Sales/use Tax Return - City Of Westmister Page 2

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PAGE 2
SCHEDULE B:
CITY USE TAX
The Westminster Municipal Code imposes a tax upon the privilege of using, storing, distributing or otherwise consuming in the City
tangible property or taxable services purchased, rented or leased.
DATE OF
NAME OF VENDOR
TYPE OF COMMODITY
PURCHASE
PURCHASE
ADDRESS
PURCHASED
PRICE
(A) List of purchases (if additional space needed-attached schedule in same format)
_____________________________________________________________________$_______________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
(B) TOTAL PURCHASE PRICE OF PROPERTY SUBJECT TO CITY USE TAX ENTER
TOTAL LINE (B) ON LINE 10 ON FRONT OF RETURN
$___________________
SCHEDULE C:
CONSOLIDATED ACCOUNTS REPORTS
This schedule is required in all cases in which the taxpayer makes a consolidated return which includes sales made at more than one
location. It must be completely filled out and convey all information required in accordance with the column headings. If additional
space is needed attach schedule in same format
ACCOUNT
BUSINESS ADDRESSES
PERIODS TOTAL GROSS
PERIODS NET TAXABLE
NUMBER
OF CONSOLIDATED
SALES (AGGREGATE TO
SALES (AGGREGATE TO
ACCOUNTS
LINE 1 FRONT OF RETURN)
LINE 4 FRONT OF RETURN)
___________________________________________________________________________________________________________
________________________________________$__________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________
Enter Totals Here And On Front Of Return
$_____________________
$_____________________________
New Business Date
__________________________
(MO
Day
Yr)
1.
If ownership has changed, give date of change and new owner’s name
2.
If business has been permanently discontinued, give date discontinued
3.
If business location has changed, give new address
Discontinue Date
4.
Records are kept at what address?_________
__________________________
5.
If business is temporarily closed, give dates to be closed
(MO
Day
Yr)
6.
If business is seasonal, give month of operation
7.
If the return includes sales for more than one location refer to and
complete schedule “C”
Show below change of ownership and/or address, etc.
_____________________________________________________
_____________________________________________________
_____________________________________________________
hereby certify under penalty of perjury, that the statements made herein are to the best of my knowledge,
I
true and correct
By __________________________________________
Company _____________________________________
Phone ________________________________________
_______________________________________________________________________________________________________
Title
Date

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