City Of Glenwood Springs - Sales/use Tax Return

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PERIOD
ACCOUNT
CITY OF GLENWOOD SPRINGS
COVERED
NUMBER
SALES/USE TAX RETURN
DUE
DATE
806 COOPER AVE · P.O. BOX 458 · GLENWOOD SPRINGS, CO 81602
(970) 945-2575
TAXPAYER’S NAME AND ADDRESS
COMPUTATION OF TAX
5A. AMOUNT OF CITY SALES TAX: 3.45% OF LINE 4
5B. AMOUNT SUBJECT TO ACCOMMODATIONS TAX: _____________________ x 2.5%
6. ADD: EXCESS TAX COLLECTED:
7. ADJUSTED CITY TAX: (ADD LINES 5A, 5B & LINE 6
8. DEDUCT 2% OF LINE 7 (VENDORS FEE, IF PAID BY DUE DATE)
(TOTAL RECEIPTS FROM CITY ACTIVITY MUST BE
9. TOTAL SALES TAX: (LINE 7 MINUS LINE 8)
GROSS SALES
REPORTED AND ACCOUNTED FOR IN EVERY RETURN
1.
AND SERVICE
INCLUDING ALL SALES, RENTALS, AND LEASES AND ALL
FROM
10. CITY USE TAX
AMOUNT SUBJECT TO TAX ________________ x 3.45%
SERVICES BOTH TAXABLE AND NON-TAXABLE)
SCHEDULE B
2A. ADD: BAD DEBTS COLLECTED
11. TOTAL TAX DUE: (ADD LINES 9 AND 10)
2B. TOTAL LINES 1 & 2A
(LATE FILING
10% OF LINE 11
A. PENALTY
ADD:
12.
IF RETURN IS FILED
NON-TAXABLE
(INCLUDED IN ITEM 1
B. INTEREST PER
3.
A.
0.67% OF LINE 11
AFTER DUE DATE)
SERVICE SALES
ABOVE)
MONTH
SALES TO OTHER LICENSED DEALERS
B.
13. TOTAL TAX, PENALTY AND INTEREST DUE (ADD LINES 11, 12A AND 12B)
FOR PURPOSES OF TAXABLE RESALE
SALES SHIPPED OUT OF
(INCLUDED IN
C.
ADJUSTMENT PRIOR PERIODS
A. ADD:
CITY AND/OR STATE
ITEM 1 ABOVE)
14.
ATTACH COPY OF OVER OR
D
BAD DEBTS
(ON WHICH CITY SALES
D.
B. DEDUCT:
UNDERPAYMENT NOTICE
CHARGED OFF
TAX HAS BEEN PAID)
E
(MAKE CHECK OR MONEY ORDER
E.
TRADE-INS FOR TAXABLE RESALE
D
15. TOTAL DUE AND PAYABLE:
PAYABLE TO
U
F.
SALES OF GASOLINE AND CIGARETTES
CITY OF GLENWOOD SPRINGS)
C
SALES TO GOVERNMENTAL, RELIGIOUS
G.
Please Complete Reverse Side for Address and Ownership Changes
T
AND CHARITABLE ORGANIZATIONS
I
H.
I hereby certify under penalty of perjury that the statements made herein are to the best of my knowledge true and
RETURNED GOODS
O
correct.
PRESCRIPTION DRUGS AND
I.
N
PROSTHETIC DEVICES
J.
BY
ACCOMMODATIONS IN EXCESS OF 30 DAYS
K.
COMPANY
OTHER DEDUCTIONS (LIST)
L.
3. TOTAL DEDUCTIONS
(LINE 2B MINUS
TITLE
DATE
4. TOTAL CITY NET TAXABLE SALES & SERVICE
TOTAL LINE 3)
REVERSE SIDE - SALES/USE TAX RETURN
1.
If ownership has changed, give date of change and new owner’s name.
SCHEDULE - B - CITY USE TAX
NEW BUSINESS DATE
2.
If a business has been permanently discontinued, give date discontinued.
MO. DAY YR.
The Use Tax Ordinance imposes a tax upon the privilege of using, storing, distributing or otherwise
3.
If business location has changed, give new address.
consuming in the City tangible personal property or taxable services purchased, rented or leased.
4.
Records are kept at what address?_______________________________
DISCONTINUED DATE
___________________________________________________________
DATE OF
NAME OF VENDOR
TYPE OF COMMODITY
PURCHASE PRICE
MO. DAY YR.
5.
If Business is temporarily closed, give dates to be closed.
PURCHASE
ADDRESS
PURCHASED
(A) LIST OF PURCHASES (IF ADDITIONAL SPACE NEEDED--ATTACH SCHEDULE IN SAME FORMAT)
$
SHOW BELOW CHANGE OF OWNERSHIP NAME AND/OR ADDRESS, ETC.
$
(B) TOTAL PURCHASE PRICE OF PROPERTY SUBJECT TO CITY USE TAX
BUSINESS ADDRESS
MAILING ADDRESS
ENTER TOTAL LINE B ON LINE 10 ON FRONT OF RETURN
SCHEDULE - A:
SPECIAL MESSAGE FROM TAXPAYER TO CITY

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