Sales/use Tax Return - City Of Northglenn
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1CITY OF NORTHGLENN
Taxpayer’s Name and Address
Period Covered:
Account #
SALES/USE TAX RETURN
Due Date:
Department of Finance - P.O. Box 330061 - Northglenn, CO 80233-8061
Computation of Tax
5. Amount of City Sales Tax (
4.0%
of Line 4)
Sales Tax on Food For Home Consumption
6.
X
=
Amount Subject to Tax
3.5%
__________________
1.
Gross Sales and Service
7. Add: Excess Tax Collected
8. Adjusted City Tax (Add Lines 5, 6, and 7)
2A. Add: Bad Debts Collected
9. Deduct
1%
of Line 8 (Vendors Fee, if Paid by Due Date)
2B.
Total Lines 1 & 2A
10. Total Sales Tax (Line 8 minus Line 9)
3.
A.
Nontaxable Service Sales
X
=
11. City Use Tax (From Sch. B) Amount Subject to Tax
4.0%
__________________
B.
Sales to Other Licensed Dealers for Purposes of Taxable Resale
12. Total Tax Due (Add Lines 10 and 11)
C.
Sales Shipped out of City and/or State
(Late Filing if Return is
Penalty
15%
D.
Bad Debts Charged Off (On which City Sales Tax has been Paid)
13.
Add:
=
Filed after Due Date)
Interest
1.5%
/ mo.
Total
E.
Trade-ins for Taxable Resale
14. Total Tax, Penalty, and Interest (Add Lines 12 and 13)
F.
Sales of Gasoline and Cigarettes
15. Adjustment from Prior Periods
A. Add:
G.
Sales to Governmental, Religious, and Charitable Organizations
(Attach Copy of Assessment)
B. Deduct:
H.
Returned Goods
I.
Prescription Drugs/Prosthetic Devices
16.
Total Due and Payable
(Make Payment Payable to City of Northglenn)
J.
Other Deductions (List)
K.
Schedule A: Special Message from Taxpayer to City
L.
Total Deductions (Total of Lines 3A - 3L)
4.
Total City Net Taxable Sales (Line 2B minus Line 3)
Schedule B - City Use Tax
Schedule C - Consolidated Accounts Report
This schedule is required in all cases in which the taxpayer makes a consolidated return which includes sales made at more than
The Northglenn Municipal Code imposes a tax upon the privilege of using, distributing, or otherwise consuming in the
one location. It must be completely filled out and convey all information required in accordance with the column headings.
City tangible property or taxable services purchased, rented, or leased.
If additional space is needed, attach schedule in same format.
Total Gross Sales
Net Taxable Sales
Date of
Account
Name of Vendor
Type of Item Purchased
Purchase Price
Business Addresses of Consolidated Accounts
(Aggregate to Line 1
(Aggregate to Line 4
Purchase
Number
of the Return)
of the Return)
(B) Total Purchase of Items Subject to City Use Tax
Enter Totals Here and on the Return
Enter this Total on Line 11 on the Return
I hereby certify under penalty of perjury, that the
Show Below Change of Ownership and/or Address, Etc.
New Business Date
statements made herein are to the best of my
Mo.
Day
Yr.
knowledge, true, and correct.
1. If ownership has changed, give date of change and new owner’s name
2.
If business has been permanently discontinued, give date discontinued
By
_______________________________________________
3. If business location has changed, give new address
Company
________________________________________
Discontinued Date
4. Records are kept at what address?
____________________________
Phone
___________________________________________
Mo.
Day
Yr.
5. If business is temporarily closed, give dates to be closed
______________________ _________________________
j
j
Mailing Address
Business Address
Title
Date
STF ZCO6042F
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Parent category: Financial