SALES TAX RETURN FILING INSTRUCTIONS

                                                                 FILE ONLINE AT BRIGHTONCO.MUNIREVS.COM
                                                                 RETURN WITH PAYMENT - STANDARD MAIL 
         SALES TAX RETURN                                        City of Brighton, PO Box 913297, Denver, CO 80291-3297
   A SEPARATE RETURN MUST BE FILED FOR EACH LOCATION
                                                                 RETURN WITH PAYMENT - CERTIFIED OR EXPRESS DELIVERY 
PERIOD COVERED     DUE DATE                 ACCT.#               500 South 4th Avenue, Brighton, CO 80601 
                                                                 Attn: Tax & Licensing
1. GROSS SALES & SERVICES:                               $
   TOTAL RECEIPTS, BEFORE LODGING AND SALES                      ______                                          AMENDED RETURN
   TAX, FROM CITY ACTIVITY MUST BE REPORTED.                                 CHECK HERE IF THIS IS AN 
2. A. ADD- BAD DEBTS COLLECTED WHICH WERE                $
   PREVIOUSLY DEDUCTED:                                                                      COMPUTATION OF TAX
   B. TOTAL OF LINES 1 & 2A                              $       6.          AMOUNT OF CITY SALES TAX                   $
                                                                             (LINE 5 X 3.75%)
3. A. NON-TAXABLE SERVICE OR     $
   LABOR                                                         7.          ADD EXCESS TAX COLLECTED                   $
   B. SALES TO OTHER LICENSED    $                               8.          ADJUSTED CITY SALES TAX (LINES 6 PLUS 7)   $
   DEALERS FOR PURPOSES OF                                       9.          VENDOR FEE (APPLICABLE ONLY IF FILED AND   $
   TAXABLE RESALE                                                                                                        N/A
                                                                             PAID ON-TIME VIA ONLINE PLATFORM)
   C. SALES SHIPPED OUT OF CITY  $                               10. NET TAX DUE (LINE 8 MINUS LINE 9)                  $
   AND/OR STATE
   (INCLUDED IN ITEM 1 ABOVE)                                    11. PENALTY - IF FILED AFTER DUE DATE                  $
                                                                             ADD 10% OF LINE 10
   D. BAD DEBTS CHARGED OFF      $
   (ON WHICH CITY SALES TAX HAS                                  12. INTEREST - IF FILED AFTER DUE DATE                 $
   BEEN PAID)                                                                ADD 1% OF LINE 10 PER MONTH
   E. TRADE-INS FOR TAXABLE RESALE $                             13. TOTAL TAX, PENALTY AND INTEREST DUE                $
                                                                             (LINES 10 THRU 12)
   F. SALES OF GASOLINE AND      $
   CIGARETTES                                                    14. PRIOR PERIOD'S ADJUSTMENT NOTICE OF OVER           $
                                                                             OR UNDERPAYMENTS
   G. SALES TO GOVERNMENTAL,     $
   RELIGIOUS AND CHARITABLE                                      15. TOTAL DUE AND PAYABLE                              $
   ORGANIZATIONS                                                             (MAKE CHECK PAYABLE TO CITY OF BRIGHTON)

   H. RETURNED GOODS             $                                                      TAXPAYER'S INFORMATION
   (ON WHICH CITY TAX WAS
   PREVIOUSLY PAID)
   I. PRESCRIPTION               $                               BUSINESS NAME
   DRUGS/PROSTHETIC DEVICES                                      DOING BUSINESS AS (DBA)
   J. FOOD STAMPS/W.I.C VOUCHERS $                               ADDRESS
   K. OTHER DEDUCTIONS - PLEASE  $
   LIST                                                          PHONE
4. TOTAL DEDUCTIONS                                      $       E-MAIL
   (ADD LINES 3A THRU 3K)
5. TOTAL CITY NET TAXABLE SALES & SERVICES               $
   (LINE 2B MINUS LINE 4)
                         Returns postmarked AFTER the Due date will be late and subject to penalties and interest
NEW BUSINESS DATE  1. If ownership has changed, give     SHOW BELOW CHANGE OF    I, hereby certify, under penalty of perjury, that the statements
                    date of change and new owner's       OWNERSHIP, NAME AND     made herein are to the best of my knowledge true and
   MON/DAY/YEAR     name.                                ADDRESS                 correct.
                   2. If business has been
____/____/________  permanently discontinued, give                               Name:
                    date discontinued.
DISCONTINUED DATE  3. If business location has                                   Signature:
                    changed, give new address.
   MON/DAY/YEAR    4. Records are kept at what                                   Title:
                    address?
                                                                                 Company:
____/____/________                                       __ Physical Address 
                   5. If business is temporarily closed, __ Mailing Address      Date:                           Phone#:
                    give dates to be closed.
                   6. If business is seasonal, give
                    months of operation.