Computation Of Tax Form - City Of Rifle
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1
2CITY OF RIFLE
P.O. BOX 1908
PERIOD
DUE
ACCOUNT
(970) 625-6230
RIFLE, CO 81650
COVERED
DATE
NUMBER
1. GROSS SALES AND SERVICE (TOTAL RECEIPTS FROM CITY ACTIVITY
DUE DATE 20TH OF MONTH FOLLOWING TAX PERIOD
MUST BE REPORTED AND ACCOUNTED FOR IN EVERY RETURN INCL. ALL
SALES RENTALS AND LEASES AND ALL SERVICES BOTH TAXABLE AND
COMPUTATION OF TAX
NON-TAXABLE.)
2A. ADD: BAD DEBTS COLLECTED
TOTAL
TOTAL
5.
AMOUNT OF CITY SALES TAX
2.5% OF LINE 4
2B. TOTAL LINES 1 & 2A
A. NON-TAXABLE SERVICE SALES
3.
(INCLUDED IN ITEM 1 ABOVE)
B. SALES TO OTHER LICENSED DEALERS
FOR PURPOSES OF TAXABLE RESALE
C. SALES SHIPPED OUT OF CITY AND/OR
STATE (INCLUDED IN ITEM ABOVE)
D. BAD DEBTS CHARGED OFF (ON WHICH
6.
ADD: EXCESS TAX COLLECTED:
CITY SALES TAX HAS BEEN PAID)
D
E. TRADE-INS FOR TAXABLE RESALE
7.
E
D
8.
F. SALES OF GASOLINE AND CIGARETTES
U
G. SALES TO GOVERNMENTAL, RELIGIOUS
TOTAL
C
9.
TOTAL SALES TAX
AND CHARITABLE ORGANIZATIONS
T
10.
(FROM SCHEDULE B) CITY USE TAX -AMOUNT SUBJECT TO TAX
X 2.5%=
H. RETURNED GOODS
I O
I. PRESCRIPTION DRUGS/PROSTHETIC
N
DEVICES
11. TOTAL TAX DUE: (ADD LINES 9 AND 10)
PENALTY:
S
J. OTHER DEDUCTIONS (LIST)
ENTER
(LATE FILING IF RETURN IS
ADD:
12.
INTEREST PER MONTH:
TOTAL
K.
TOTAL
FILED AFTER DUE DATE THEN)
13. TOTAL TAX, PENALTY AND INTERST DUE: (ADD LINES 11 AND 12)
L.
ADJUSTMENT PRIOR PERIODS
A - ADD:
TOTAL
M.
ATTACH COPY OF NOTICE OF
TOTAL
14.
B - DEDUCT:
3. TOTAL DEDUCTIONS (TOTAL OF LINES 3 A THRU M)
FINAL DETERMINATION
(MAKE CHECK OR MONEY ORDER
TOTAL
15. TOTAL DUE AND PAYABLE
PAYABLE TO CITY OF RIFLE)
4. TOTAL CITY NET TAXABLE SALES & SERVICE LINE 2B MINUS TOTAL OF 3
RETURN THIS COPY PLEASE COMPLETE THIS FORM ON REVERSE SIDE
SCHEDULE - A:
MESSAGES
I, hereby certify, under penalty of perjury, that the statements made herein are
to the best of my knowledge true and correct
SALES/
USE
BY:
TAX
RETURN
COMPANY:
TITLE
DATE
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