Sales And Use Tax Return - City Of Central

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PERIOD COVERED
ACCOUNT NUMBER
CITY OF CENTRAL
DUE
PO BOX 249 CENTRAL CITY, CO 80427
SALES/USE TAX RETURN
COMPANY NAME:
COMPUTAION OF TAX
5A. AMOUNT OF CITY SALES TAX 4% OF LINE 4
5B. AMOUNT OF LINE 4 SUBJECT TO LODGER'S TAX:
X 3 %
_____________
6. ADD: EXCESS TAX COLLECTED:
1. GROSS SALES AND SERVICE: TOTAL RECEIPTS FROM CITY ACTIVITIES MUST BE REPORTED
7. ADJUSTED CITY TAX: (ADD LINES 5A, 5B
6)
&
AND ACCOUNTED FOR IN EVERY RETURN INCL. ALL SALES, RENTALS AND LEASES AND ALL
SERVICES BOTH TAXABLE AND NON-TAXABLE.
8. DEDUCT 3 1/3% OF LINE 7 (VENDORS FEE, IF PAID BY DUE DATE)
2A ADD: BAD DEBTS COLLECTED
9. TOTAL SALES TAX (LINE 7 MINUS LINE 8)
10. CITY USE TAX - AMOUNT SUBJECT TO TAX
2B ADD: TOTAL LINES 1 & 2A
X
4 %
3. A.
NON-TAXABLE SERVICE SALES
(INCL IN ITEM 1 ABOVE)
11. TOTAL TAX DUE: (ADD LINES 9 AND 10)
B.
-
SALES TO
OTHER LICENSED DEALERS " FOR PURPOSES OF
D
12. LATE FILING (IF RETURN IS FILED AFTER DUE DATE)
TAXABLE RESALE
C.
PENALTY 10% PLUS 1% INTEREST
SALES SHIPPED OUT OF CITY AND OR STATE
(INCLUDED IN ITEM 1
E
ABOVE)
D
13. TOTAL TAX PENALTY AND INTEREST DUE: (ADD LINES 11 AND 12)
.BAD DEBTS
(ON WHICH CITY SALES TAX HAS BEEN PAID)
D
E.
TRADE-INS FOR TAXABLE RESALE
14. ADJUSTMENT PRIOR PERIODS
A- ADD:►
U
ATTACH COPY OF OVER OR
B - DEDUCT: ►
UNDER PAYMENT NOTICE
F
. SALES OF GASOLINE AND CIGARETTES
C
15. TOTAL DUE AND PAYABLE
MAKE CHECK OR MONEY ORDER
G.
SALES TO GOVERNMENTAL RELIGIOUS ' AND CHARITABLE
PAYABLE TO CITY OF CENTRAL
T
ORGANIZATIONS
H.
RETURNED GOODS
I
I.
PRESCRIPTION DRUGS/PROSTHETIC DEVICES
SCHEDULE A
O
J
. OTHER DEDUCTIONS (LIST)
N
SPECIAL MESSAGE TO AND FROM CITY/TAXPAYER
K.
S
IF YOUR MONTHLY TAX COLLECTED IS LESS THAN $60
L.
PLEASE FILE QUARTERLY
M.
3. TOTAL DEDUCTIONS (TOTAL OF LINES 3A THRU 3M)
4. TOTAL CITY NET TAXABLE SALES & SERVICE
B - CITY
SCHEDULE - C - CONSOLIDATED ACCOUNTS REPORT
SCHEDULE -
USE TAX
THIS SCHEDULE IS REQUIRED IN ALL
CASED IN WHICH THE TAXPAYER MAKES A CONSOLIDATED RETURN WHICH INCLUDES SALES MADE AT MORE THAN ONE
The Municipal Code imposes a tax upon the privilege of using, storing, distributing or otherwise consuming in the
LOCATION. IT MUST BE COMPLETELY FILLED OUT AND CONVEY ALL INFORMATION REQUIRED IN ACCORDANCE WITH THE
Municipality tangible property or taxable services purchased, rented or leased.
COLUMN HEADING. IF ADDITIONAL SPACE IS NEED ATTACH SCHEDULE IN SAME FORMAT.
DATE OF
NAME OF VENDOR
TYPE OF COMMODITY
PURCHASE PRICE
ACCOUNT
BUSINESS ADDRESSES
PERIODS TOTAL GROSS SALES
PERIODS NET TAXABLE
PURCHASE
ADDRESS
PURCHASED
NUMBER
OF CONSOLIDATED ACCOUNTS
(AGGREGATE TO LINE 1)
SALES
(AGGREGATE TO LINE 4)
(A) LIST OF PURCHASES (IF ADDITIONAL SPACE NEEDED - ATTACH SCHEDULE IN SAME FORMAT)
$
$
(B) TOTAL PURCHASE PRICE OF PROPERTY SUBJECT TO CITY USE TAX
ENTER TOTAL LINE (B) ON LINE 10 ABOVE.
ENTER TOTALS HERE
ABOVE
AND
$
$
NEW BUSINESS DATE
DISCONTINUED DATE
SHOW BELOW CHANGE OF OWNERSHIP
I hereby certify under penalty of perjury,
AND/OR ADDRESS, ETC.
that the statements made herein are to the best
knowledg , true and correct.
1. If ownership has changed, give date of change and new owner's name
BY
2. If business has been permanently discontinued, give date discontinued
COMPANY
3. If business location has changed, give new address
TITLE
4. Records are kept at what address?
5. If business is seasonal, give month of operation
DATE
6. If the return includes sales for more than one location, refer to and complete schedule "C"
PHONE
7. If the business is temporarily closed , give dates to be closed

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