Download the UUT Refund Form in Adobe PDF Format:
To qualify for a refund, you must be the person whose name appears on the utility bills
and the total Gross income of everyone in your household must have been less that $8,700.00
during the last calendar year or income tax year.
The law gives you the right to a refund of Utility Users' taxes paid, but not more than $30.00 if you qualify.
Your claim is to be filed with the City of Modesto Finance Department, located at 1010 10th Street, Suite 2100,
or mailed to P.O. Box 642, Modesto, CA 95353, during the period January 1, through April 15, for the Utility
Users' Taxes paid during the past twelve-month period ending on December 31. No claim can be accepted if filed
or postmarked later than April 15. Answer all questions and fill in the blanks. PRINT clearly in ink.
Names of Other Household Members:
List the name, relationship and age of every person who was a member of your household during your last Federal or State income tax reporting
period. If none, so indicate. Household members include your spouse (if living with you) and everyone qualified as a dependent for income tax purposes.
Be sure to include the income of all of these household members with your income in Part III of the claim form.
Part II: Answer Questions A and B.
Part III: Household Income:
List all household income received during your last Federal or State income tax reporting period. Household income is your income and the income
of all household members listed in Part I of the claim form from salary or wages, tips, fees, charges, together with the net income from all sources of
all kinds, including but not limited to alimony, support money, cash public assistance and relief, pensions, annuities, social security, interest on
securities (including tax-free interest on governmental securities), realized capital gains, workers' compensation (not including medical benefits),
unemployment insurance income, insurance benefits of all kinds (other than medical), and gifts, except that income
shall not include Medicare benefits, Medicaid benefits, gifts of food and gifts between members of the household, the receipt
of surplus food or other relief in kind supplied by a governmental agency.
Proof of Payment:
The paid bills must support total utility users' taxes paid. Please send the entire bill.
If the name and address are missing, payment will not be made. Utility companies have no
obligation to make or furnish, for refund purposes, proof of utility taxes due or paid.
When you bring or mail your claim to the Finance Department, the receipts will be
returned to you through the mail.
Questions regarding eligibility, income, etc., should be directed to the
Finance Department/Utility Refund. The telephone number is (209) 577-5395.