Sales Tax Return Form - City Of Federal Heights - Department Of Finance Page 2

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SCHEDULE A - 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.
ACCOUNT
BUSINESS ADDRESSES
PERIOD'S TOTAL GROSS
PERIOD'S NET TAXABLE
NUMBER
OF CONSOLIDATED ACCOUNTS
SALES (TOTAL TO
SALES (TOTAL TO
LINE 1 OF RETURN)
LINE 4 OF RETURN)
$
$
ENTER TOTALS HERE AND ON THE RETURN
$
$
NEW BUSINESS DATE
1. If ownership has changed, give date of change and new owner's name
SHOW BELOW CHANGE OF OWNERSHIP,
I hereby certify under penalty of perjury.
MO.
DAY
YEAR
2. If business has been permanentlydiscontinued, give date discontinued
NAME AND/OR ADDRESS ETC
that the statements made herein are to the best
______/______/______
3. If business location has changed, give new address
of my knowledge, true and correct.
4. Records are kept at what address?__________________________
By: _____________________________________________
DISCONTINUED DATE
5. If business is temporarily closed, give date to be closed
________________________________________________ Company________________________________________
MO.
DAY
YEAR
6. If business is seasonal, give months of operation
_______________________________________________ Phone __________________________________________
______/______/______
7. If this return inlcuded sales for more than one location, refer to and
_______________________________________________ ________________________________________________
complete Schedule A
Title
Date

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