Sales/use Tax Return - City Of Lamar
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1CITY OF LAMAR
PERIOD
COVERED
DUE DATE
SALES/USE TAX RETURN
VENDOR NUMBER
102 E. PARMENTER ST, LAMAR, CO 81052
(719) 336-4376
TAXPAYER'S NAME AND ADDRESS
3.25%
.00
5. AMOUNT OF CITY SALES TAX:
OF LINE 4
.00
6. ADD: EXCESS TAX COLLECTED:
.00
7. ADJUSTED CITY TAX: (ADD LINES 5 AND 6)
.00
8. DEDUCT 3.33% OF LINE 7 (VENDORS FEE, IF PAID BY DUE DATE)
.00
.00
1.
GROSS SALES AND SERVICE (TOTAL RECEIPTS FROM CITY ACTIVITY)
9. TOTAL SALES TAX (LINE 7 MINUS LINE 8)
.00
3.25%
.00
2A.
ADD BAD DEBTS
10. CITY USE TAX (FROM SCHEDULE B) AMOUNT SUBJECT TO TAX _______________X
.00
.00
0
2B.
TOTAL LINES 1 & 2A (INCLUDED IN ITEM 1 ABOVE)
0
11. TOTAL TAX DUE: (ADD LINES 9 AND 10)
.00
.00
.00
3. A. NON-TAXABLE SERVICE SALES
PENALTY
10%
12. LATE FILING
ADD:
ENTER TOTAL
.00
Clear
.00
.00
B. SALES TO OTHER LICENSED DEALERS
INTEREST
1%
.00
.00
Form
C. SALES SHIPPED OUT OF CITY/STATE
13. TOTAL TAX, PENALTY AND INTEREST DUE (ADD LINES 11 AND 12)
0
.00
.00
D. BAD DEBTS CHARGED OFF (TAX PAID)
A - ADD UNDERPAYMENT:
14. ADJUSTMENT PRIOR PERIODS
.00
.00
E. TRADE-INS FOR TAXABLE RESALE
B - DEDUCT OVERPAYMENT / BOND:
.00
.00
F. SALES OF GASOLINE AND CIGARETTES
15. TOTAL DUE AND PAYABLE: (MAKE CHECK OR MONEY ORDER PAYABLE TO CITY OF LAMAR)
.00
G. SALES TO GOV/RELIGIOUS/CHARITABLE
ALL FIGURES SHOULD BE ROUNDED TO THE NEAREST DOLLAR
.00
H. RETURNED GOODS
.00
I. PRESCRIPTION DRUGS
.00
J. FARM EQUIP., PARTS, SUPPLIES, FEED & ACCESS
SCHEDULE A:
SPECIAL MESSAGE TO CITY
.00
K. OTHER DEDUCTIONS (LIST)
.00
.00
3. TOTAL DEDUCTIONS (TOTAL OF LINES 3 A-K)
0
.00
4. TOTAL CITY NET TAXABLE SALES & SERVICE (LINE 2B MINUS TOTAL LINE 3)
0
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 LAMAR CODE IMPOSES A TAX UPON THE PRIVILEGE OF USING, STORING, DISTRIBUTING OR OTHERWISE CONSUMING IN THE CITY
ONE LOCATION. IT MUST BE COMPLETELY FILLED OUT AND CONVEY ALL INFORMATION REQUIRED IN ACCORDANCE WITH THE COLUMN HEADINGS. IF
TANGIBLE PROPERTY OR TAXABLE SERVICES PURCHASED, RENTED OR LEASED.
ADDITIONAL SPACE IS NEEDED ATTACH SCHEDULE IN SAME FORMAT.
PERIODS TOTAL
GROSS SALES
DATE OF
TYPE OF COMMODITY
BUSINESS ADDRESSES OF
PERIODS NET TAXABLE SALES
(TOTAL TO LINE 1 ON
PURCHASE
PURCHASED
PURCHASE PRICE
ACCOUNT NUMBER
NAME OF VENDOR AND ADDRESS
CONSOLIDATED ACCOUNTS
RETURN)
(TOTAL TO LINE 4 OF RETURN)
.00
.00
(A) LIST OF PURCHASES (IF ADDITIONAL SPACE NEEDED-ATTACH SCHEDULE IN SAME FORMAT)
.00
.00
.00
.00
.00
.00
.00
.00
.00
.00
.00
.00
.00
.00
.00
.00
.00
.00
.00
.00
.00
.00
.00
(B) TOTAL PURCHASE PRICE OF PROPERTY SUBJECT TO CITY USE TAX ENTER TOTAL
0
.00
.00
.00
HERE AND ON LINE 10 OF RETURN
ENTER TOTALS HERE AND ON RETURN
0
0
I HEREBY CERTIFY UNDER PENALTY OF PERJURY, THAT THE STATEMENTS MADE HEREIN ARE TO THE BEST OF MY KNOWLEDGE, TRUE AND CORRECT.
BY
COMPANY
PHONE NUMBER
TITLE
DATE
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