Sales Tax Return Form - City Of Boulder Finance Department
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CITY OF BOULDER, DEPARTMENT OF FINANCE, SALES/USE TAX DIVISION
P.O. BOX 791, BOULDER, CO 80306-0791 (303) 441-3050
Select to Print Form
Period Covered__________ Thru ___________ Due Date ________________
Account # _____________ Business Name ___________________________________
0.00
Amount of CITY SALES TAX
3.86%
of line 4
1.
Gross Sales & Service
5A.
0.00
$
0.00
2A. Bad Debts Collected
5B.
Amount subject to FOOD SERVICE TAX
0.00
2B. Total of lines 1 and 2A
5C. Amount of city FOOD SERVICE TAX
0.15%
of line 5B
0.00
<
>
Excess Tax Collected
3A. Non-taxable Service and Sales
6.
0.00
0.00
3B. Sales to Other Licensed Dealers for
7.
Total Sales Tax (Add lines 5A, 5C, and 6)
D
0.00
<
>
Amount subject to CITY USE TAX $__________________
Purpose of Taxable Resale
8A.
E
3.86%
<
>
Amount of CITY USE TAX
of line 8A
0.00
3C. Sales shipped out of city and/or state
8B.
D
<
>
3D. Bad debts charged off
9.
Total Tax Due (add lines 7 and 8)
0.00
U
<
>
3E. Trade Ins for taxable resale
10. If return is filed after
then add penalty and interest
C
0.00
T
10%
<
>
3F. Sales of gasoline, cigarettes and newspapers
Penalty is
of line 9
I
1%
0.00
<
>
3G. Sales to governmental and religious orgs
Interest is
of line 9 per month overdue
O
0.00
<
>
3H. Returned Goods
11.
Total tax, penalty and interest due (add lines 9 and 10)
N
<
>
Deduct authorized credit: attach credit notice
3I. Prescriptions, etc.
12.
S
<
>
0.00
<
>
3J. Sales below tax minimum
13. Total Due and Payable to City of Boulder
Please include account number on check.
0.00
<
>
3.
Total Deductions (Total lines 3A thru 3J)
Change of Address
0.00
0.00
4.
Total City Net Taxable Sales & Sevice (2B minus 3)
Closure
I hereby certify, under penalty of perjury, that the statements made herein are to the best of my knowledge true and correct.
SIGNATURE ___________________________________________________
DATE _______________________________________________
COMPANY ____________________________________________________
TITLE _______________________________________________
PHONE _______________________________________________________
If you are requesting cancellation - please indicate date and nature of closure:
Date
CEASED BUSINESS OPERATIONS
___________________
CHANGED NATURE OF OWNERSHIP - NEED NEW APPLICATION
___________________
SOLD - TO ______________________________________
___________________
BANKRUPTCY
___________________
MOVED ELSEWHERE - NO BUSINESS CONDUCTED IN BOULDER
___________________
BUSINESS NEVER BEGUN
___________________
BUSINESS LOCATION CHANGE
BUSINESS MAILING CHANGE
Show name and/or address change below:
Show name and/or address change below:
______________________________________________________________
__________________________________________________________________
______________________________________________________________
__________________________________________________________________
______________________________________________________________
__________________________________________________________________
______________________________________________________________
__________________________________________________________________
For questions about city taxes and licensing, please call the City of Boulder Sales Tax Division at (303) 441-3050.
Correspondence should be mailed to City of Boulder Sales Tax Division, P.O. Box 791, Boulder, CO 80306-0791.
For questions about state taxes, please call State of Colorado Taxpayer Services at (303) 238-7378.
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