City Of Sterling Sales Tax License Application Page 4

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Taxpayer's Name and Address
CITY OF STERLING
Sales/Use Tax Return
P.O. Box 4000
Period Covered:
Sterling, CO 80751
Due Date:
Acct. N0.:
(970) 522-9700
1. Gross Sales and Services
2. Add: Bad Debts Collected
3. Total Lines 1 and 2
4. Deductions:
A. Non-Taxable Service Sales (incl. in Line 1)
B. Sales to Other Dealers for Resale
C. Sales Shipped Out of City
D. Bad Debts Charged Off
E. Trade-Ins for Taxable Resale
F. Sales of Gasoline and Cigarettes
G. Sales to Govt., Religious, Charitable
H. Returned Goods
I. Prescription Drugs
J. Other Deductions (List)
K.
L.
M.
Total Deductions (Lines 4A thru 4M)
5. Net Taxable Sales & Services (Line 3 – “Total Deductions”)
6. Amount of City Sales Tax: 3% (0.03) of Line 5
7. Add: Excess Tax Collected
8. Adjusted City Tax (Lines 6 & 7)
9. Deduct Vendor Fee of 2.33% (0.233) of Line 8 (only if paid by due date)
10. Total Sales Tax (Line 8 - Line 9)
11. City Use Tax: Amount Subject to Use Tax
x 3.0% (0.03)
12. If Return is filed or Total Tax is paid after Due Date, add:
Penalty-GREATER of 10% (0.1) OF Lines 8 + 11 OR $100
Interest (per month or portion) of 1% (0.01) of Lines 8 + 11
Total Penalty & Interest
13. Total Tax, Penalty & Interest (Lines 10 + 11 + “Total Penalty & Interest”)
14. Add: Underpayment on Prior Return
15. Deduct: Overpayment on Prior Return
16. Total Due and Payable: (Lines 13 + 14 - Line 15)
(Make Check or Money Order Payable to “City of Sterling”)
____ Check here for business closure
New address and/or ownership:
____ Check here if change of address
____ Check Here if change of ownership
Date of this change:
I certify under penalty of perjury that the statements made hereon are to the best of my knowledge true and correct.
:
Signature
Phone:
:
Company
Date:

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