The Utility User Tax Senior Citizen Exemption Application Form is the application the Los Angeles County Treasurer and Tax Collector (TTC) uses to decide whether a household head aged 62 or older who receives supplemental social security benefits is exempt from the county Utility User Tax (UUT). It asks for your contact details, your electric, gas and communications suppliers, and a signed certification. On FillingPDF you can fill out the form online and download or print the completed PDF; the form is published by the TTC and is returned to its Los Angeles office with your supporting documents.
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What is Utility User Tax Senior Citizen Exemption Application Form – Los Angeles County, CA?
The Utility User Tax Senior Citizen Exemption Application Form is the Los Angeles County Treasurer and Tax Collector form on which a person asks for the senior citizen exemption from the Utility User Tax (UUT) provided by Section 4.62.050 of the Los Angeles County Code.
Under that section, the tax does not apply to a person who is head of a household, is 62 years old or older, and receives supplemental social security benefits. To qualify, the person must file an application in the form, time and manner prescribed by the Tax Administrator, and this is that application. The UUT is codified in Title 4, Chapter 4.62 of the County Code.
The form collects your name, the last four digits of your Social Security number, your address, telephone and e-mail, and the name and account number of each electric, gas and communications service supplier for which you want the exemption. You sign it under penalty of perjury.
The Tax Administrator must decide within 60 days of receiving the application whether to grant the exemption and, if it is granted, notifies the service supplier. The exemption takes effect at the beginning of the first regular billing period that starts after that notice. The bottom of the form has a "TTC USE ONLY" block for the verification source, approval and supplier notification; you do not complete it.
Who needs to file Utility User Tax Senior Citizen Exemption Application Form – Los Angeles County, CA?
Use this form if you want the UUT senior citizen exemption and you meet the County Code test printed on it: you are head of a household, you are 62 years old or older, and you receive supplemental social security benefits. All three conditions apply together.
- Apply for each utility supplier you want exempted. The form has separate spaces for an electric, a gas and a communications service supplier.
- Apply again if you change utility supplier at any time. The form says you must complete a new application to receive the exemption for the new service.
The exemption is valid only for utility services for which the Tax Administrator receives a recent bill. If you cannot show a recent bill for a service, it is not covered.
The form does not describe who may sign for an applicant, so only the applicant's own signature is printed on it. Questions about eligibility go to the TTC UUT staff at (213) 893-7984, Monday-Friday 8 am to 4 pm PT, or [email protected].
When to file Utility User Tax Senior Citizen Exemption Application Form – Los Angeles County, CA
File the form when you want the exemption applied to your utility bills, and again whenever you change a utility supplier. The form states no calendar deadline: the County Code section it quotes says the application is filed in the time and manner the Tax Administrator prescribes.
After the TTC receives your application, the Tax Administrator has 60 days to decide whether the exemption is granted. If it is, the exemption begins with the first regular billing period that starts after the Tax Administrator has notified your service supplier, so the date you file affects when the exemption starts.
Documents you need
- A copy of a valid supplemental social security benefits letter. The form says it is required to qualify; black out all but the last four digits of your Social Security number on the copy.
- A copy of a recent utility bill from each utility supplier (electric, gas, communications) for which you request an exemption. Exemptions apply only to services for which a recent bill is received.
How to fill out Utility User Tax Senior Citizen Exemption Application Form – Los Angeles County, CA
Enter your name and Social Security digits
Under Applicant's, print your last name and first name, then enter only the last 4 digits of your Social Security Number in the space provided.
Enter your address
Write your street number, street name and apartment number, then your city, state and ZIP code.
Add telephone and e-mail
Enter your telephone number with area code and your e-mail address.
Complete the electric supplier section
Under Electric Service Supplier, write the supplier's name and your account number, and attach a recent bill from that supplier.
Complete the gas supplier section
Under Gas Service Supplier, write the supplier's name and your account number, and attach a recent bill from that supplier.
