Commerce City Sales/use Tax Form
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1Period Covered: ____________________
th
7887 East 60
Avenue
Period Due: ________________________
Commerce City, Colorado 80022
Phone (303) 289-3628 / Fax (303) 289-3661
Account Number: ___________________
Business Name:
City:
Attention:
State:
Address:
Zip Code:
1.
Gross Sales and Service
5. Amount of City Sales Tax 4.5% of line 4
(total receipts from city activity
must be reported and accounted for in every return inc. all sales,
rentals, and leases and all services both taxable and non-taxable)
2A. Add: Bad Debts Collected
6. Add: Excess Tax Collected:
2B. Total Lines 1 and 2A
7. Adjusted City Tax: (Add lines 5 & 6)
3A. Non-Taxable Service Sales
8. Deduct 2% of line 7 Maximum $100
(included in item 1 above)
(Vendors fee, if paid
by due date)
3B. Sales to Other Lic. Dealers
9. Total Sales Tax
(Line 7 minus Line 8)
3C. Sales Shipped Out of Area
10. City Use Tax
(included in item 1 above)
(From schedule B place on line 10A)
3D. Bad Debts Charged Off
10A. Amount subject to tax __________ x 4.50%=
(on which city sales tax has been
paid)
3E. Trade-Ins for Taxable Resale
11. Total Tax Due:
(Add Line 9 and 10)
3F. Sales of Gasoline and Cig.
12.
Penalty 10%_____________________
(Late filing if return
is filed after due
3G. Sales to Govt., Rel., & Charitable Org.
Interest per month .500% _________
date then) Add:
3H. Returned Goods
13. Total Tax, Penalty and Interest Due
(Add lines 11, 12A & B)
3I. Sales of Groceries/Non-Prepared Food
14.
A - Add:
Adjustment prior periods
attach copy of over or
3J. Prescription Drugs/Pros Dev.
B - Deduct:
underpayment notice -
3K. Other Deductions (List)
15. Total Due and Payable:
(Make check or money order payable to City of
Commerce City)
3. Total Deductions
(Total of Lines 3 A thru K)
4.
Total City Net Taxable Sales/Service
(Line 2B minus
total line 3)
Special Message to and from City/Taxpayer
Schedule – A:
Check here for business closure /
change of ownership
Please note on or after 12:00 midnight,
January 1, 2014 the city’s sales & use
Check here if change of address
tax rate increased to 4.5%
Schedule – B – City Use Tax
Schedule – C - Consolidated Accounts Report
The City of Commerce City Municipal Code imposes a tax upon the privilege of using, storing, distributing or
This schedule is required in all cases in which the taxpayer makes a consolidated return which includes sales and made at
otherwise consuming in the City tangible property or taxable services purchased, rented or leased.
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 attached schedule in same format.
Name of Vendor
Reference Number
Taxable Amount
Date of
Commodity
Account
Business Addresses of
Periods Total Gross Sales
Periods Net Taxable Sales
Purchase
Purchased
Number
Consolidated Accounts
(Aggregate To Line 1 Front
(Aggregate to Line 4 Front of
of Return)
Return)
$
$
(A) List of Purchases (If Additional Space needed-attach schedule in Same Format)
$
(B) Total Taxable Amount of Property Subject to City Use Tax Enter
Enter Totals Here and on Front of Return
$
$
$
Total Here and on Front of Return
New Business Date:
I hereby certify under penalty of perjury, that the statements made
Show below change of ownership (give date), name
1.
If ownership has changed, give date of change and new
herein are to the best of my knowledge, true and correct.
and/or address, etc.
owner’s name
Mo.
Day
Yr.
__________________________________________
2.
If business has been permanently discontinued, give date
_____________________
By_____________________________________________________
discontinue
__________________________________________
3.
If business location has changed, give new address
Company_______________________________________________
__________________________________________
4.
Records are kept at what address? _______________
Discontinued Date:
5.
If business is temporarily closed, give dates to be closed
__________________________________________
Phone__________________________________________________
6.
If business is seasonal, give months of operation
Mo.
Day
Yr.
7.
If this return includes sales for more than one location, refer
Mailing Address
Date___________________ ___Title _______________________
_________________
to and complete schedule “C”
Business Address
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Parent category: Financial