TRS_form.pdf

IDAHO TRS FUND FORM 1.2
DUE DATE: FIRST OF THE MONTH OR QUARTERLY
COMPANY NAME: _____________________________________________________________________
REPORTING PERIOD: __________________________ TO: ____________________________________
Date Submitted: ______________________________________________________________________
____________________________________________________________________________________
LOCAL EXCHANGE SERVICES:
# of lines Revenues
TOTAL # OF LINES _______ X $0.05
A. TOTAL LOCAL FUND REVENUES =
______________________________________________________________________________
MTS AND WATS TYPE TOLL SERVICES:
INTRASTATE BILLED MTS AND WATS MINUTES ______________
SURCHARGE RATE $0.001 $0.001
B TOTAL MTS/WATS FUND REVENUES =
______________________________________________________________________________
TOTAL DUE:
B. TOTAL AMOUNT DUE=
ADD LINES A AND B
_____________________________________________________________________________________
PREPARED BY: ______________________ _______________ _________________________________
Name Phone Email
APPROVED BY: ______________________ _______________ _________________________________
Name Phone Email
_____________________________________________________________________________________
Questions? E-mail Kelli Toohill at [e-mail] or call at 406-697-4343
PLEASE MAKE CHECKS PAYABLE TO:
Idaho TRS Fund
PO Box 270727/566 S McCaslin Blvd Unit 270727
Louisville, CO 80027 Rev. 08/23