Form Dr 0173 - Retailer'S Use Tax Return Page 2

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4
itemizeD DeDUCtiOns anD exemPtiOns
2B. OTHER DEDUCTIONS must get itemized on the schedule below. Enter total Deductions on line 2B on front of this
form.
$
1. Service Sales..............................................................................................................................................................................................................
$
2. Sales to governmental agencies, religious or charitable organizations ......................................................................................................................
$
3. Sales of gasoline, drugs by prescription or prosthetic device.....................................................................................................................................
$
4. Trade-ins for taxable resale, bad debts charge-off, returned goods, trade discounts and allowances where tax was paid (cash discounts are not allowed) ...
$
5. Sales of agricultural compounds (not exempt 03/01/2010 to 06/30/2011) .................................................................................................................
$
6. other (explain) ............................................................................................................................................................................................................
$
ToTal (enter on line 2B on front) ...................................................................................................................................................................................
3B. Enter total State Exemptions and applicable local exemptions.
BD
FD
CD
RtD
state
net sales must be itemized below
Prior to 2001
Prior to 2012
$
1. Food (food sold through vending machines) .................
$
2. Machinery ......................................................................
$
3. Electricity .......................................................................
$
4. Farm Equipment ............................................................
$
5. Pesticides ......................................................................
$
6. Sales of low-emitting vehicles etc..................................
$
7. School-Related Sales ....................................................
N/a
$
8. Cigarettes ......................................................................
$
9. Energy Components .......................................................
$
10. other (explain) ............................................................
$
11. TOTAL ALL EXEMPTIONS? ........................................
(enter on line 3B on front)
Enter total applicable RTa Exemptions and applicable local exemptions.
Rta Basalt
Rta Pitkin
south
total
net sales must be
Baptist Road
Rta
Rta
Rta
(except
Pikes Peak
Platte
Rta new
Roaring
itemized below
eagle
Carbondale
Glen. springs
Basalt)
Fork Rta
Rta
Rta
Valley Rta
Castle
$
1. Food ....................................
$
2. Machinery ............................
$
3. Electricity .............................
$
4. Farm Equipment ..................
$
5. Pesticides ............................
$
6. low-emit vehicles etc. .........
$
7. School-Related Sales ..........
$
8. Cigarettes ............................
$
9. Energy Components .............
$
10. other (explain) Renew .......
$
11. ToTal ................................
(enter on line 3B below)
(KeeP DoCUMenTATIon FoR VeRIFICATIon oF THeSe SALeS FoR RoARInG FoRKS RTA onLY)
To complete this schedule-complete each applicable column. Add across to the Total Roaring Fork RTA column.
Transfer these figure to the Total Roaring Fork RTA column on the remittance coupon on the Roaring Fork RTA page.
total
Rta
Rta Basalt
Rta
Rta
Rta Pitkin
Roaring
eagle
Carbondale
Glen. springs
(except Basalt
Fork Rta
Rta new Castle
00
00
00
00
00
00
3. net sales (line 1–line 2C) ......
00
00
00
00
00
00
a. sales out of taxing area .........
00
00
00
00
00
00
B. exemptions (list on back).......
4. net taxable sales
00
00
00
00
00
00
(line 3 minus a & B) ....................
.0060
.0080
.0100
.0100
.0040
TaX RaTE
00
00
00
00
00
00
5. amount of sales tax. ..................
00
00
00
00
00
00
6. excess tax collected ..................
00
00
00
00
00
00
7. total (add lines 5 & 6). ...............
NoT
NoT
NoT
NoT
NoT
NoT
8. a. Service fee rate
B. Service fee allowed vendor ...
APPLICABLE
APPLICABLE
APPLICABLE
APPLICABLE
APPLICABLE
APPLICABLE
00
00
00
00
00
00
(only if paid on or before due date)
00
00
00
00
00
00
9. amount of sales tax. ...................
00
00
00
00
00
00
10. PenALTY ...................................
00
00
00
00
00
00
11. monthly prime int x line 9 ..........
00
00
00
00
00
00
12. Total each tax (lines 9–11) ......

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