Sales/use Tax Return - City Of Westmister
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1
2SALES/USE TAX RETURN
P.O Box 17107 Denver CO 80217-7107
(303)430-2400 ext 2065
City Sales Tax
Period Covered: ____________
Account #____________________
Due Date:
_______________
Taxpayer Name
______________________________________
Taxpayer Address
______________________________________
______________________________________
______________________________________
1.
GROSS SALES
TOTAL RECEIPTS FROM CITY ACTIVITY AND SERVICE MUST REPORTED
AND ACCOUNT FOR IN EVERY RETURN INCLUDE. ALL SALES, RENTALS,
AND LEASES AND ALL SERVICES BOTH TAXABLE AND NON-TAXABLE
_______________
2. A. ADD: BAD DEBTS COLLECTED
_______________
B. TOTAL LINES 1 & 2A
_______________
3. A. NON-TAXABLE SERVICE SALES
_______________
B. SALES TO OTHER LICENSED DEALERS FOR PURPOSES OF TAXABLE RESALE
_______________
C. SALES SHIPPED OUT OF CITY AND/OR STATE (INCLUDED IN ITEM 1 ABOVE)
_______________
D. BAD DEBTS (ON WHICH CITY SALES CHARGED OFF HAS BEEN PAID)
_______________
E. TRADE-INS FOR TAXABLE RESALE
_______________
F. SALES OF GASOLINE AND CIGARETTES
_______________
G. SALES TO GOVERNMENTAL, RELIGIOUS AND CHARITABLE ORGANIZATIONS
_______________
H. RETURNED GOODS
_______________
I.
PRESCRIPTION DRUGS/PROSTHETIC DEVICES
_______________
J.
OTHER DEDUCTIONS (LIST)
_______________
K.
_______________
L.
_______________
3. TOTAL DEDUCTIONS
(TOTAL OF LINES 3A THROUGH 3L)
_______________
4. TOTAL CITY NET TAXABLE SALES & SERVICES
_______________
COMPUTATION OF TAX
5. AMOUNT OF CITY SALES TAX (3.25% OF LINE 4)
_______________
6. ADD: EXCESS TAX COLLECTED
_______________
7. ADJUSTED CITY TAX: (ADD LINES 5 & 6)
_______________
8. DEDUCT 2.5% OF LINE 7 (VENDORS FEE, IF PAID BY DUE DATE)
_______________
9. TOTAL SALES TAX (LINE 7 MINUS LINE 8)
_______________
10. CITY USE TAX (FROM SCHEDULE B) AMOUNT SUBJECT TO TAX ____________X 3.25%
_______________
11. TOTAL TAX DUE: (ADD LINES 9 AND 10)
12.
LATE FILING
PENALTY*
10% __________
IF RETURN IS FILED
INTEREST PER .84% __________
AFTER DUE DATE THEN ADD:
MONTH
13. TOTAL TAX PENALTY AND INTEREST DUE (ADD LINES 11 AND 12)
_______________
14.
TOTAL DUE AND PAYABLE:
MAKE CHECK OR MONEY ORDER
PAYABLE TO
CITY OF WESTMINSTER
_______________
*15.00 MINIMUM
SPECIAL PENALTY OF 15% ($25.00 MINIMUM) APPLIES IF THREE OR MORE NOTICE OF ASSESSMENT HAVE
PREVIOUSLY BEEN ISSUED.
SCHEDULE A:
SPECIAL MESSAGE TO AND FROM CITY/TAXPAYER
_______CHECK HERE FOR BUSINESS CLOSURE/CHANGE OF OWNERSHIP
_______ CHECK HERE IF CHANGE OF ADDRESS
SEE PAGE 2
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