"Sales Tax Return Form" - City and County of Broomfield, Colorado

This Colorado-specific "Sales Tax Return Form" is a document released by the Colorado Department of Revenue.

Download the fillable PDF by clicking the link below and use it according to the applicable legal guidelines.

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Download "Sales Tax Return Form" - City and County of Broomfield, Colorado

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SALES
FILING PERIOD
CITY & COUNTY OF BROOMFIELD
TAX
Sales Tax Administration Division
RETURN
P.O. Box 407
:
Note
Broomfield, CO 80038-0407
Returns not postmarked by
You must file this return even
the due date will be late
if line 15 is zero $
Due Date
State Sales Tax #
City License #
If filing a Consolidated Return, OR advising of changes on
page 2, please place a LARGE "X" in box at right
6. Excess Tax Collected
$
(see instructions)
7. Sub-Total of Sales Taxes:
$
( Line 5 plus line 6)
8. Vendor Fee:
(line 7 times 3%)
$
Message ***
Max = $200, Enter -0- on Late Return
9. Vendor Fee:
Net Broomfield City and County
$
*** Effective 1/1/2013, the Flatiron Improvement
Sales Tax: (line 7 minus line 8)
District tax rate has changed from .2% (.002) to .01%
10. Vendor Fee:
Lodging Tax:
Balance due from
(.0001)
$
Lodging Tax Return (Attach copy of return)
1. GROSS SALES & SERVICES:
11. Special District Tax:
(Round to even $)
For businesses located in
special district ONLY
(Total receipts, before sales tax, from City &
County activity must be reported including all
$
(a)
(FID)
Flatiron Improv. Dist.
$
sales, rentals, leases, & services, both taxable and
(Taxable sales) times .01% (.0001)
non- taxable)
1 a.
ADD
(b)
- Bad Debts Collected:
Arista Local Improv. Dist. (ALID)
$
$
(which were previously deducted)
(Taxable sales) times .2% (.002)
2. Adjusted Gross Sales & Services:
12. Vendor Fee:
Late Filing Penalty:
$
$
(Line 1 plus 1a)
( See Instructions)
3. Exemptions:
13. Vendor Fee:
Interest:
$
$
(Please insert total of line 3 from page 2 )
( See Instructions)
4. Net Taxable Sales & Services:
14. Adjustments:
Adjustments:
See Instructions
$
$
(Line 2 minus line 3 )
( Attach Authorization Letter)
Total Due and Payable:
5. Broomfield City and County
15. Adjustments:
Sales Tax:
(Add Line 9 through line 13)
$
$
( Line 4 multiplied by 4.15%) or (.0415)
[Minus line 14 if credit is authorized; Plus line
14 if a debit is required]
( Continued on line 6 )
Business Location
Make Check or Money Order Payable to:
City and County of Broomfield
Phone:
303-464-5811
Fax: 303-410-3802
My signature affirms that I have read this return and it is true and correct to the
salestax@broomfield.org
Email:
best of my knowledge and is signed subject to penalties for perjury and other
www.broomfield.org/salestax
Web:
criminal offenses.
Signature:
Date:
Title:
Phone:
Fax:
Email:
SALES
FILING PERIOD
CITY & COUNTY OF BROOMFIELD
TAX
Sales Tax Administration Division
RETURN
P.O. Box 407
:
Note
Broomfield, CO 80038-0407
Returns not postmarked by
You must file this return even
the due date will be late
if line 15 is zero $
Due Date
State Sales Tax #
City License #
If filing a Consolidated Return, OR advising of changes on
page 2, please place a LARGE "X" in box at right
6. Excess Tax Collected
$
(see instructions)
7. Sub-Total of Sales Taxes:
$
( Line 5 plus line 6)
8. Vendor Fee:
(line 7 times 3%)
$
Message ***
Max = $200, Enter -0- on Late Return
9. Vendor Fee:
Net Broomfield City and County
$
*** Effective 1/1/2013, the Flatiron Improvement
Sales Tax: (line 7 minus line 8)
District tax rate has changed from .2% (.002) to .01%
10. Vendor Fee:
Lodging Tax:
