Sales Tax Return Form - City Of Fort Collins
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1CITY OF FORT COLLINS
CITY OF FORT COLLINS
DEPARTMENT OF FINANCE / SALES TAX DIVISION
DEPARTMENT OF FINANCE / SALES TAX DIVISION
P.O. BOX 440 FORT COLLINS, CO 80522-0439
P.O. BOX 440 FORT COLLINS, CO 80522-0439
PHONE 970-221-6780 FAX 970-221-6782
PHONE 970-221-6780 FAX 970-221-6782
E-MAIL , WEB:
E-MAIL , WEB:
COMPUTATION OF TAX
COMPUTATION OF TAX
$0.00
5A.
AMOUNT OF CITY SALES TAX: 3% OF LINE 4
AMOUNT OF CITY SALES TAX: 3.85% OF LINE 4
5A.
PERIOD COVERED
DUE DATE
ACCT.#
PERIOD COVERED
DUE DATE
ACCT.#
5B.
GROCERIES
5B.
GROCERIES
AMOUNT SUBJECT
AMOUNT SUBJECT
$0.00
$
x 2.25%
TO TAX: (LINE 3L)
$
x 2.25%
TO TAX: (LINE 3L)
1.
GROSS SALES
(TOTAL RECEIPTS FROM CITY ACTIVITY MUST BE
1.
GROSS SALES
(TOTAL RECEIPTS FROM CITY ACTIVITY MUST BE
REPORTED AND ACCOUNTED FOR IN EVERY RETURN
AND SERVICE
REPORTED AND ACCOUNTED FOR IN EVERY RETURN
AND SERVICE
INCL. ALL SALES, RENTALS, AND
INCL. ALL SALES, RENTALS, AND
6.
ADD: EXCESS TAX COLLECTED
6.
ADD: EXCESS TAX COLLECTED
LEASES AND ALL SERVICES BOTH TAXABLE AND NON-
LEASES AND ALL SERVICES BOTH TAXABLE AND NON-
TAXABLE.)
TAXABLE.)
$0.00
7.
ADJUSTED CITY TAX (ADD LINES 5A, 5B, AND 6)
7.
ADJUSTED CITY TAX (ADD LINES 5A, 5B, AND 6)
2A.
ADD: BAD DEBTS COLLECTED
2A.
ADD: BAD DEBTS COLLECTED
2B.
TOTAL LINES 1 & 2A
2B.
TOTAL LINES 1 & 2A
RETAILER'S FEE HAS BEEN ELIMINATED FOR TAXES
RETAILER'S FEE HAS BEEN ELIMINATED FOR TAXES
8.
8.
COLLECTED ON OR AFTER 1/1/2010
A.
NON-TAXABLE
(INCLUDED IN
NON-TAXABLE
(INCLUDED IN
A.
COLLECTED ON OR AFTER 1/1/2010
3.
3.
ITEM 1 ABOVE)
SERVICE SALES
ITEM 1 ABOVE)
SERVICE SALES
B.
SALES TO OTHER LICENSED
SALES TO OTHER LICENSED
B.
$0.00
9.
TOTAL SALES TAX (LINE 7)
DEALERS FOR PURPOSES OF
DEALERS FOR PURPOSES OF
9.
TOTAL SALES TAX (LINE 7)
TAXABLE RESALE
TAXABLE RESALE
10.
NET TAXABLE USE TAX (FROM SCHEDULE B)
10.
C.
SALES SHIPPED
(INCLUDED IN
NET TAXABLE USE TAX (FROM SCHEDULE B)
SALES SHIPPED
C.
(INCLUDED IN
OUT OF CITY
ITEM 1 ABOVE)
D
OUT OF CITY
ITEM 1 ABOVE)
$0.00
11.
USE TAX 3.00% OF LINE 10
D
AND/OR STATE
11.
USE TAX 3.85% OF LINE 10
AND/OR STATE
E
BAD DEBTS
(ON WHICH CITY
E
D.
