PC is an Utah Other form. Payment vouchers are provided to accompany checks mailed to pay off tax liabilities, and are used by the revenue department to record the purpose of the check and the SSN/EIN of the taxpayer who sent it. Many states recommend that taxpayers also write their social security number and the purpose of the payment on the check itself, in case the accompanying payment voucher is misplaced or destroyed.
Historical Past-Year Versions of Utah Form TC-420PC
We have a total of ten past-year versions of Form TC-420PC in the TaxFormFinder archives, including for the previous tax year. Download past year versions of this tax form as PDFs here:
2023 Form TC-420PC
TC-62PC, Utah Sales Tax Payment Coupon
2022 Form TC-420PC
TC-62PC, Utah Sales Tax Payment Coupon
2021 Form TC-420PC
TC-62PC, Utah Sales Tax Payment Coupon
2020 Form TC-420PC
TC-62PC, Utah Sales Tax Payment Coupon
2019 Form TC-420PC
TC-62PC, Utah Sales Tax Payment Coupon
2018 Form TC-420PC
TC-62PC, Utah Sales Tax Payment Coupon
2017 Form TC-420PC
TC-62PC, Utah Sales Tax Payment Coupon
2016 Form TC-420PC
TC-62PC, Utah Sales Tax Payment Coupon
2015 Form TC-420PC
TC-62PC, Utah Sales Tax Payment Coupon
2014 Form TC-420PC
TC-62PC, Utah Sales Tax Payment Coupon
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