City Of Evans Sales And Use Tax Return

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Taxpayer Name and Address
CITY OF EVANS SALES AND USE TAX RETURN
Mail To: Sales Tax Division
Email:
salestax@evanscolorado.gov
PO Box 912324
Phone: (970) 475-1109
Denver, CO 80291-2324
Fax:
(970) 475-1194
Y
M
F
T
R
E
I
L
12 I
Z
OU
UST
ILE
HIS
ETURN
VEN
F
INE
S
ERO
PERIOD COVERED
DUE DATE
ACCOUNT #
COMPUTATION OF SALES TAX
GROSS SALES AND SERVICES:
(BEFORE SALES TAX)
1
$
5
(L
4
$
3.5%)
,
,
,
NET SALES TAX
INE
X
MUST BE REPORTED INCLUDING ALL SALES
RENTALS
LEASES
AND
,
-
SERVICES
BOTH TAXABLE AND NON
TAXABLE
2A
:
$
6
$
ADD BAD DEBTS COLLECTED WHICH WERE PREVIOUSLY DEDUCTED
ADD EXCESS TAX COLLECTED
2B
A
1 & 2A
$
7
(
5 & 6)
$
DD LINES
NET ADJUSTED SALES TAX
ADD LINES
3.33%
7 (
0
)
DEDUCT
OF LINE
ENTER
IF RETURN IS FILED LATE
3
.
-
$
8
$
A
NON
TAXABLE SERVICES OR LABOR
**
$100**
MAXIMUM AMOUNT ALLOWED IS
.
$
9
(
7
8)
$
B
SALES TO OTHER LICENSED DEALERS FOR PURPOSES OF TAXABLE RESALE
TOTAL SALES TAX DUE
LINE
MINUS LINE
:
GREATER OF
PUT TOTAL
PENALTY
.
$
$
C
SALES SHIPPED OUT OF THE CITY OF EVANS
LATE FEES DUE
$15
15%
9
OR
OF LINE
BELOW
10
IF FILED AFTER
: .75%
PER
INTEREST
.
(
)
$
$
$
D
BAD DEBTS CHARGED OFF
ON WHICH CITY TAX WAS PREVIOUSLY PAID
DUE DATE
9
MONTH OF LINE
.
-
$
11
$
E
TRADE
INS FOR TAXABLE RESALE
PRIOR PERIOD ADJUSTMENT FOR OVER OR UNDERPAYMENTS
.
$
12
$
F
SALES OF GASOLINE AND CIGARETTES
–
9
11
TOTAL SALES TAX DUE
ADD LINES
THROUGH
.
,
,
$
13
–
$
G
SALES TO GOVERNMENTAL
RELIGIOUS
AND CHARITABLE ORGANIZATIONS
TOTAL USE TAX DUE
FROM USE TAX SCHEDULE BELOW
–
12
13
TOTAL TAX DUE AND PAYABLE
ADD LINES
AND
.
(
)
$
14
$
H
RETURNED GOODS
ON WHICH CITY TAX WAS PREVIOUSLY PAID
(
)
MAKE CHECK PAYABLE TO THE CITY OF EVANS
.
/
$
M
I
I
PRESCRIPTION DRUGS
PROSTHETIC DEVICES
Y SIGNATURE AFFIRMS THAT
HAVE READ THIS RETURN AND IT IS TRUE AND CORRECT TO
THE BEST OF MY KNOWLEDGE AND IS SIGNED SUBJECT TO PENALTIES FOR PERJURY AND
.
.
/
$
J
FOOD PURCHASED WITH FOOD STAMPS
WIC VOUCHERS
OTHER CRIMINAL OFFENSES
S
: ________________________________________________________
.
(
)
$
K
OTHER DEDUCTIONS
PLEASE EXPLAIN
IGNATURE
D
: ______________________
T
: ______________________________
3
(A
3A
3K)
$
ATE
ITLE
TOTAL DEDUCTIONS
DD LINES
THRU
P
: _____________________
E
: _____________________________
4
CITY
&
(
2B
L
3)
$
HONE
MAIL
TOTAL
NET TAXABLE SALES
SERVICE
LINE
MINUS
INE
COMPUTATION OF USE TAX
The City of Evans imposes a 3.5 % tax upon the privilege of using, storing, distributing or consuming in the City tangible property or taxable services purchased, rented or leased.
Date of Purchase
Name of Vendor
Address
Amount
$
$
$
Subtotal
$
$
Multiply Subtotal by 3.5%
Total Use Tax Payable:
CONSOLIDATED ACCOUNTS REPORT
This schedule is required in all cases where the vendor is reporting sales for more than one location within the City of Evans. Each location must have a separate license.
Account Number
Business Location Address
Total Gross Sales
Total Deductions
Net Taxable Sales
___________
____________________________
$ _____________________
$ _____________________
$ ___________________
___________
____________________________
$ _____________________
$ _____________________
$ ___________________
Totals:
$
$
$
CHANGES
Mailing Address
Address: ______________________________
New Email: __________________________
New Owners (Requires a new license)
______________________________
Date: ___________________________
City, ST, Zip: __________________________
New Business Phone: _________________
Name: __________________________
New Contact Phone: __________________
Phone: __________________________
Business Location Address
Address: ______________________________
Business Closure or Sale
(see instructions)
City, ST, Zip: ___________________________
Filing Frequency: Call or email for change
Date: ___________________________

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