Sales/use Tax Return Form - City Of Greeley
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1
2TAXPAYER’S NAME AND ADDRESS
CITY OF GREELEY
PERIOD
ACCOUNT
COVERED
NUMBER
SALES/USE TAX RETURN
.
DUE
PO Box 1648
Greeley, CO 80632
DATE
PHONE: (970) 350-9733 FAX: (970) 350-9736
EMAIL:
COMPUTATION OF TAX
5.
AMOUNT OF CITY SALES TAX: (LINE 4) $_____________X .0411=
6.
AMOUNT OF FOOD TAX: (LINE 3M) $_____________X .0346=
7.
ADD: EXCESS TAX COLLECTED:
8.
ADJUSTED CITY TAX: (SUM OF LINES 5,6 AND 7)
(
)
TOTAL RECEIPTS FROM CITY ACTIVITY MUST BE
GROSS SALES
XXXX XX
REPORTED AND ACCOUNTED FOR IN EVERY RETURN INCL.
9.
ALL SALES, RENTALS, AND LEASES AND ALL SERVICES
1.
AND SERVICE
BOTH TAXABLE AND NON-TAXABLE.
XXXX XX
10.
2A.
ADD: BAD DEBTS COLLECTED
11.
CITY USE TAX: (SCHEDULE B) $_____________X .0411=
2B.
TOTAL: (SUM OF LINES 1 AND 2A)
12.
TOTAL TAX DUE: (ADD LINES 8 AND 11)
NON-TAXABLE
(INCLUDED IN ITEM 1 ABOVE)
3.
A.
SERVICE SALES
(
)
13A+13B
LATE FILING
A - PENALTY: (LINE 12 x .10) =
SALES TO OTHER LICENSED DEALERS
B.
13.
IF RETURN IS FILED
ADD:
FOR PURPOSES OF TAXABLE RESALE
AFTER DUE DATE THEN
(
)
B - INTEREST: (LINE 12 x .01 x # OF MONTHS LATE) =
SALES SHIPPED OUT OF
INCLUDED IN
C.
CITY AND/OR STATE
ITEM 1 ABOVE
TOTAL TAX, PENALTY AND INTEREST DUE: (ADD LINES 12 AND 13)
14.
(
)
BAD DEBTS
ON WHICH CITY SALES
D.
CHARGED OFF
TAX HAS BEEN PAID
15A-15B
A - ADD:
E.
TRADE-INS FOR TAXABLE RESALE
15.
ADJUSTMENT PRIOR PERIODS
D
B - DEDUCT:
E
F.
SALES OF GASOLINE AND CIGARETTES
D
(
)
TOTAL OF
MAKE CHECK OR MONEY ORDER
SALES TO GOVERNMENTAL, RELIGIOUS
U
G.
LINES 14 AND 15
16.
TOTAL DUE AND PAYABLE:
PAYABLE TO
AND CHARITABLE ORGANIZATIONS
C
CITY OF GREELEY
H.
T
RETURNED GOODS
I
/
PROSTHETIC
I.
PRESCRIPTION DRUGS
O
DEVICES
SPECIAL MESSAGE TO AND FROM CITY/TAXPAYER
N
J.
OTHER DEDUCTIONS LIST
S
____ CHECK HERE FOR BUSINESS CLOSURE / CHANGE OF OWNERSHIP
K.
____ CHECK HERE IF CHANGE OF ADDRESS
L.
COMPLETE THE REVERSE SIDE IF ANY OF THE ABOVE APPLY
M.
TAXABLE FOOD SALES
PLEASE COMPLETE THIS FORM ON REVERSE SIDE
(
)
TOTAL OF LINES
3. TOTAL DEDUCTIONS
A THRU M
*** ALWAYS SIGN REVERSE SIDE OF FORM ***
(
)
LINE 2B MINUS
4.
