PERIOD COVERED                                               ACCOUNT NUMBER
DUE DATE                                                                                                                                                                                TOWN OF SILVERTHORNE
                                                     TAXPAYER NAME AND ADDRESS                                                                                                          SALES TAX RETURN
                                                                                                                                                      FINANCE DEPARTMENT - TOWN OF SILVERTHORNE - PO BOX 1309 SILVERTHORNE, CO 80498
                                                                                                                                                                                        (970) 262-7302 tax@silverthorne.org

1. GROSS SALES AND SERVICE *                                                                                                                                                            COMPUTATION OF TAX
2A. ADD: BAD DEBTS COLLECTED                                                                                                                   5A. AMOUNT OF TOWN SALES TAX 2.0% OF LINE 4
2B. TOTAL LINES 1 & 2A                                                                                                                         5B. AMOUNT OF LINE 4 SUBJECT TO LODGING TAX 6.0% OF LINE 4
3.         A. NON-TAXABLE SERVICE SALES (included in LINE 1)                                                                                   6. ADD EXCESS TAX COLLECTED
                                                                                                                                               7. ADJUSTED TOWN TAX: (ADD LINES 5A, 5B AND 6)
           B. SALES TO OTHER LICENSED DEALERS FOR PURPOSES 
           OF TAXABLE RESALE                                                                                                                   8A.  PENALTY 10% (MINIMUM $15.00 PENALTY)
           C. SALES SHIPPED OUT OF TOWN AND/OR STATE                                                                                           8B.  INTEREST 1.5% PER MONTH
           (included in LINE 1)                                                                                                                9.    MANDATORY PAPER FILING FEE - EFFECTIVE JANUARY 1, 2020                5.00
DEDUCTIONS D. BAD DEBTS CHARGED OFF (on which Town sales tax                                                                                   10.  TOTAL FEES (ADD LINES 8A, 8B AND 9)
           has been paid)
           E. TRADE-INS FOR TAXABLE RESALE                                                                                                     11. TOTAL TAXES AND FEES DUE (ADD LINES 7 AND 10)
                                                                                                                                               12.  A - ADD ADJUSTMENTS FOR PRIOR PERIODS (ATTACH COPY)
           F. SALES OF GASOLINE AND CIGARETTES                                                                                                         B - DEDUCT ADJUSTMENTS FOR PRIOR PERIODS (ATTACH COPY)
                                                                                                                                               13. TOTAL DUE AND PAYABLE (ADD LINE 11 AND 12A. SUBTRACT LINE 12B)
           G. SALES TO GOVERNMENTAL, RELIGIOUS, AND 
           CHARITABLE ORGANIZATIONS
           H. RETURNED GOODS
                                                                                                                                               MAKE CHECK OR MONEY ORDER PAYABLE TO TOWN OF SILVERTHORNE
           I. PRESCRIPTION DRUGS / PROSTHETIC DEVICES
                                                                                                                                                                           SPECIAL MESSAGE TO AND FROM TOWN / TAXPAYER
           J. ACCOMODATIONS IN EXCESS OF 30 DAYS
                                                                                                                                               CHECK HERE FOR PERMANENT BUSINESS CLOSURE / CHANGE OF OWNERSHIP
                 K. OTHER DEDUCTIONS                                                                                                           CHECK HERE IS CHANGE OF ADDRESS / PHONE NUMBER / FAX NUMBER
           TOTAL DEDUCTIONS (A THRU K)                                                                                                         *  TOTAL RECEIPTS FROM TOWN ACTIVITY MUST BE REPORTED AND ACCOUNTED FOR IN EVERY RETURN INC. ALL SALES, RENTALS, LEASES AND 
4. TOTAL TOWN NET TAXABLE SALES & SERVICES (2B MINUS 3)                                                                                        ALL SERVICES BOTH TAXABLE AND NON-TAXABLE

           SCHEDULE C - CONSOLIDATED ACCOUNTS REPORT                                                                                                  SHOW BELOW CHANGE OF OWNERSHIP AND/OR ADDRESS, ETC.
           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.

ACCOUNT NUMBER                       BUSINESS NAME (OF       TOTAL GROSS SALES       PERIODS NET TAXABLE 
                                     CONSOLIDATED ACCOUNTS)  (AGGREGATE TO LINE 1 OF SALES (AGGREGATE TO LINE 4 
                                                             RETURN)                      OF RETURN)
                                                                                                                                                                                             BUSINESS ADDRESS ?
                                                                                                                                                                                             MAILING ADDRESS ?
                                                                                                                                               I HEREBY CERTIFY UNDER PENALTY OF PERJURY THAT THE STATEMENTS MADE HEREIN ARE TO THE BEST OF MY 
                                                                                                                                               KNOWLEDGE, TRUE AND CORRECT.
                                                                                                                                               BY
                                                                                                                                               TITLE
                                                                                                                                               COMPANY
                                                                                                                                               PHONE
           ENTER TOTALS HERE AND ON TOP OF RETURN                                                                                              DATE