Sales And Use Tax Return - City Of Golden
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1
2City of
City of
Golden
Golden
FINANCE DEPARTMENT
SALES/USE TAX RETURN
SALES TAX DIVISION
Account Number:
Period Covered:
Due
REMIT TO: CITY OF GOLDEN
P.O. BOX 5885, DENVER, CO 80217-5885
TEL: 303-384-8023
CHECK HERE FOR BUSINESS CLOSURE/
CHANGE OF OWNERSHIP (complete page 2)
CHECK HERE IF CHANGE OF ADDRESS
(complete page 2)
1
Gross Sales and Service — Total receipts from city activity must be reported and accounted for in every
1
.
return. Include all sales, rentals, leases and all services, both taxable and untaxable.
2A
.
2 A
Add bad debts collected
2B
.
B
Total lines 1 and 2A
3A
.
3 A
Non-taxable service sales
3B
.
B
Sales to other licensed dealers for purposes of taxable resale
3C
.
C
Sales shipped out of city and/or state (included in item 1 above)
3D
.
D
Bad debts charged off (on which city sales tax has been paid)
3E
.
E
Trade-ins for taxable resale
3F
.
F
Sales of gasoline and cigarettes
3G
.
G
Sales to governmental, religious and charitable organizations
3H
.
H
Returned goods
3I
.
I
Prescription drugs/prosthetic devices
3J
.
J
Other deductions (list):
3K
.
K
3L
.
L
3
TOTAL DEDUCTIONS (Totals of lines 3A through 3L)
3 TOTAL
.
4
TOTAL CITY NET TAXABLE SALES AND SERVICES
4 TOTAL
.
COMPUTATION OF TAX
5
Amount of city sales tax (3% of line 4)
5
.
6
Add excess tax collected
6
.
7
Adjusted city tax (add lines 5 and 6)
7
.
8
Unused
9
Unused
10 A
City use tax: Amount subject to 3% use tax from Schedule A (see side 2)
10A
.
B
Additional use tax < 3% (see side 2, Schedule B)
10B
.
11
TOTAL TAX DUE (add lines 7, 10A and 10B)
11
.
12
Late filing: If return is filed after due date, add
Penalty: 10% penalty or $15, whichever is greater
12
.
Interest per month 1%
12
.
13 A
Add: Prior period adjustment
13A
.
B
Subtract: Prior period adjustment
13B
.
14
TOTAL DUE (Make your check or money order payable to the City of Golden)
14 TOTAL
.
I hereby certify under penalty of perjury, that the statements made herein are, to the best of my knowledge, true and correct.
X
Name
Title
Date
Company
Phone
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