Sales / Use Tax Return Form - City Of Montrose
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1
2PERIOD
COVERED
DUE
DATE
ACCOUNT
NUMBER
TAXPAYER'S N AME AND ADDRESS
GROSS SALES (
TOTALAEC.ElPTS FROM CITY ACTIVITY MUST BE
)
REPORTED MID ACCOUIIlEO FOR IN EVERY AETUAII tuG
1.
AND SERVICE
~~\~AT~~~E:
1
1{'i;st~~~~~~~
Aim
ALL SERVICES
2A.
ADD: BAD DEBTS COLLECTED
28. TOTAL LINES 1
&
2A
3.
A.
NON-TAXABLE
(INCLUDED IN ITEM 1 ABOVE)
SERVICE SALES
B.
SALES TO OTHER LICENSED DEALERS
FOR PURPOSES OFT AXABLE RESALE
C.
~~~J~:~~~~fr~T
OF
(IT~~~;~~~~)
D.
BAD DEBTS
(o~r~H~~ ~~JJrf~~fg
)
CHARGED OFF
D
E.
TRADE-INS FOR TAXABLE RESALE
E
D
F.
SALES OF GASOLINE AND CIGARETIES
u
G.
SALES TO GOVERNMENTAL, RELIGIOUS
c
AND CHARITABLE ORGANIZATIONS
T
H.
RETURNED GOODS
I
0
I.
PRESCAIPTIDrl DRUGS
N
J.
OTHER DEDUCTIONS 'LIST)
K.
L.
(
ror:~~~JLNES
3 )
4. TOTAL CITY NET TAXABLE SALES
&
SERVICE
("}'M"c'~:N~;)
I
I
I
I
I
CITY OF MONTROSE
SALES/USE TAX RETURN
433 S. FIRST ST • P
0
BOX 790 • MONTROSE CO 81402-0790
(970) 240-1465
I
COMPUTATION OF TAX
I
5. AMOUNT OF CITY SALES TAX:
OF LINE 4
I
6. ADD: EXCESS TAX COLLECTED:
7. ADJUSTED CITY TAX: (ADD LINES 5 AND 6)
8. DEDUCT
1.33%
OF LINE 7 (VENDORS FEE, IF PAID BY DUE DATE)
9. TOTAL SALES TAX (LINE 7 MINUS LINE 8)
10. CITY USE TAX:
!:c':ic~"
e AMOUNT SUBJECT TO TAX
X
=
11. TOTAL TAX DUE: (ADD LINES 9 AND 10)
~.1(
IF
R~';-1ER~T~N~LED
) ADD: lm,ALTY
1o%T
I
I
12
AFTER DUE DATE THEN
~~~~~~ST
PER
1.17%1
I
l~gi~t~
..
13. TOTAL TAX PENALTY AND INTEREST DUE (ADD LINES 11 AND 12)
..
I.
I
ADJUSTMENT PRIOR PERIODS
lA- ADD:
14
ATTACH COPY OF OVER OR
UNDERPAYMENT NOTICE-
IB- DEDUCT:
..
(MAKE CHECK OR MONEY ORDER )
15. TOTALDUEANDPAYABLE:
PAYABLE TO
CITY OF MONTROSE
. .
I
SCHEDULE -A:
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SPECIAL MESSAGE TO CITY
I hereby certJfy under penalty ol pequry that
the
statements
made here are to the best of my
knov.Jedge
true and correct
BY
COMPANY
PHOtiE
TITLE
DATE
PLEASE COMPLETE THIS FORM ON REVERSE SIDE
3.
3.3%
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