Computation Of Tax Form - City Of Rifle Page 2

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SCHEDULE -B - CITY USE TAX
SCHEDULE - C- CONSOLIDATED ACCOUNTS REPORT
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.
DATE OF
NAME OF VENDOR
TYPE OF COMMODITY
PURCHASE
ACCOUNT
BUSINESS ADDRESSES OF
PERIODS TOTAL GROSS
PERIOD NET TAXABLE
PURCHASE
ADDRESS
PURCHASED
PRICE
NUMBERS
CONSOLIDATED ACCOUNTS
SALES (AGGREGATE TO
SALES (AGGREGATE TO
LINE 1 FRONT OF RETURN)
LINE 4 FRONT OF RETURN)
(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 ON FRONT OF RETURN
ENTER TOTALS HERE AND ON FRONT OF RETURN
$
NEW BUSINESS DATE
SHOW BELOW CHANGE OF OWNERSHIP, NAME AND/OR
I, hereby certify under penalty of perjury that the
1. If ownership has changed, give date of change and new owner's name
MO.
DAY
YR.
ADDRESS, ETC.
statements made herein are to the best of my
2. If business has been permanently discontinued, give date discontinued.
{
knowledge true and correct.
3. If business location has changed, give new address
BY
4. Records are kept at what address?
DISCONTINUED DATE
5. If business is temporarily closed, give dates to be closed
MO.
DAY
YR.
COMPANY
6. If business is seasonal, give months of operation.
7. If this return includes sales for more than one location,
MAILING ADDRESS
BUS. ADDRESS
TITLE
DATE
refer to and complete schedule "C".

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