Complete the communications supplier section
Under Communications Service Supplier, write the supplier's name and your account number, and attach a recent bill. Fill in only the services for which you are claiming an exemption.
Prepare the benefits letter copy
Copy your valid supplemental social security benefits letter and black out all but the last four digits of the Social Security number.
Sign and date the certification
Sign and date under the statement certifying under penalty of perjury that the information is true and correct. Leave the TTC USE ONLY block blank.
Review and download the completed PDF
Check names, account numbers and attachments, then download or print the completed PDF from FillingPDF. Assemble the package and submit it as described under How to submit.
How to submit Utility User Tax Senior Citizen Exemption Application Form – Los Angeles County, CA
Print, sign and date the completed form and return it with your supporting documents by mail or delivery to the address printed on it. The form names no other channel.
- Address: Los Angeles County Treasurer and Tax Collector, Kenneth Hahn Hall of Administration, 500 West Temple Street, Room 462, Los Angeles, CA 90012.
- Package: the signed and dated form, a copy of your valid supplemental social security benefits letter, and a copy of a recent bill from each utility supplier you list.
- Questions: call (213) 893-7984, Monday-Friday 8 am to 4 pm PT, or e-mail [email protected].
- More information: the TTC UUT website is https://ttc.lacounty.gov/uut/.
The Tax Administrator notifies your service supplier if the exemption is granted. FillingPDF lets you fill out and download the PDF; submission follows the channel above.
Common mistakes to avoid
- Omitting the copy of a valid supplemental social security benefits letter, which the form says you must include to qualify.
- Leaving the full Social Security number visible on the benefits letter instead of blacking out all but the last four digits.
- Listing a supplier without attaching a recent bill from that supplier; the exemption is valid only for services whose recent bill the Tax Administrator receives.
- Writing a full Social Security number on the form when only the last 4 digits are needed.
- Not filing a new application after changing electric, gas or communications supplier; the exemption does not carry over to the new service.
- Returning the form unsigned or undated; it must be signed, dated and returned with supporting documents.
- Filling in the "TTC USE ONLY" block at the bottom, which is for the Treasurer and Tax Collector's verification and approval.
Frequently asked questions
What is the Utility User Tax Senior Citizen Exemption Application Form?
It is the Los Angeles County Treasurer and Tax Collector application for the senior citizen exemption from the county Utility User Tax. Section 4.62.050 of the County Code exempts a head of household who is 62 or older and receives supplemental social security benefits.
Is this a Los Angeles County property tax exemption?
No. The form applies to the Utility User Tax, codified in Title 4, Chapter 4.62 of the Los Angeles County Code, and asks about your electric, gas and communications suppliers. Nothing on it concerns property tax bills.
Who qualifies for the UUT senior citizen exemption?
A person who is head of a household, is 62 years old or older, and receives supplemental social security benefits. You must also include a copy of a valid supplemental social security benefits letter with the application.
What documents do I send with the UUT exemption application?
A copy of your valid supplemental social security benefits letter, with all but the last four digits of your Social Security number blacked out, and a recent bill from each utility supplier you list on the form.
How long does the Tax Administrator take to decide?
Within 60 days of receiving your application, the Tax Administrator determines whether the exemption is granted and, if so, notifies the service supplier. The exemption starts with the first regular billing period after that notice.
Where do I mail the Utility User Tax senior exemption form?
Return it signed and dated with your documents to the Los Angeles County Treasurer and Tax Collector, Kenneth Hahn Hall of Administration, 500 West Temple Street, Room 462, Los Angeles, CA 90012. Call (213) 893-7984 with questions.
Do I need a new application if I change utility companies?
Yes. The form says that if you change utility supplier at any time, you must complete a new Exemption Application Form to receive the exemption for the new utility service.
Can I fill out this exemption form online on FillingPDF?
You can fill out the PDF online on FillingPDF and download or print it. FillingPDF is independent, is not affiliated with Los Angeles County, and does not submit the form; you return it to the Treasurer and Tax Collector yourself.
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