Sales/use Tax Return Form - City Of Longmont

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CITY OF LONGMONT
SALES/USE TAX RETURN
350 Kimbark Street, Longmont, CO 80501
303-651-8672
Period:
Due:
Account:
1.
Gross Sales and Service
5.
City Sales Tax 3.275% of line 4
2A.
Add: Bad Debts Collected
6.
Add: Excess tax Collected
2B.
Total Lines 1 & 2A
7.
Adjusted City Tax (add Lines 5 & 6)
3.
A. Non-Taxable Service
8.
DEDUCT Vendor Fee (IF PAID BY DUE DATE)
3% of Line 7 or $25, Whichever is Lower.
B. Sales for Resale
MAXIMUM DEDUCTION $25 PER LOCATION
C. Shipped Out of City
D
D. Bad Debts
9.
TOTAL SALES TAX (Line 7 minus 8)
E
D
E. Trade-in for Resale
10.
Amount Subject to Use Tax ________________ x 3.275%
U
F. Gas & Cigarettes
11.
Total Tax Due (Add Lines 9 & 10)
C
T
G. Gov., Religious & Charitable
12.
Penalty 10% if filed late
ADD
I
H. Returned Goods
Interest .50% per month if filed late
TOTAL>
O
I. Prescriptions
13.
TOTAL TAX, PENALTY & INTEREST DUE
N
S
J. Other Deductions (List)
14.
A. Add:
K.
B. Deduct:
Use line 14A or 14B only if you have received Notification from
L.
the City
TOTAL DEDUCTIONS
4.
NET TAXABLE
15.
TOTAL DUE & PAYABLE:
BUSINESS NAME:
SCHEDULE A: SPECIAL MESSAGE TO AND FROM CITY/TAXFILER
________ Check Here for Business Closure
________ Check Here if Change of Address
________ Check Here if Change of Ownership
COMPLETE THE REVERSE SIDE IF ANY OF THE ABOVE APPLY
***** ALWAYS SIGN REVERSE SIDE OF FORM *****
PLEASE COMPLETE THIS FORM ON REVERSE SIDE
PLEASE KEEP THIS COPY FOR YOUR RECORDS
SCHEDULE – B – CITY USE TAX
SCHEDULE – C – CONSOLIDATED ACCOUNTS REPORT
This schedule is required in all cases in which the taxpayer makes a consolidated return which includes sales made at more than
The Longmont Municipal Code imposes a tax upon the privilege of using, storing, distributing or otherwise
one location. It must be completely filled out and convey all information required in accordance with the column headings. If
consuming in the City tangible property or taxable services purchased, rented or leased.
additional space is needed attach schedule in same format.
DATE OF
NAME OF VENDOR
TYPE OF COMMODITY
PURCHASE
ACCOUNT
BUSINESS ADDRESSES
PERIODS TOTAL GROSS SALES
PERIODS NET TAXABLE SALES
PURCHASE
ADDRESS
PURCHASED
PRICE
NUMBER
OF CONSOLIDATED ACCOUNTS
(AGGREGATE TO LINE 1
(AGGREGATE TO LINE 4
FRONT OF RETURN)
FRONT OF RETURN)
(A) LIST OF PURCHASES (IF ADDITIONAL SPACE NEEDED – ATTACH SCHEDULE IN SAME FORMAT)
$
$
$
(B) TOTAL PURCHASE PRICE OF PROPERTY SUBJECT TO CITY USE TAX
ENTER TOTAL LINE (B) ON LINE 10 ON FRONT OF RETURN.
ENTER TOTALS HERE AND ON FRONT OF RETURN
$
$
$
NEW BUSINESS DATE
SHOW BELOW CHANGE OF OWNERSHIP AND/OR ADDRESS,
I hereby certify under penalty of perjury, that the statements made
MO.
DAY
YR.
ETC.
herein are to the best of my knowledge, true and correct.
1. If ownership has changed, give date of change and new owner’s name.
2. If business has been permanently discontinued, give date discontinued.
_________________________________________________
BY ________________________________________________
3. If business location has changed, give new address.
______/______/______
4. Records are kept at what address? _____________________________.
_________________________________________________
COMPANY __________________________________________
DISCONTINUED DATE
5. If business is temporarily closed, give dates to be closed.
_________________________________________________
PHONE _____________________________________________
6. If business is seasonal, give month of operation.
7. If the return includes sales for more than one location, refer to and
MO.
DAY
YR.
_________________________________________________
___________________________________________________
complete schedule “C”.
TITLE
DATE
______/______/______
[ ] BUS ADDRESS
[ ] MAILING ADDRESS

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