Initial Use Tax Return - City Of Boulder Page 2
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1
2City of Boulder
Initial Use Tax Return
Department of Finance
Sales/Use Tax Division
City of Boulder
Business Name: _______________________________________
City License #: _________
Mailing Address: _______________________________________
_______________________________________
DUE DATE of this return is the 20th day of the month following the month
of inception of business in Boulder
TAXABLE AMOUNT
1.
OFFICE FURNITURE, SUPPLIES AND EQUIPMENT:
Computers, software, copiers, fax machines, printers, telephones,
business machines, office furniture, office supplies, etc.
$________________
2.
RETAIL FURNITURE, EQUIPMENT AND FIXTURES:
Cash registers, counters, display racks and units, shelving,
booths, tables, chairs, other restaurant furnishings, etc.
$________________
3.
FOOD SERVICE PROCESSING EQUIPMENT AND SUPPLIES
Coolers, freezers, ovens, fryers, mixers, knives, and other kitchen
equipment and supplies, dinnerware, linens, catering equipment, etc.
$________________
4.
MANUFACTURING, WAREHOUSE AND SHOP EQUIPMENT
Shop equipment and supplies, tools, compressors, conveyors,
packaging equipment, bailers, forklifts, manufacturing equipment, etc.
$________________
5.
MEDICAL TOOLS, EQUIPMENT AND SUPPLIES
Medical beds, dental chairs, medical supplies and tools, disposable
supplies, sterilization equipment, laboratory equipment, etc.
$________________
6.
SIGNS AND OTHER OUTDOOR DISPLAYS
$________________
CLEANING SUPPLIES AND JANITORIAL EQUIPMENT
7.
$________________
8.
ALL OTHER TANGIBLE PERSONAL PROPERTY & TAXABLE SERVICES
$________________
(Please attach supplemental schedule describing these purchases)
0.00
9.
TOTAL TAXABLE AMOUNT (Total lines 1 through 8)
$________________
0.00
10.
GROSS USE TAX DUE (Line 9 x 3.41%)
$________________
11.
CREDIT FOR TAX PAID TO BOULDER OR OTHER MUNICIPALITY
$________________
0.00
12.
NET USE TAX DUE (Subtract line 11 from line 10)
$________________
13.
PENALTY (10% of line 12)
$________________
LATE FILING CHARGES
Add if return will be
14.
INTEREST (1% of line 12 for each month past due)
$________________
postmarked after the due date
0.00
15.
TOTAL AMOUNT DUE (Total lines 12 through 14)
$________________
Make check payable to City of Boulder
Under penalties of perjury, I declare that I have examined this Initial Use Tax Return and it is true and
correct to the best of my knowledge and belief.
Taxpayer
Signature
Signature
Date
.
Printed Name
Title
Phone Number
City of Boulder
Sales Tax Division
PO Box 791
Boulder, CO 80306-0791
(303) 441-3921
Phone:
(303) 441-3015
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