Sales/use Tax Return - City Of Sterling

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Taxpayer’s Name and Address
Period
Account
Covered __________
Number __________
Due Date _________
CITY OF STERLING
Sales/Use Tax Return
P.O. Box 4000
Sterling, CO 80751
(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 . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
B. Sales to Other Licensed 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.
Total Deductions (Lines 4 A-L) . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5.
Net Taxable Sales & Services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6.
Amount of City Sales Tax: 3% of Line 5 . . . . . . . . . . . . . . . . . . . . . . . . . .
7.
Add: Excess Tax Collected . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8.
Adjusted City Tax (Total Lines 6 & 7) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9.
Deduct Vendor Fee 2.33% (.0233) of Line 8
(If paid by due date) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
10. Total Sales Tax (Line 8 Minus Line 9) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
11. City Use Tax: Amount Subject to Tax ___________ x 3% . . . . . . . . . . . .
12. Late Filing Add:
Penalty 10% of Lines 10 & 11 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Interest Per Month 1% . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Total Penalty and Interest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
13. Total Tax, Penalty & Interest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
14. Add: Underpayment on Prior Return . . . . . . . . . . . . . . . . . . . . . . . . . . . .
15. Deduct: Overpayment on Prior Return . . . . . . . . . . . . . . . . . . . . . . . . . . .
16. Total Due and Payable/Refund: (Lines 13, 14 & 15) . . . . . . . . . . . . . . . .
(Make Check or Money Order Payable
to City of Sterling)
___Check Here for Business Closure
___Check Here if Change of Address
___Check Here if Change of Ownership
Please show address change below
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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