Denver Sales Tax Return Annual Form
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1
2City and County of Denver
Denver Sales Tax Return Annual
Department of Finance, Treasury Division
P.O. Box 660860
Dallas, TX 75266-0860
Business Name
Account Number
Phone Number
u
YOU MUST FILE A RETURN EVEN IF YOU
HAVE DETERMINED THAT NO TAX IS DUE
Primary Business Location
Period End Date
u
IMPORTANT INFORMATION IS ON THE BACK
u
INSTRUCTIONS ARE ON THE BACK
CHECK HERE IF THIS IS AN AMENDED RETURN
SCHEDULE A - SALES TAX
1
Gross Sales and Services
(Total receipts from City activity must
ACCOUNT NUMBER
PHONE NUMBER
PERIOD END
00
be reported and accounted for in every return including sales, rentals,
leases, online sales and all services both taxable and non-taxable)
DUE DATE
TAX TYPE
MEDIA #
Add: Bad debts collected that were previously deducted in prior
20-Dec-9999
Sales Tax
4268195847
2
A.
000000000006
00
periods
00
B.
Enter the Total of Lines 1 & 2A
SCHEDULE B - USE TAX
3
Deductions included in line 1 above
Gallons of
00
A. Non-Taxable services or labor
00
1
Aviation / Railway
x 4¢ / gal
Fuel Purchased
00
B. Sales to other licensed dealers for the purpose of taxable resale
00
C. Sales of goods shipped or delivered outside City and/or State
Short-Term
00
00
2
x 7.25%
Vehicle Rental
D. Bad debts (open accounts sales on which DENVER tax was
00
previously paid)
Taxable Food &
00
00
00
3
x 4.00%
E. Trade-ins for taxable resale
Beverage
00
F. Sales of gasoline and cigarettes
00
Other Taxable
G.
Exempt sales to governmental, religious, and charitable organizations
00
00
4
x
3.65%
Purchases
00
H. Returned goods (on which DENVER tax was previously paid)
00
I. Sales of exempt prescription drugs
Add Incremental Tax Due (See instructions on the
00
5
back)
00
J. Sales of exempt groceries
00
K. Sales of Aviation / Railway Fuel (Put gallons sold on Line 5A below)
00
00
6
Consumer Use Tax (Total of Lines 1-5)
L. Other deductions
00
M. Total deductions (Total of Lines 3A thru 3L)
Line 6 must be included on line 8 of Schedule A
00
4
Net Taxable Sales & Services (Line 2B minus Line 3M)
5
A.
Gallons of Aviation /
00
x 4¢ / gal
Railway Fuel Sold
ADDRESS CHANGE
B.
Receipts from Short-Term
00
00
MAILING ADDRESS
BOTH
LOCATION ADDRESS
x 7.25%
Vehicle Rentals
C.
Sales of Retail
00
00
STREET:
7.15%
x
Marijuana
D.
Sales of Taxable Food and
00
00
x 4.00%
Beverages
Other Taxable Sales
E.
00
00
x 3.65%
CITY:
(Line 4 less Lines 5B, 5C & 5D)
00
STATE:
ZIP CODE:
F.
Total of Lines 5A thru 5E
00
6
Add excess tax collected from customers
PHONE:
00
7
Subtotal of tax (Add Lines 5F and Line 6)
FAX:
00
8
Consumer Use Tax (Line 6 from Schedule B)
EMAIL:
00
9
Tax Due (Add Lines 7 and 8)
Please check this box if these changes also need to be applied to
10
Late Filing - if
00
A.
Penalty: The greater of 15% of line 9 or $25.00
your Occupational Privilege Tax account
return is filed
after due date -
B. Interest: 1% of line 9 for each month that the
00
Add:
return is late
If the status of your business has changed, please complete the Account
Change or Closure Request Form located at our website:
00
11
Tax, Penalty, and Interest due (Add lines 9, 10A & 10B)
00
12
Enter any credits claimed (Documentation MUST be attached)
13
TOTAL DUE AND PAYABLE :
Include a check or money order
00
made payable to:
MANAGER OF FINANCE
000000000006
4268195847
I hereby certify, under penalty of perjury, that statements made herein are to the best of my knowledge true and correct.
Signature (Required)
Title
Date
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