Denver Telecommunications Business Tax Return Monthly Form - City And County Of Denver
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1City and County of Denver
Denver Telecommunications Business Tax Return
Department of Finance, Treasury
Division
Monthly
P.O. Box 660860
Dallas, TX 75266-0860
PRIMARY BUSINESS LOCATION
NAME
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YOU MUST FILE A RETURN EVEN IF YOU
HAVE DETERMINED THAT NO TAX IS DUE
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IMPORTANT INFORMATION IS ON THE
BACK
All Telecommunications Businesses providing local exchange service to Denver customers must
pay $1.12 per month for each account within the City and County of Denver as of the first day of the
month being reported.
An account is defined as a periodically rendered statement to a customer, listing charges and
credits, if any.
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RETURN LOWER PORTION - DETACH HERE
DENVER TELECOMMUNICATIONS BUSINESS TAX RETURN
MEDIA #
ACCOUNT NUMBER
TAX TYPE
PERIOD END
DUE DATE
000000000006
Telecommunications Business Tax
NAME
PRIMARY BUSINESS LOCATION
000000000006
PHONE NUMBER
I hereby certify, under penalty of perjury, that the statements made herein are to the best of my knowledge true and correct.
Signature (Required)
Title
Date
1. Number of Accounts within the City and County of Denver
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2. Multiply Line 1 by $1.12
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a. Penalty: The greater of 15% of line 2 or $25.00.
Late Filing - if
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return is filed
3.
after due date -
b. Interest: 1% of line 2 for each month that the return is late
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Add:
4. TOTAL DUE AND PAYABLE: Add Lines 2, 3a, and 3b. Include a check or money order made payable to
MANAGER OF FINANCE
>
00000000000600000000004
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