Sales/use Tax Return - City Of Louisville printable pdf download

CITY OF LOUISVILLE SALES/USE TAX RETURN

PERIOD

ACCOUNT

COVERED

NUMBER

MAIL THIS FORM TO THE “Sales Tax Division”

749 Main Street, Louisville, CO 80027

DUE

DATE

(303) 335-4514

TAXPAYER’S NAME AND ADDRESS

COMPUTATION OF TAX

5. AMOUNT OF CITY SALES TAX (3.5% OF LINE 4)

6. ADD EXCESS TAX COLLECTED

7. ADJUSTED CITY TAX (ADD LINES 5 & 6)

GROSS SALES

TOTAL RECEIPTS FROM CITY ACTIVITY MUST BE REPORTED AND

8. NO VENDOR FEE

ACCOUNTED FOR IN EVERY RETURN INC./ ALL SALES, RENTALS

AND SERVICE

AND LEASES AND ALL SERVICES BOTH TAXABLE AND NON-TAXABLE

9. CITY USE TAX (FROM SCHEDULE B) SUBJECT TO USE TAX $___________X 3.5%

2A. ADD BAD DEBTS COLLECTED

10. ADDITIONAL USE TAX DUE

2B. ADD TOTAL LINES 1 & 2A

11. TOTAL TAX DUE (LINE 7 & 9 & 10)

NON-TAXABLE

SERVICE SALES

12.

LATE FILING IF RETURN

PENALTY 10% (MIN $15)

)

(

SALES TO OTHER LICENSED DEALERS

IS FILED AFTER DUE

ADD

FOR PURPOSES OF TAXABLE RESALE

1% INTEREST PER MONTH

DATE THEN,

SALES SHIPPED OUT OF CITY AND/OR STATE

(INCLUDED IN ITEM 1 ABOVE)

13. TOTAL TAX PENALTY AND INTEREST DUE (ADD LINES 11 AND 12)

BAD DEBTS CHARGED OFF

(ON WHICH CITY SALES TAX HAS BEEN PAID)

14.

A – ADD:

➤

ADJUSTMENT PRIOR PERIODS

E. TRADE-INS FOR TAXABLE RESALE

ATTACH COPY OF OVER OR

UNDERPAYMENT NOTICE-

B – DEDUCT:

➤

F. SALES OF GASOLINE AND CIGARETTES

15. TOTAL DUE AND PAYABLE

MAKE CHECK OR MONEY ORDER

(

)

SALES TO GOVERNMENTAL RELIGIOUS

PAYABLE TO

AND CHARITABLE ORGANIZATIONS

CITY OF LOUISVILLE

(ON WHICH CITY SALES TAX

H. RETURNED GOODS

WAS PREVIOUSLY PAID)

I hereby certify under penalty of perjury, that the statements made

PRESCRIPTION DRUGS/PROSTHETIC DEVICES

herein are to the best of my knowledge, true and correct.

J. OTHER DEDUCTIONS (LIST)

SIGNATURE ______________________________________ DATE ____________________

TITLE ___________________________ COMPANY _________________________________

3. TOTAL DEDUCTIONS (TOTAL OF LINES 3A THRU 3M)

PHONE _ _____________________________ FAX __________________________________

(LINE 2B MINUS

4. TOTAL CITY NET TAXABLE SALES & SERVICE

TOTAL LINE 3)

SCHEDULE-B - CITY USE TAX

The Louisville Municipal Code imposes a tax upon the privilege of using, storing, distributing, or otherwise consuming in the City any article of tangible personal property or services

purchased, leased or rented from sources outside the city, on which a sales tax has not been paid. If additional space is needed, attache additional schedule in the same format.

PURCHASE

VENDOR

TYPE OF COMMODITY

PURCHASE

DATE

NAME

ADDRESS

PURCHASED

PRICE

ENTER TOTALS HERE AND ABOVE

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 than one location. It must be completely filled

out and convey all information required in accordance with the column headings. If additional space is needed attach schedule in same format.

PERIODS NET TAXABLE

PERIODS TOTAL GROSS

BUSINESS ADDRESSES

ACCOUNT

SALES (TOTAL TO

OF CONSOLIDATED ACCOUNTS

NUMBER

LINE 4 ABOVE)

LINE 1 ABOVE)

ENTER TOTALS HERE AND ABOVE

ADDRESS CHANGE NOTIFICATION