Sales And Use Tax Return Form - City Of Englewood, Colorado
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1REMITTANCE COPY
City of Englewood, Colorado
PO BOX 2900
ENGLEWOOD, CO 80150-2900
Period:
Due:
Account:
(303) 762-2422
1.
Gross Sales & Service
5A.
City Sales Tax 3.5% of line 4
2A
Add: Bad Debts Collected
5B.
Lodgers Tax-Gross Rental_____________X 2%
.
2B
Total 1 & 2A
.
3.
A. Non-taxable Service
6.
Add: Excess Tax Collected
B. Sales for Resale
7.
Adjusted City Tax (add Lines 5A, 5B & 6)
D
C. Shipped Out of City
8.
Vendor Fee
(DEDUCT .5% of lines 5A & 6 ONLY)
E
D. Bad Debts
9.
TOTAL SALES TAX
D
E. Trade-ins for Resale
10A.
Amount Subject to Use Tax___________X3.5%
U
F. Gas & Cigarettes
10B.
Additional Use Tax
G. Gov, Religious & Charitable
11.
C
Total Tax Due (add lines 9, 10A & 10B)
H. Returned Goods
12.
Penalty 10% if filed late
T
I.
Prescriptions
Interest 1% per month if filed late
I
O
J. Other Deductions (Explain)
13.
TOTAL TAX, PENALTY & INTEREST DUE
N
K. Groceries
14.
A. Add:
S
L.
B. Deduct:
M.
Use line 14A or 14B only if you have received
notification from the City
TOTAL DEDUCTIONS
4.
NET TAXABLE
.
TOTAL DUE & PAYABLE:
15
Business Name:
DBA:
Signed
Address:
Title
City State Zip:
Phone:
Date:
Check here if changes to location or mailing address, or closure. Please note changes on back of form. Thank You.
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YOUR COPY
City of Englewood, Colorado
PO BOX 2900
ENGLEWOOD, CO 80150-2900
Period:
Due:
Account:
(303) 762-2422
1.
Gross Sales & Service
5A.
City Sales Tax 3.5% of line 4
2A
Add: Bad Debts Collected
5B.
Lodgers Tax-Gross Rental_____________X 2%
.
2B
Total 1 & 2A
.
3.
A. Non-taxable Service
6.
Add: Excess Tax Collected
B. Sales for Resale
7.
Adjusted City Tax (add Lines 5A, 5B & 6)
D
C. Shipped Out of City
8.
Vendor Fee
(DEDUCT .5% of lines 5A & 6 ONLY)
E
D. Bad Debts
9.
TOTAL SALES TAX
D
E. Trade-ins for Resale
10A.
Amount Subject to Use Tax
_________X3.5%
F. Gas & Cigarettes
10B.
Additional Use Tax
U
G. Gov, Religious & Charitable
11.
C
Total Tax Due (add lines 9, 10A & 10B)
T
H. Returned Goods
12.
Penalty 10% if filed late
I
I.
Prescriptions
Interest 1% per month if filed late
O
J.
Other Deductions (Explain)
13.
TOTAL TAX, PENALTY & INTEREST DUE
N
K. Groceries
14.
A. Add:
S
L.
B. Deduct:
M.
Use line 14A or 14B only if you have received
notification from the City
TOTAL DEDUCTIONS
4.
NET TAXABLE
15.
TOTAL DUE & PAYABLE:
Business Name:
DBA:
Signed
Address:
Title
City State Zip:
Phone:
Date:
Check here if changes to location or mailing address, or closure. Please note changes on back of form. Thank You.
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