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                                     Taxpayer Name and Address 
                                                                                  TOWN OF CASTLE ROCK SALES TAX RETURN 

                                                                                  Mail To:   Sales Tax Division                         Email:   towntax@crgov.com 
                                                                                        PO Box 17906                                    Phone:    (303) 660-1397 
                             YOU MUST  ILE  F HIS T ETURN R VEN EF  INEI L     12       Denver, CO  80217                                Fax:       (303) 660-5310 
PERIOD COVERED                     DUE DATE                          LICENSE #                   This return may be filed over the internet at: 
                                                                                                                 www.crgov.com/tax 

                                                                     COMPUTATION OF TAX 
    GROSS SALES AND SERVICES: (BEFORE SALES TAX)                   MUST
1.         BE REPORTED INCLUDING ALL SALES RENTALS,   LEASES, AND,             $       5.        NET SALES TAX   (LINE  X4 4.0%)                           $
           SERVICES,BOTH TAXABLE AND NON TAXABLE-
2A.    ADD BAD DEBTS COLLECTED WHICH WERE PREVIOUSLY DEDUCTED:                 $       5 .a      SALES AMOUNT SUBJECT TO LODGING TAX                       $
2B.                                                           ADD LINES 1 & 2A $       5 .b      LODGING TAX (LINE 5a X 6%)                                $
                                                                                       6.        ADD EXCESS TAX COLLECTED                                  $
3.  A. NON TAXABLE- SERVICES OR LABOR                                          $
                                                                                       7.        NET ADJUSTED SALES TAX   (ADD LINES 5, 5b  & 6)           $
    B. SALES TO OTHER LICENSED DEALERS  ORFPURPOSES OF TAXABLE RESALE          $
                                                                                                 DEDUCT3.33% OF LINE7 (ENTER 0IF RETURN IS FILED LATE ) 
                                                                                       8.                **MAXIMUM AMOUNT ALLOWED IS $200**                $
    C.SALES SHIPPED OUT OF THE  OWNT OF  ASTLE C OCKR                          $
                                                                                                 TOTAL SALES TAX DUE   (LINE 7MINUS LINE 8)                $
    D.BAD DEBTS CHARGED OFF    ON( WHICH TOWN TAX WAS PREVIOUSLY PAID    )     $       9.
                                                                                                                   PENALTY:  GREATER OF $10                 PUT TOTAL 
    E.TRADE INS- FOR TAXABLE RESALE                                            $                 LATE FEES DUE             OR15%OF LINE9         $$         BELOW
                                                                                       10.       IF FILED AFTER          INTEREST: 1.5% PER 
    F.SALES OF GASOLINE AND CIGARETTES                                         $                 DUE DATE                  MONTH OF LINE9                  $
    G.SALES TO GOVERNMENTAL RELIGIOUS,   AND, CHARITABLE ORGANIZATIONS         $       11.       PRIOR PERIOD ADJUSTMENT FOR OVER OR UNDERPAYMENTS         $
                                                                                                      TOTAL DUE AND PAYABLE  ADD–   LINES  THROUGH9   11 
    H.RETURNED GOODS    ON( WHICH TOWN TAX WAS PREVIOUSLY PAID     )           $       12.             (MAKE CHECK PAYABLE TO  OWN T  F OASTLE C OCKR )    $
    I.PRESCRIPTION DRUGS PROSTHETIC/ DEVICES                                   $       MY SIGNATURE AFFIRMS THAT IHAVE READ THIS RETURN AND IT IS TRUE AND CORRECT TO                  
                                                                                       THE BEST OF MY KNOWLEDGE AND IS SIGNED SUBJECT TO PENALTIES FOR PERJURY AND 
    J.FOOD PURCHASED WITH FOOD STAMPS WIC/    VOUCHERS                         $       OTHER CRIMINAL OFFENSES     . 
    K.OTHER DEDUCTIONS    PLEASE( EXPLAIN)                                     $       SIGNATURE:  
3.                                 TOTAL DEDUCTIONS   (ADD LINES 3A THRU 3K)   $       DATE:                                     TITLE:  
4.           TOTAL TOWN NET TAXABLE SALES &SERVICE   LINE(    2BMINUS LINE 3)  $       PHONE:                                    EMAIL:  

