Sales/use Tax Return - City Of Westminster
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1TAXPAYER'S NAME AND ADDRESS
CITY OF WESTMINSTER
PERIOD
ACCOUNT
COVERED
NUMBER
SALES/USE TAX RETURN
DUE
P.O. BOX 17107 Denver, CO 80217-7107
DATE
(303) 658-2065
COMPUTATION OF TAX
5.
AMOUNT OF CITY SALES TAX 3.85% OF LINE 4
6.
ADD: EXCESS TAX COLLECTED
7.
ADJUSTED CITY SALES TAX (ADD LINES 5 & 6)
DEDUCT 2.5% OF LINE 7 UP TO $100
8.
(VENDORS FEE IF PAID BY DUE DATE)
9.
NET SALES TAX DUE (LINE 7 MINUS LINE 8)
GROSS SALES
CITY USE TAX
TOTAL RECEIPTS FROM CITY ACTIVITY MUST BE REPORTED AND
(FROM SCHEDULE B)
1.
10.
ACCOUNTED FOR IN EVERY RETURN INCL. SALES RENTALS AND LEASES AND ALL
AND SERVICE
AMOUNT SUBJECT TO TAX ______________________ x 3.85% =
SERVICES BOTH TAXABLE AND NON-TAXABLE
2A. ADD: BAD DEBTS COLLECTED
11. TOTAL TAX DUE (ADD LINES 9 & 10)
PENALTY
2B. TOTAL LINES 1 & 2A
LATE FILING
▼ TOTAL PENALTY & INTEREST ▼
10%
OF TAX ($15 MIN)*
12.
IF RETURN IS FILED
NON-TAXABLE SERVICE SALES
INTEREST
3.
A.
AFTER DUE DATE ADD:
(INCLUDED IN ITEM 1 ABOVE)
1%
PER MONTH
SALES TO OTHER LICENSED DEALERS
B.
13. TOTAL TAX /PENALTY/INTEREST DUE (ADD LINES 11 & 12)
FOR PURPOSES OF TAXABLE RESALE
SALES SHIPPED OUT OF CITY AND OR STATE
MAKE CHECK OR MONEY
C.
(INCLUDED IN ITEM 1 ABOVE)
14. TOTAL DUE AND PAYABLE
ORDER PAYABLE TO
BAD DEBTS CHARGED OFF
D.
D
(ON WHICH CITY SALES TAX HAS BEEN PAID)
CITY OF WESTMINSTER
E
E.
TRADE-INS FOR TAXABLE RESALE
* SPECIAL PENALTY APPLIES AFTER 3RD LATE RETURN
D
U
F.
SALES OF GASOLINE AND CIGARETTES
FILE AND PAY TAXES ELECTRONICALLY WITH
C
SALES TO GOVERNMENTAL, RELIGIOUS AND
G.
FAST FILING AT
T
CHARITABLE ORGANIZATIONS
I
H.
RETURNED GOODS
O
I.
SPECIAL MESSAGE TO CITY FROM TAXPAYER
SCHEDULE A
PRESCRIPTION DRUGS / PROSTHETIC DEVICES
N
S
J.
_______ CHECK HERE FOR BUSINESS CLOSURE/CHANGE OF OWNERSHIP
K.
_______ CHECK HERE FOR CHANGE OF ADDRESS
L.
COMPLETE THE BOTTOM PORTION IF ANY OF THE ABOVE APPLY. ALWAYS SIGN BOTTOM OF FORM
3. TOTAL DEDUCTIONS (TOTAL OF LINES 3 A THROUGH L)
4. TOTAL CITY NET TAXABLE SALES & SERVICE (LINE 2B MINUS LINE 3)
PLEASE COMPLETE THE BOTTOM PORTION OF THIS FORM
SCHEDULE B - CITY USE TAX
SCHEDULE C - CONSOLIDATED ACCOUNTS REPORT
THIS SCHEDULE IS REQUIRED IN ALL CASES WHERE THE TAXPAYER MAKES A CONSOLIDATED RETURN WHICH INCLUDES SALES/USE
THE WESTMINSTER MUNICIPAL CODE IMPOSES A TAX UPON THE PRIVILEGE OF USING, STORING, DISTRIBUTING, OR OTHERWISE
TAX FOR MORE THAN ONE LOCATION. IT MUST BE COMPLETELY FILLED OUT AND CONVEY ALL INFORMATION REQUIRED BY
CONSUMING IN THE CITY TANGIBLE PERSONAL PROPERTY OR TAXABLE SERVICES PURCHASED RENTED OR LEASED.
THE COLUMN HEADINGS. ATTACH ADDITIONAL SCHEDULE IN SAME FORMAT IF NEEDED.
PURCHASE
VENDOR NAME
TYPE OF COMMODITY
PURCHASE
LOCATION
GROSS SALES
NET TAXABLE SALES
TAXABLE PURCHASES
DATE
ADDRESS
PURCHASED
PRICE
ADDRESS
(LINE 1)
(LINE 4)
(LINE 10)
ATTACH ADDITIONAL SCHEDULE IN SAME FORMAT IF NEEDED
TOTAL PURCHASE PRICE OF PROPERTY & SERVICES SUBJECT
TOTALS
TO CITY USE TAX (ENTER ON LINE 10 ABOVE)
(ENTER ON SPECIFIED
LINES ABOVE)
CLOSURE/OWNERSHIP CHANGE DATES
NEW OWNERSHIP/ADDRESS CHANGE INFORMATION:
TAXPAYER SIGNATURE (REQUIRED)
I HEREBY CERTIFY, UNDER PENALTY OF PERJURY, THAT THE STATEMENTS
MADE HEREIN ARE TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE.
MO
DAY
YR
____________________________________________
NEW BUSINESS
START DATE
BY:
____________________________________________
MO
DAY
YR
DISCONTINUED
TITLE:
____________________________________________
BUSINESS DATE
PHONE:
DATE:
BUSINESS ADDRESS MAILING ADDRESS
IMPORTANT REMINDERS:
1. INCLUDE WESTMINSTER ACCOUNT NUMBER, NAME, AND ADDRESS IN THE UPPER LEFT.
2. INCLUDE THE PERIOD FOR WHICH YOU ARE FILING.
3. THE DUE DATE IS THE 20TH OF THE MONTH FOLLOWING THE END OF THE REPORTING PERIOD.
4. YOUR WESTMINSTER ACCOUNT NUMBER IS NOT YOUR FEIN # OR YOUR STATE OF COLORADO
DEPARTMENT OF REVENUE ACCOUNT NUMBER.
5. IF YOU HAVE RECENTLY APPLIED FOR A WESTMINSTER ACCOUNT NUMBER, WRITE "APPLIED FOR"
AND THE APPLICATION DATE IN THE ACCOUNT NUMBER AREA.
6. ZERO LIABILITY RETURNS MAY BE FAXED TO (303) 706-3923 (PRIOR TO THE DUE DATE) OR
FILED ELECTRONICALLY AT . IF YOU FILE ELECTRONICALLY OR FAX
A RETURN, DO NOT MAIL A COPY.
7. A RETURN IS REQUIRED EVEN IF NO TAX IS DUE. LATE RETURNS ARE SUBJECT TO PENALTY.
COW ONLINE (PDF) RETURN
REVISED: 1/2010
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