TOTAL CITY NET TAXABLE SALES & SERVICE
TOTAL LINE 3
TAXPAYER’S NAME AND ADDRESS
CITY OF GREELEY
PERIOD
ACCOUNT
COVERED
NUMBER
SALES/USE TAX RETURN
.
DUE
PO Box 1648
Greeley, CO 80632
DATE
PHONE: (970) 350-9733 FAX: (970) 350-9736
EMAIL:
COMPUTATION OF TAX
5.
AMOUNT OF CITY SALES TAX: (LINE 4) $_____________X .0411=
6.
AMOUNT OF FOOD TAX: (LINE 3M) $_____________X .0346=
7.
ADD: EXCESS TAX COLLECTED:
8.
ADJUSTED CITY TAX: (SUM OF LINES 5,6 AND 7)
(
)
TOTAL RECEIPTS FROM CITY ACTIVITY MUST BE
GROSS SALES
XXXX XX
REPORTED AND ACCOUNTED FOR IN EVERY RETURN INCL.
9.
ALL SALES, RENTALS, AND LEASES AND ALL SERVICES
1.
AND SERVICE
BOTH TAXABLE AND NON-TAXABLE.
XXXX XX
10.
2A.
ADD: BAD DEBTS COLLECTED
11.
CITY USE TAX: (SCHEDULE B) $_____________X .0411=
2B.
TOTAL: (SUM OF LINES 1 AND 2A)
12.
TOTAL TAX DUE: (ADD LINES 8 AND 11)
NON-TAXABLE
(INCLUDED IN ITEM 1 ABOVE)
3.
A.
SERVICE SALES
(
)
13A+13B
LATE FILING
A - PENALTY: (LINE 12 x .10) =
SALES TO OTHER LICENSED DEALERS
B.
13.
IF RETURN IS FILED
ADD:
FOR PURPOSES OF TAXABLE RESALE
AFTER DUE DATE THEN
(
)
B - INTEREST: (LINE 12 x .01 x # OF MONTHS LATE) =
SALES SHIPPED OUT OF
INCLUDED IN
C.
CITY AND/OR STATE
ITEM 1 ABOVE
14.
TOTAL TAX, PENALTY AND INTEREST DUE: (ADD LINES 12 AND 13)
(
)
BAD DEBTS
ON WHICH CITY SALES
D.
CHARGED OFF
TAX HAS BEEN PAID
15A-15B
A - ADD:
E.
TRADE-INS FOR TAXABLE RESALE
15.
ADJUSTMENT PRIOR PERIODS
D
B - DEDUCT:
E
F.
SALES OF GASOLINE AND CIGARETTES
D
(
)
TOTAL OF
MAKE CHECK OR MONEY ORDER
SALES TO GOVERNMENTAL, RELIGIOUS
U
G.
LINES 14 AND 15
16.
AND CHARITABLE ORGANIZATIONS
TOTAL DUE AND PAYABLE:
PAYABLE TO
C
CITY OF GREELEY
H.
T
RETURNED GOODS
I
/
PROSTHETIC
I.
PRESCRIPTION DRUGS
O
DEVICES
SPECIAL MESSAGE TO AND FROM CITY/TAXPAYER
N
J.
OTHER DEDUCTIONS LIST
S
____ CHECK HERE FOR BUSINESS CLOSURE / CHANGE OF OWNERSHIP
K.
____ CHECK HERE IF CHANGE OF ADDRESS
L.
COMPLETE THE REVERSE SIDE IF ANY OF THE ABOVE APPLY
M.
TAXABLE FOOD SALES
PLEASE COMPLETE THIS FORM ON REVERSE SIDE
(
)
TOTAL OF LINES
3. TOTAL DEDUCTIONS
A THRU M
*** ALWAYS SIGN REVERSE SIDE OF FORM ***
(
)
LINE 2B MINUS
4.
TOTAL CITY NET TAXABLE SALES & SERVICE
TOTAL LINE 3
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