                                                      CONSOLIDATED ACCOUNTS REPORT 
    This schedule is required in all cases where the vendor is reporting sales for more than one location within the Town of Castle Rock.  Each location must have a separate license.
Account Number        Business Location Address                                Total Gross Sales              Total Deductions                      Net Taxable Sales 
                                                                           $                           $                                      $ 
                                                                           $                           $                                      $ 
                                                                           $                           $                                      $ 
                                                               Totals:     $                           $                                      $ 

                                                                               CHANGES 

Mailing Address 
Address:                                                           New Email:                                              New Owners (Requires a new license) 
                                                                                                                            Date:    
City, ST, Zip:                                                     New Business Phone:                                      Name:  
                                                                                                                            Phone: 
Business Location Address                                          New Contact Phone: 
Address:                                                                                                                   Business Closure or Sale (see instructions) 
                                                                   Filing Frequency:  Call or email for change              Date:  
City, ST, Zip:

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SALES TAX RETURN INSTRUCTIONS

If you deliver or ship product out of the Town of Castle Rock and you are unsure of the “in/out” status of the address, please
Line 3C
email, call, or fax our division for verification. An address locator is available on our website and by request from our division.

Sales to exempt organizations must be supported by a “State of Colorado” exemption certificate. Place the exempt number of
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the organization on your invoice. The number must begin with “98” (i.e., 98-xxxxx-xxxx).

Only food purchased with food stamps, or WIC vouchers may be deducted. The Town of Castle Rock’s tax rate on “Food for
Home Consumption” is 4.0%. Do not deduct food sold unless stamps or vouchers are collected from the customer. Food and
Line 3K
drink sold “ready to eat”, or food sold as “immediate consumption”, are taxed at the full applicable rate, including the State of
Colorado tax. (See State FYI Sales 4)

Line 5a Enter the amount of sales subject to lodging tax times the lodging tax rate of 6.0%. Lodging tax is in addition to the sales tax
due on these sales.

Line 5b Lodging tax will be calculated at 6.0% of the amount of sales entered subject to lodging tax. (Line 5a x 6.0%)

If sales taxes collected, during the reporting period, exceed the amount calculated on Line 4, you must report and remit the
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excess on this line.

This amount reimburses the vendor for collecting our sales tax. It is not an additional cost to the vendor. Do not add this
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calculation to the tax. The amount you keep is limited to $200 per return. NOT APPLICABLE ON LATE RETURNS.

Returns are due on the 20thday of the month following the reporting period. For example on a monthly return: The due date
for the period of May 1stthrough May 31 isst June 20 . Forth example on a quarterly return: The due date for the period of
Line 10 April 1stthrough June 30 isth July 20 . Returnsth are considered late if the payment or return is not received, or if the envelope
is not postmarked by the USPS, on or before the due date.

Penalty calculation: Late returns will be assessed a penalty equal to the sum of $10, or fifteen percent (15%), whichever is
greater.
Tax Due Penalty
$0.00 through $67.00 $10.00
$67.01 and up Tax Due x 15%

Interest calculation: Late returns are assessed interest equal to 1.5% per month from the due date of the payment. For
example, interest on a late return for the period of May 1stthrough May 31stis calculated as followed:

Date Filed Number of Months Late Interest Due
June 20th 0 None
June 25th 1 Tax Due x 1.5% x 1
July 23rd 2 Tax Due x 1.5% x 2
August 19th 2 Tax Due x 1.5% x 2
August 21st 3 Tax Due x 1.5% x 3

Line 11 If you received a credit notice, please deduct the credit amount here.
If you receive a notice of assessment for underpaid tax, please add the total amount of the assessment due here.

If your business has been sold to a new owner, sales tax may be due on the selling price of the tangible personal property
Sale of a assets, except for inventory to be resold. Report the taxable sales amount and tax due on a separate tax return noting that
Business the return is for the sale of the business. See State Code Section 39-26-102(10) for a list of types of business sales that are
not subject to sales tax.

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