Sales & Use Tax Return Form - City Of Delta
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1
2TAXPAYER’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
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