D.
BAD DEBTS
(ON WHICH CITY
$0.00
LATE FILLING
PENALTY:10%
ENTER
CHARGED
SALES TAX HAS
LATE FILLING
PENALTY:10%
ENTER
D
CHARGED
SALES TAX HAS
D
TOTAL
IF RETURN IS FILED
TOTAL
OFF
BEEN PAID)
IF RETURN IS FILED
$0.00
OFF
BEEN PAID)
12.
INTEREST PER
INTEREST PER
U
12.
AFTER DUE DATE THEN
1%
U
1%
AFTER DUE DATE THEN
E.
TRADE-INS FOR TAXABLE
MONTH:
$0.00
E.
TRADE-INS FOR TAXABLE
MONTH:
ADD:
C
ADD:
C
RESALE
ASSESSMENT FEE
$25.00
RESALE
ASSESSMENT FEE
$25.00
T
$0.00
SALES OF GASOLINE
T
F.
13.
TOTAL TAX DUE AND PAYABLE ( ADD LINES 9,11,12)
SALES OF GASOLINE
F.
13.
TOTAL TAX DUE AND PAYABLE ( ADD LINES 9,11,12)
I
AND CIGARETTES
I
AND CIGARETTES
14.
ADJUSTMENTS FOR PRIOR PERIODS - ATTACH
O
14.
ADJUSTMENTS FOR PRIOR PERIODS - ATTACH
O
G.
SALES TO GOVERNMENTAL,
G.
SALES TO GOVERNMENTAL,
COPY OF NOTICE
N
COPY OF NOTICE
N
RELIGIOUS AND CHARITABLE
RELIGIOUS AND CHARITABLE
S
ORGANIZATIONS
S
ORGANIZATIONS
15.
TOTAL DUE AND PAYABLE:
MAKE CHECK OR MONEY ORDER
MAKE CHECK OR MONEY ORDER
15.
TOTAL DUE AND PAYABLE:
$0.00
PAYABLE TO:
PAYABLE TO:
CITY OF FORT COLLINS
CITY OF FORT COLLINS
H.
RETURNED GOODS
H.
RETURNED GOODS
I.
PRESCRIPTION DRUGS /
PRESCRIPTION DRUGS /
I.
SCHEDULE A
SCHEDULE A
PROSTHETIC DEVICES
PROSTHETIC DEVICES
J.
Food Stamps
J.
Food Stamps
K.
Lodging Over 30 days
K.
Lodging Over 30 days
Grocery Food Sales
L.
RETAILER'S FEE HAS BEEN ELIMINATED FOR TAXES
Grocery Food Sales
L.
RETAILER'S FEE HAS BEEN ELIMINATED FOR TAXES
COLLECTED AFTER 12/31/09
Other
M.
COLLECTED AFTER 12/31/09
M.
Other
(TOTAL OF LINES 3
3. TOTAL DEDUCTIONS
(TOTAL OF LINES 3
3. TOTAL DEDUCTIONS
A THRU M)
A THRU M)
4.
TOTAL CITY NET TAXABLE SALES & SERVICES
(LINE 2B MINUS
(LINE 2B MINUS
4.
TOTAL CITY NET TAXABLE SALES & SERVICES
TOTAL LINE 3)
TOTAL LINE 3)
SCHEDULE - B - CITY USE TAX
SCHEDULE - C - CONSOLIDATED ACCOUNTS REPORT
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
This schedule is required in all cases in which the taxpayer makes a consolidated return which includes sales made at more
The use tax ordinance imposes a tax upon the privilege of using, storing, distributing or otherwise
The use tax ordinance imposes a tax upon the privilege of using, storing, distributing or otherwise
than one location. It must be completely filled out and convey all information required in accordance with the column headings.
than one location. It must be completely filled out and convey all information required in accordance with the column headings.
consuming in the City tangible property or taxable services purchased, rented or leased.
consuming in the City tangible property or taxable services purchased, rented or leased.
