Sales Tax Form - City Of Greenwood Village Page 2

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BE SURE TO REVERSE CARBON BEFORE FILLING OUT THESE SCHEDULES
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
THE USE TAX ORDINANCE IMPOSES A TAX UPON THE PRIVILEGE OF USING, STORING, DISTRIBUTING OR OTHERWISE
WHICH INCLUDES SALES MADE AT MORE THAN ONE LOCATION. IT MUST BE COMPLETELY FILLED OUT AND
CONSUMING TANGIBLE PERSONAL PROPERTY PURCHASED, RENTED OR LEASED.
CONVEY ALL INFORMATION REQUIRED IN ACCORDANCE WITH THE COLUMN HEADINGS. IF ADDITIONAL
SPACE IS NEEDED, ATTACH SCHEDULE IN SAME FORMAT.
PERIODS TOTAL GROSS SALES
PERIODS NET TAXABLE
DATE OF
NAME OF VENDOR/
TYPE OF COMMODITY
PURCHASE
BUSINESS ADDRESSES
(AGGREGATE TO LINE 1
SALES (AGGREGATE TO
PURCHASE
ADDRESS
PURCHASED
PRICE
OF CONSOLIDATED ACCOUNTS
FRONT OF RETURN)
LINE 4 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 TOTALS HERE AND
$
$
ENTER TOTAL LINE (B) ON LINE 8 ON FRONT OF RETURN
ON FRONT OF RETURN
NEW BUSINESS DATE
1.
IF OWNERSHIP HAS CHANGED, GIVE DATE OF CHANGE AND NEW
SHOW BELOW CHANGE OF OWNERSHIP, NAME AND/OR ADDRESS, ETC.
I HEREBY CERTIFY, UNDER PENALTY OF PERJURY, THAT THE STATEMENTS
MONTH
DAY
YEAR
OWNER’S NAME.
MADE HEREIN ARE TO THE BEST OF MY KNOWLEDGE TRUE AND CORRECT.
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
PHONE
MONTH
DAY
YEAR
5.
IF BUSINESS IS TEMPORARILY CLOSED, GIVE DATES TO BE CLOSED.
6.
IF BUSINESS IS SEASONAL, GIVE MONTHS OF OPERATIONS.
7.
IF THIS RETURN INCLUDES SALES FOR MORE THAN ONE LOCATION,
BUS. ADDRESS
MAILING ADDRESS
TITLE
DATE
REFER TO AND COMPLETE SCHEDULE "C".

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