"Sales & Use Tax Return Form" - City of Delta, Colorado

This fillable "Sales & Use Tax Return Form" is a document issued by the City of Delta Finance Department specifically for Colorado residents.

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Download "Sales & Use Tax Return Form" - City of Delta, Colorado

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TAXPAYER’S NAME AND ADDRESS
CITY OF DELTA
PERIOD
ACCOUNT
COVERED
NUMBER
SALES & USE TAX RETURN
DUE
DATE
P.O. Box 19 • Delta, CO 81416-0019
(970) 874-7566
COMPUTATION OF TAX
3%
5. TOTAL CITY SALES TAX (
OF LINE 4)
6. EXCESS TAX COLLECTED
7. ADJUSTED CITY SALES TAX (ADD LINES 5 & 6)
0%
8. VENDORS FEE (
OF LINE 7)
9. TOTAL CITY SALES TAX (LINE 7 MINUS LINE 8)
(
)
TOTAL RECEIPTS FROM CITY ACTIVITY MUST BE REPORTED AND ACCOU
GROSS SALES
(FROM
X 3%
10. CITY USE TAX
AMOUNT SUBJECT TO TAX _______________________________
=
NTED FOR IN EVERY RETURN, INCLUDING ALL SALES, RENTALS AND LE
1.
& SERVICE
SCHEDULE B)
ASES, AND ALL SERVICES BOTH TAXABLE AND NON-TAXABLE.
11. TOTAL CITY SALES & USE TAX (ADD LINES 9 & 10)
2A.
BAD DEBTS COLLECTED
(
)
10%
TOTAL
LATE FILING
PENALTY
2B.
TOTAL CITY GROSS TAXABLE SALES & SERVICE (ADD LINES 1 & 2A)
12.
IF RETURN IS FILED
ADD:
PENALTY &
INTEREST PER
AFTER DUE DATE THEN
.9167%
(
)
INCLUDED ON
INTEREST
NON-TAXABLE
3.
A.
MONTH
LINE 1 ABOVE
SERVICE SALES
13. TOTAL CITY SALES & USE TAX, INCLUDING PENALTY & INTEREST (ADD LINES 11 & 12)
SALES TO OTHER LICENSED DEALERS
B.
FOR PURPOSES OF TAXABLE RESALE
(
)
SALES SHIPPED OUT OF
INCLUDED ON
ADJUST PRIOR PERIOD(S)
A – ADD:
C.
D
LINE 1 ABOVE
CITY AND/OR STATE
14.
(ATTACH COPY OF NOTICE
E
(
)
RECEIVED FROM CITY)
B – DEDUCT:
BAD DEBTS
ON WHICH CITY SALES TAX
D.
D
HAS BEEN PAID
CHARGED OFF
U
E.
TRADE-INS FOR TAXABLE RESALE
15. TOTAL DUE AND PAYABLE (MAKE CHECK PAYABLE TO THE CITY OF DELTA)
C
T
F.
SALES OF GASOLINE & CIGARETTES
I
SALES TO GOVERNMENTAL, RELIGIOUS
DO NOT ROUND FIGURES
G.
O
AND CHARITABLE ORGANIZATIONS
N
H.
RETURNED GOODS
S
I.
PRESCRIPTION DRUGS/PROSTHETICS
SCHEDULE - A - SPECIAL MESSAGE FROM TAXPAYER
J.
OTHER DEDUCTIONS (LIST)
K.
L.
3.
TOTAL DEDUCTIONS (ADD LINES 3A THRU 3L)
4.
TOTAL CITY NET TAXABLE SALES & SERVICE (LINE 2B MINUS LINE 3)
PLEASE COMPLETE THIS FORM ON REVERSE SIDE
TAXPAYER’S NAME AND ADDRESS
CITY OF DELTA
PERIOD
ACCOUNT
COVERED
NUMBER
SALES & USE TAX RETURN
DUE
DATE
P.O. Box 19 • Delta, CO 81416-0019
(970) 874-7566
COMPUTATION OF TAX
3%
5. TOTAL CITY SALES TAX (
OF LINE 4)
6. EXCESS TAX COLLECTED
7. ADJUSTED CITY SALES TAX (ADD LINES 5 & 6)
0%
8. VENDORS FEE (
OF LINE 7)
9. TOTAL CITY SALES TAX (LINE 7 MINUS LINE 8)
(
)
TOTAL RECEIPTS FROM CITY ACTIVITY MUST BE REPORTED AND ACCOU
GROSS SALES
(FROM
X 3%
10. CITY USE TAX
AMOUNT SUBJECT TO TAX _______________________________
=
NTED FOR IN EVERY RETURN, INCLUDING ALL SALES, RENTALS AND LE
1.
& SERVICE
SCHEDULE B)
ASES, AND ALL SERVICES BOTH TAXABLE AND NON-TAXABLE.
11. TOTAL CITY SALES & USE TAX (ADD LINES 9 & 10)
2A.
BAD DEBTS COLLECTED
(
)
10%
TOTAL
LATE FILING
PENALTY
2B.
TOTAL CITY GROSS TAXABLE SALES & SERVICE (ADD LINES 1 & 2A)
12.
