Lodging Tax Return - City Of Fort Collins
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1CITY OF FORT COLLINS
DEPARTMENT OF FINANCE / SALES TAX DIVISION
P.O. BOX 440 FORT COLLINS, CO 80522-0439
LODGING TAX RETURN
PHONE 970-221-6780 FAX 970-221-6782
E-MAIL
COMPUTATION OF TAX
5.
AMOUNT OF CITY LODGING TAX:
3% OF LINE 4
PERIOD
DUE
ACCT.#
6.
ADD: EXCESS TAX COLLECTED
COVERED
DATE
7.
ADJUSTED CITY TAX (ADD LINES 5 AND 6)
(TOTAL RECEIPTS FROM CITY ACTIVITY MUST BE
1.
GROSS SALES
REPORTED AND ACCOUNTED FOR IN EVERY RETURN
AND SERVICE
INCL. ALL SALES, RENTALS, AND
RETAILER'S FEE HAS BEEN ELIMINATED FOR TAXES
8.
LEASES AND ALL SERVICES BOTH TAXABLE AND NON-
COLLECTED ON OR AFTER 1/1/2010
TAXABLE.)
2A.
ADD: BAD DEBTS COLLECTED
2B.
TOTAL LINES 1 & 2A
9.
TOTAL LODGING TAX (LINE 7)
NON-TAXABLE
(INCLUDED IN
A.
ENTER
PENALTY:10%
3.
10.
LATE FILLING
ITEM 1 ABOVE)
SERVICE
TOTAL
IF RETURN IS FILED
INTEREST
1%
SALES TO OTHER LICENSED
B.
PER MONTH:
AFTER DUE DATE
DEALERS FOR PURPOSES OF
THEN ADD:
TAXABLE RESALE
ASSESSMENT FEE
$25.00
SALES SHIPPED
C.
(INCLUDED IN
11.
TOTAL TAX DUE AND PAYABLE ( ADD LINES 9 AND 10
OUT OF CITY
ITEM 1 ABOVE)
D
AND/OR STATE
E
D.
BAD DEBTS
(ON WHICH CITY
12.
ADJUSTMENTS FOR PRIOR PERIODS - ATTACH
CHARGED
SALES TAX HAS
D
OFF
BEEN PAID)
COPY OF NOTICE
U
E.
TRADE-INS FOR TAXABLE
C
13.
TOTAL DUE AND PAYABLE:
RESALE
MAKE CHECK OR MONEY ORDER
T
PAYABLE TO:
F.
SALES OF GASOLINE
CITY OF FORT COLLINS
I
AND CIGARETTES
O
SCHEDULE A
G.
SALES TO GOVERNMENTAL,
N
RELIGIOUS AND CHARITABLE
S
ORGANIZATIONS
H.
RETURNED GOODS
I.
PRESCRIPTION DRUGS /
PROSTHETIC DEVICES
J.
Food Stamps
K.
Lodging Over 30 days
Grocery Food Sales
L.
Other
M.
(TOTAL OF LINES 3
3. TOTAL DEDUCTIONS
A THRU M)
(LINE 2B MINUS
4.
TOTAL CITY NET TAXABLE SALES & SERVICES
TOTAL LINE 3)
SHOW BELOW CHANGE OF OWNERSHIP, NAME
I, hereby certify, under penalty of perjury, that the
NEW BUSINESS DATE
1. If ownership has changed, give date of change and
AND/OR ADDRESS, ETC
statements made herein are to the best of my knowledge
new owner's name.
MO.
DAY
YEAR
true and correct.
2. If business has been permanently discontinued, give
________________________________
date discontinued.
_______________
________________________________
3. If business location has changed, give new address.
BY:___________________________________________
4. Records are kept at what address?
________________________________
DISCONTINUED DATE
________________________________
COMPANY:____________________________________
________________________________
5. If business is temporarily closed, give dates to be
MO.
DAY
YEAR
closed.
PHONE:_______________________________________
6. If business is seasonal, give months of operation.
_______________
7. If this return includes sales for more than one
BUS. ADDRESS
MAILING ADDRESS
________________________
_________________
location, refer to and complete schedule "C".
TITLE
DATE
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