SALES TAX RETURN FILING INSTRUCTIONS
                                                                 RETURN WITH PAYMENT - STANDARD MAIL 
                                                                 City of Brighton, PO Box 913297, Denver, CO 80291-3297
         SALES TAX RETURN                                        RETURN WITH PAYMENT - CERTIFIED OR EXPRESS DELIVERY 
   A SEPARATE RETURN MUST BE FILED FOR EACH LOCATION             500 South 4th Avenue, Brighton, CO 80601 Attn: Sales Tax
PERIOD COVERED     DUE DATE                 ACCT.#               ZERO RETURN E-MAIL - SalesTax@Brightonco.gov
                                                                 FILE ONLINE - secure.salestaxonline.com
1. GROSS SALES & SERVICES:                               $
   TOTAL RECEIPTS, BEFORE LODGING AND SALES
   TAX, FROM CITY ACTIVITY MUST BE REPORTED.                                                 ______ AMENDED RETURN
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 - IF PAID IN FULL BY DUE DATE    $
   TAXABLE RESALE                                                            DEDUCT 3.33% OF LINE 8 **MAX 25.00**
   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)
                                                                 COMPANY
   I. PRESCRIPTION               $
   DRUGS/PROSTHETIC DEVICES                                      TRADE NAME

   J. FOOD STAMPS/W.I.C VOUCHERS $                               ADDRESS
   K. OTHER DEDUCTIONS - PLEASE  $
   LIST                                                          PHONE                                FAX
4. TOTAL DEDUCTIONS                                      $
   (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.