Amended 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
Amended Sales/Use Tax Return
P.O. Box 4000
Sterling, CO 80751
(970) 522-9700
As Previously Reported
Correct Amount
Net Change
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
(Only if an Amount on Original Return)
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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