Sales Tax Return Form - Department Of Finance, Town Of Breckenridge Page 2

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Breckenridge Sales Tax Return
6/26/01 9:30 AM
Page 2
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 one location. It must be completely filled out and convey all information required in accor-
dance with the column headings. If additional space is needed attach schedule in same format.
PERIODS TOTAL GROSS
PERIODS NET TAXABLE
ACCOUNT
BUSINESS ADDRESSES
SALES (AGGREGATE TO
SALES (AGGREGATE TO
NUMBER
OF CONSOLIDATED ACCOUNTS
LINE 1 FRONT OF FORM)
LINE 4 FRONT OF RETURN)
$
$
$
$
ENTER TOTALS HERE AND ON FRONT OF RETURN
I hereby certify under penalty of perjury, that the statements
SHOW BELOW CHANGE OF OWNERSHIP AND/OR ADDRESS,
ETC.
made herein are to the best of my knowledge, true and correct.
____________________________
______________________________
BY
____________________________
__________________________
COMPANY
____________________________
____________________________
PHONE
____________________________
_________________ ______________
TITLE
DATE
BUS ADDRESS
MAILING ADDRESS

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