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

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4
ITEMIZED DEDUCTIONS AND EXEMPTIONS
2B. OTHER DEDUCTIONS must be itemized on the schedule below Enter total Deductions on line 2b on the third page of this form
$
1. Service Sales ..................................................................................................................................................................................
$
2. Sales to governmental agencies, religious or charitable organizations ........................................................................................
$
3. Sales of gasoline, cigarettes, drugs by prescription, prosthetic device, or agricultural compound .............................................
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. Other (explain) ................................................................................................................................................................................
$
6. TOTAL (enter on line 2B on page 3) ..............................................................................................................................................
3B. Enter total State Exemptions and applicable Local exemptions
Net sales must be itemized below
BD
FD
CD
RTD
State
$
$
$
$
$
1. Food (
food sold through vending machines) ........
$
$
$
$
$
2. Machinery ................................................
$
$
$
$
$
3. Electricity .................................................
$
$
$
$
$
4. Farm Equipment ......................................
$
$
$
$
$
5. Pesticides ................................................
$
$
$
$
$
6. Sales of low-emitting vehicles etc. ..........
$
$
$
$
$
7. Other (explain) .........................................
$
$
$
$
$
8. TOTAL ALL EXEMPTIONS ......................
(enter on line 3B on page 3)
Enter total Applicable RTA Exemptions and applicable Local exemptions
Roaring Fork RTA
RTA
RTA Basalt
RTA
RTA
Pikes Peak
RTA
Total Roaring
Eagle
RTA New Castle
Carbondale
Glen. Springs
RTA
Baptist Road
Fork RTA
Net sales must be itemized below
$
$
$
$
$
$
$
1. Food (
food sold through vending machines)
$
$
$
$
$
$
$
2. Machinery .....................................
$
$
$
$
$
$
$
3. Electricity ......................................
$
$
$
$
$
$
$
4. Farm Equipment ...........................
$
$
$
$
$
$
$
5. Pesticides .....................................
$
$
$
$
$
$
$
6. Sales of low-emitting vehicles etc.
$
$
$
$
$
$
$
7. Other (explain) ..............................
$
$
$
$
$
$
$
8. TOTAL ALL EXEMPTIONS ...........
(enter on line 3B below)
KEEP DOCUMENTATION FOR VERIFICATION OF THESE SALES
FOR ROARING FORK RTA ONLY
To complete this schedule - complete each applicable column. Add across to the Total Roaring Fork RTA column. Transfer these
figures to the RTA column on the remittance coupon on the third page of this form. Write in “Roaring Fork” on the line above the first
column labeled: RTA _________________.
A separate return (remittance coupon) must be filed to report only the Roaring Fork RTA district use tax in the first column of the
form. Do not fill in the other columns labeled BD,CD, FD, RTD, STATE on this separate return.
RTA
RTA
RTA
Total Roaring
RTA Basalt
Eagle
Carbondale
Fork RTA
RTA New Castle
Glen. Springs
00
00
00
00
00
3. NET SALES (line 1 minus line 2C) ..........
00
00
00
00
00
A. sales out of taxing area .....................
00
00
00
00
00
B. exemptions (list on page 3) ...............
00
00
00
00
00
4. Net taxable sales(line 3 minus A & B) ....
.004
.002
.007
TAX RATE
.006
00
00
00
00
00
5. Amount of sales tax .................................
00
00
00
00
00
6. Excess tax collected ................................
00
00
00
00
00
7. Total (add lines 5 & 6) ..............................
8. A. Service fee rate ..................................
NOT
NOT
NOT
NOT
NOT
APPLICABLE
APPLICABLE
APPLICABLE
APPLICABLE
APPLICABLE
00
00
00
00
00
B. Service fee allowed vendor ...............
(only if paid on or before due date)
00
00
00
00
00
9. Sales Tax Due (line 7 minus line 8B) ......
(100)
00
00
00
00
00
(200)
10.Penalty: 0.10 times line 9 .......................
.0066
00
00
00
00
00
(300)
11.Monthly prime interest rate times line 9 .......
00
00
00
00
12.Total each tax (add lines 9, 10 & 11) .....
00

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