Complete this form, click the print button below, sign, date, and mail to City of Littleton Sales Tax Division.
•YELLOW FIELDS ARE REQUIRED • NUMBER FIELDS DO NOT AUTOMATICALLY CALCULATE CITY OF LITTLETON
TAXPAYER'S NAME AND ADDRESS SALES/USE TAX RETURN
PERIOD ACCOUNT
COVERED ANNUAL NUMBER 2255 W. BERRY AVENUE - LITTLETON, CO 80120
DUE
DATE 303-795-3768
COMPANY NAME
COMPUTATION OF TAX
5. AMOUNT OF CITY SALES TAX 3.75% OF LINE 4
ADDRESS
6. ADD: EXCESS TAX COLLECTED
CITY
STATE ZIP CODE
7. ADJUSTED CITY TAX: (ADD LINES 5 & 6)
8. DEDUCT 2.5% OF LINE 7, MAXIMUM $100
(VENDORS FEE. IF PAID BY DUE DATE)
1. GROSS SALES (TOTAL RECEIPTS FROM CITY ACTIVITY MUST BE REPORTED AND ACCOUNTED FOR IN EVERY 9. TOTAL SALES TAX
RETURN INCL. ALL SALES, RENTALS AND (LINE 7 MINUS LINE 8)
AND SERVICE :
10A. CITY USE TAX AMOUNT SUBJECT TO TAX:
ADD: BAD DEBTS COLLECTED X 3.75%=
2A. (FROM SCHEDULE B)
10B. LODGER’S TAX AMOUNT SUBJECT TO TAX:
TOTAL LINES 1 & 2A X 5%=
2B. (ENTER AMOUNT FROM LINE 4)
3. A. NON- TAXABLE SERVICE SALES 11. TOTAL TAX DUE: (ADD LINES 9, 10A & 10B)
(INCLUDED IN ITEM 1 ABOVE)
B. 12. LATE FILING
SALES TO OTHER LICENSED DEALERS FOR PURPOSES OF TAXABLE RESALE IF RETURN IS FILED ADD: PENALTY: 10%
C. SALES SHIPPED OUT Of CITY AND, OR STATE AFTER DUE DATE THEN INTEREST
D (INCLUDED IN ITEM 1 ABOVE) PER MONTH: 1%
E D. BAD DEBTS CHARGED OFF 13. TOTAL TAX. PENALTY AND INTEREST DUE:
(ADD LINES 11 AND 12)
D (ON WHICH CITY SALES TAX HAS BEEN PAID)
14.
U E. TRADE-INS FOR TAXABLE RESALE ADJUSTMENTS PRIOR PERIODS A-ADD
ATTACH COPY OF OVER OR
C F. SALES OF GASOLINE ANO CIGARE TET S B-DEDUCT:
UNDERPAYMENT NOTICE
T
G. SALES TO GOVERNMENT AND, RELIGI OUS AND CHARITABLE 15.
I ORGANIZATIONS MAKE CHECK OR MONEY ORD ER
TOTAL DUE AND PAYABLE: PAYABLE TO:
O H. RETURNED GOODS
CITY OF LITTLETON
N
I. PRESCRIPTION DRUGS / PROSTHETIC DEVICE SCHEDULE A: SPECIAL MESSAGE TO AND FROM CITY/TAXPAYER
S
J. TOTAL GROCERY SALES
K. OTHER DEDUCTIONS (LIST)
3. TOTAL DEDUCTIONS
(TOTAL OF LINES 3a-k)
4. TOTAL CITY NET TAXABLE SALES & SERVICE
(LINE 2B MINUS TOTAL LINE 3)
SCHEDULE - B - CITY USE TAX SCHEDULE - C - CONSOLIDATED ACCOUNTS REPORT
The Littleton Municipal Code imposes a tax upon the privilege of using, storing, distributing or otherwise
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
consuming in the City tangible property or taxable services purchased, rented or leased. filled out and convey all information required in accordance with the column headings. If additional space is needed attach schedule in same format.
PERIODS NET TAXABLE
PERIODS TOTAL GROSS
DATE OF NAME OF VENDOR TYPE OF COMM ODITY PURCHASE ACCOUNT BUSINESS ADD RESSES SALES (AGGREGATE TO
SALES (AGGREGATE TO LINE
PURCHASE ADDRESS PURCHASED PRICE NUMBER OF CONSOLIDATED ACCOUNTS 1 TOP OF RETURN) LINE
4 TOP OF RETURN)
(A) LIST OF PURCHASES (IF ADDITIONAL SPACE NEEDED - ATTACH SCHEDULE IN SAME FORMAT) $ $
(B) TOTAL PURCHASE PRICE OF PROPERTY SUBJECT TO CITY USE TAX
ENTER TOTAL LINE (B) ON LINE 10 ON TOP OF RETURN ENTER TOTALS HERE AND TOP OF RETURN
$ $ $
NEW BUSINESS DATE 1. If ownership has changed, give date of change and the new owner's name.
M/D/YYYY 2. II business has been permanently discontinued, give date discontinued.
3. If business location has changed, give new address PRINT THIS DOCUMENTPRINT
4. Records are kept at what address?
DISCONTINUE DATE 5. If business is temporarily closed, give dates to be closed. CLICK THE ABOVE BUTTON TO PRINT
M/D/YYYY 6. If business is seasonal, give months of operation. THIS DOCUMENT, THEN SIGN AND
7. If this return includes sales for more than one location, refer to and complete schedule 'C'. MAIL TO:
SHOW BELOW CHANGE OF OWNERSHIP AND/OR I, hereby certify, under penalty of perjury, that the statements made herein CITY OF LITTLETON
ADDRESS, ETC. are to the best of my knowledge true and correct.
PO BOX 1305
BY: _____________________________________________________ ENGLEWOOD, CO 80150-1305
COMPANY:
PHONE:
BUS. ADDRESS MAIILNG ADDRESS TITLE DATE