Balance due from
(.0001)
$
Lodging Tax Return (Attach copy of return)
1. GROSS SALES & SERVICES:
11. Special District Tax:
(Round to even $)
For businesses located in
special district ONLY
(Total receipts, before sales tax, from City &
County activity must be reported including all
$
(a)
(FID)
Flatiron Improv. Dist.
$
sales, rentals, leases, & services, both taxable and
(Taxable sales) times .01% (.0001)
non- taxable)
1 a.
ADD
(b)
- Bad Debts Collected:
Arista Local Improv. Dist. (ALID)
$
$
(which were previously deducted)
(Taxable sales) times .2% (.002)
2. Adjusted Gross Sales & Services:
12. Vendor Fee:
Late Filing Penalty:
$
$
(Line 1 plus 1a)
( See Instructions)
3. Exemptions:
13. Vendor Fee:
Interest:
$
$
(Please insert total of line 3 from page 2 )
( See Instructions)
4. Net Taxable Sales & Services:
14. Adjustments:
Adjustments:
See Instructions
$
$
(Line 2 minus line 3 )
( Attach Authorization Letter)
Total Due and Payable:
5. Broomfield City and County
15. Adjustments:
Sales Tax:
(Add Line 9 through line 13)
$
$
( Line 4 multiplied by 4.15%) or (.0415)
[Minus line 14 if credit is authorized; Plus line
14 if a debit is required]
( Continued on line 6 )
Business Location
Make Check or Money Order Payable to:
City and County of Broomfield
Phone:
303-464-5811
Fax: 303-410-3802
My signature affirms that I have read this return and it is true and correct to the
salestax@broomfield.org
Email:
best of my knowledge and is signed subject to penalties for perjury and other
www.broomfield.org/salestax
Web:
criminal offenses.
Signature:
Date:
Title:
Phone:
Fax:
Email:
CITY & COUNTY OF BROOMFIELD
Sales Tax Return
Page 2
Line 3 (Detail)
Exempt Sales
(See page 3 for instructions)
A
Non-Taxable Service or Labor:
$
B
Sales to Licensed Dealers: (Must support exemption with valid Resale Number)
$
C
Sales Shipped Out of the City & County of Broomfield:
$
D
Bad Debts Charged Off: (On which tax was previously paid):
$
E
Trade-ins: (Where property will be resold at taxable value)
$
F
Sales of Cigarettes
$
G
Exempt Sales: (Government, religious, & charitable organizations)
$
H
Returned Goods: (on which tax was previously paid)
$
I
Sales of Lottery and Gasoline:
$
J
Prescription Drugs, and other exempt medical transactions:
$
Food purchased with Food Stamps or WIC Vouchers: (Does not include “Food for Home
K
$
Consumption” sold without stamps or vouchers) (See Instructions)
Sales of Building Materials: (Only when supported by a Building Permit, showing Local Use Tax
L
$
paid, and the permit number is shown on invoice)
M
Miscellaneous exempt sales: (Please explain)
$
Line 3: Total Exemptions: (Total of Line A though Line N)
$
(Carry amount to line 3 on Page 1)
SCHEDULE B: CONSOLIDATED ACCOUNT REPORT
This schedule is required in all cases where the vendor is reporting sales for more than one location within the City and County of Broomfield. Each location must have
a separate license.(Attach a separate spreadsheet if necessary)
Total Gross Sales
Account
Business
For Reporting
Total
Net
Number
Location Address
Period
Exemptions
Taxable Sales
$
$
$
$
$
$
$
$
$
Totals:
$
$
$
ADDRESS CHANGES:
BUSINESS STATUS CHANGES:
Mailing address: _________________________
1) Ownership (Date, New Owner and Phone)
City, State
________________________
____________________________________
Zip:
_________________________
____________________________________
Location address: _________________________
2) Business Closure: (Date) _______________
Email: __________________________________
Phone: __________________________________
3) Filing frequency: (Call or Email for change)
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