If additional space is needed attach schedule in same format.
If additional space is needed attach schedule in same format.
PERIODS TOTAL GROSS
PERIODS NET TAXABLE
PERIODS TOTAL GROSS
PERIODS NET TAXABLE
DATE OF
NAME OF VENDOR
TYPE OF COMMODITY
PURCHASE
BUSINESS ADDRESSES
DATE OF
NAME OF VENDOR
TYPE OF COMMODITY
PURCHASE
BUSINESS ADDRESSES
SALES (AGGREGATE TO LINE
SALES (AGGREGATE TO LINE
SALES (AGGREGATE TO LINE
SALES (AGGREGATE TO LINE
PURCHASE
ADDRESS
PURCHASED
PRICE
OF CONSOLIDATED ACCOUNTS
PURCHASE
ADDRESS
PURCHASED
PRICE
OF CONSOLIDATED ACCOUNTS
1 TOP OF RETURN)
4 TOP OF RETURN)
1 TOP OF RETURN)
4 TOP OF RETURN)
$
$
(A) LIST OF PURCHASES (IF ADDITIONAL SPACE NEEDED - ATTACH SCHEDULE IN SAME FORMAT)
$
$
(A) LIST OF PURCHASES (IF ADDITIONAL SPACE NEEDED - ATTACH SCHEDULE IN SAME FORMAT)
$
$
ENTER TOTALS HERE AND TOP OF RETURN
ENTER TOTALS HERE AND TOP OF RETURN
(B) TOTAL PURCHASE PRICE OF PROPERTY SUBJECT TO CITY USE TAX
(B) TOTAL PURCHASE PRICE OF PROPERTY SUBJECT TO CITY USE TAX
$
$
ENTER TOTAL LINE (B) ON LINE 10 ON TOP OF RETURN
$
$
ENTER TOTAL LINE (B) ON LINE 10 ON TOP OF RETURN
$
$
SHOW BELOW CHANGE OF OWNERSHIP, NAME
I, hereby certify, under penalty of perjury, that the
NEW BUSINESS DATE
1. If ownership has changed, give date of change and
SHOW BELOW CHANGE OF OWNERSHIP, NAME
I, hereby certify, under penalty of perjury, that the
NEW BUSINESS DATE
1. If ownership has changed, give date of change and
AND/OR ADDRESS, ETC
statements made herein are to the best of my knowledge
new owner's name.
AND/OR ADDRESS, ETC
statements made herein are to the best of my knowledge
new owner's name.
MO.
DAY
YEAR
true and correct.
MO.
DAY
YEAR
2. If business has been permanently discontinued, give
true and correct.
2. If business has been permanently discontinued, give
________________________________
________________________________
date discontinued.
date discontinued.
_______________
_______________
________________________________
3. If business location has changed, give new address.
________________________________
3. If business location has changed, give new address.
BY:___________________________________________
BY:___________________________________________
4. Records are kept at what address?
________________________________
4. Records are kept at what address?
________________________________
DISCONTINUED DATE
DISCONTINUED DATE
________________________________
________________________________
________________________________
COMPANY:____________________________________
________________________________
COMPANY:____________________________________
5. If business is temporarily closed, give dates to be
MO.
DAY
YEAR
5. If business is temporarily closed, give dates to be
MO.
DAY
YEAR
closed.
closed.
PHONE:_______________________________________
PHONE:_______________________________________
_______________
6. If business is seasonal, give months of operation.
_______________
6. If business is seasonal, give months of operation.
7. If this return includes sales for more than one
BUS. ADDRESS
MAILING ADDRESS
7. If this return includes sales for more than one
________________________
_________________
BUS. ADDRESS
MAILING ADDRESS
________________________
_________________
location, refer to and complete schedule "C".
location, refer to and complete schedule "C".
TITLE
DATE
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DATE
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