IF RETURN IS FILED
ADD:
PENALTY &
INTEREST PER
AFTER DUE DATE THEN
.9167%
(
)
INCLUDED ON
INTEREST
NON-TAXABLE
3.
A.
MONTH
LINE 1 ABOVE
SERVICE SALES
13. TOTAL CITY SALES & USE TAX, INCLUDING PENALTY & INTEREST (ADD LINES 11 & 12)
SALES TO OTHER LICENSED DEALERS
B.
FOR PURPOSES OF TAXABLE RESALE
(
)
SALES SHIPPED OUT OF
INCLUDED ON
ADJUST PRIOR PERIOD(S)
A – ADD:
C.
D
LINE 1 ABOVE
CITY AND/OR STATE
14.
(ATTACH COPY OF NOTICE
E
(
)
RECEIVED FROM CITY)
B – DEDUCT:
BAD DEBTS
ON WHICH CITY SALES TAX
D.
D
HAS BEEN PAID
CHARGED OFF
U
E.
TRADE-INS FOR TAXABLE RESALE
15. TOTAL DUE AND PAYABLE (MAKE CHECK PAYABLE TO THE CITY OF DELTA)
C
T
F.
SALES OF GASOLINE & CIGARETTES
I
SALES TO GOVERNMENTAL, RELIGIOUS
DO NOT ROUND FIGURES
G.
O
AND CHARITABLE ORGANIZATIONS
N
H.
RETURNED GOODS
S
I.
PRESCRIPTION DRUGS/PROSTHETICS
SCHEDULE - A - SPECIAL MESSAGE FROM TAXPAYER
J.
OTHER DEDUCTIONS (LIST)
K.
L.
3.
TOTAL DEDUCTIONS (ADD LINES 3A THRU 3L)
4.
TOTAL CITY NET TAXABLE SALES & SERVICE (LINE 2B MINUS LINE 3)
PLEASE COMPLETE THIS FORM ON REVERSE SIDE
BE SURE TO REVERSE CARBON BEFORE FILLING OUT THESE SCHEDULES
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
The Delta Municipal Code imposes a tax upon the privilege of using, storing, distributing or otherwise consuming tangible
than one location. It must be completely filled out and convey all information required in accordance with the column head-
personal property or taxable services purchased, rented or leased.
ings. If additional space is needed, attach schedule in same format.
PERIODS TOTAL GROSS
PERIODS NET TAXABLE
DATE OF
NAME OF VENDOR
TYPE OF COMMODITY
PURCHASE
ACCOUNT
BUSINESS ADDRESSES
SALES (AGGREGATE TO
SALES (AGGREGATE TO
PURCHASE
ADDRESS
PURCHASED
PRICE
NUMBER
OF CONSOLIDATED ACCOUNTS
LINE 1 FRONT OF RETURN)
LINE 4 FRONT OF RETURN)
$
$
LIST OF PURCHASES (IF ADDITIONAL SPACE IS NEEDED, ATTACH SCHEDULE IN SAME FORMAT)
$
TOTAL PURCHASE PRICE OF PROPERTY SUBJECT TO CITY USE TAX
(ENTER ON LINE 10 ON FRONT OF RETURN)
$
$
$
TOTALS (ENTER ON FRONT OF RETURN)
SHOW BELOW CHANGE OF OWNERSHIP AND/OR ADDRESS, ETC.
I hereby certify under penalty of perjury, that the statements made
NEW BUSINESS DATE
1. If business ownership has changed, give date of change and
herein are to the best of my knowledge, true and correct.
NAME ___________________________________________________
MO.
DAY
YR.
new owners name, address and phone.
SIGNED BY ___________________________________________________
2. If business has been permanently discontinued, give date
ADDRESS _______________________________________________
discontinued.
PRINT NAME __________________________________________________
_________________________________________________________
DISCONTINUED DATE
3. If business location has changed, give new business address
MO.
DAY
YR.
TITLE ________________________________________________________
and mailing address.
PHONE __________________________________________________
PHONE ___________________________________
__________________
BUSINESS ADDRESS
MAILING ADDRESS
DATE
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