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                                                                                                                                                                               City and County of Denver 
                                     Denver Use Tax Return Monthly
                                                                                                                                                  Department of Finance, Treasury Division 
                                                                                                                                                                                    P.O. Box 660860 
                                                                                                                                                                               Dallas, TX  75266-0860 
                                                                                                                                                                          www.DenverGov.org/eBizTax 

Business Name                    Account Number                Phone Number 

                                                                                                                                       YOU MUST FILE A RETURN EVEN IF YOU 
Primary Business Location                                      Period End Date                                                   HAVE DETERMINED THAT NO TAX IS DUE 
                                                                                                                                       IMPORTANT INFORMATION IS ON 
                                                                                                                                 THE BACK 
Consumer use tax is imposed upon the privilege of using, storing, distributing or otherwise consuming tangible personal property, products and certain 
services purchased, rented or leased, unless specifically exempt, when Denver's Sales Tax has not been paid on that purchase. If goods have been
     purchased tax free, such as supplies, fixtures, furniture, equipment, etc., for personal or business use or consumption, the applicable tax is due 
                           thereon. This would also include any goods drawn from inventory for personal or business use. 
**   All entries on this use tax return must be rounded to the nearest dollar. You will still collect and keep track of exact amounts of use tax. Books,                                        ** 
     records, and statements or invoices to buyers must reflect actual tax amounts. It is only when you fill out the return that you will round the 
     numbers you are reporting. Round amounts under 50 cents down to 0 (zero) cents. Increase amounts from 50 to 99 cents to the next dollar. 
Line 1  Enter the number of gallons of Aviation and Railway fuel purchased and multiply by 4 cents per gallon. 
Line 2  Enter the total purchases of short-term (30 days or less) automotive vehicle rentals and multiply by 7.25%. 
Line 3  Enter the total purchases of taxable food and beverage and multiply by 4.00%. 
Line 4  Enter the total of all other purchases and multiply by 4. 18 %.
Line 5  Enter any incremental tax due. If tax was properly paid to another jurisdiction at a tax rate less than Denver's combined rate ( .                                     8 18 % non-food, 
        8.0% food), incremental tax due is the difference between the tax charged and Denver's combined rate. No credit is given for tax rates in excess 
        of the Denver combined rate. See Tax Guide Topic "Reduction Allowed for Previously Paid Sales or Use Taxes" for more detailed information. 
Line 6  Total lines 1 thru 5, this is the tax due. 
Line 7A If the return is filed or paid after the due date, enter 15% of Line 6 or $25.00, whichever  is greater. 
Line 7B If the return is filed or paid after the due date, enter 1% of Line 6 for each month or part of a month late. 
Line 8  Add lines 6, 7A, and 7B.  This is the total due and payable. Include a check or money order payable to MANAGER OF FINANCE.

                                              RETURN LOWER PORTION - DETACH HERE                                                                                        

     CHECK HERE IF THIS IS AN AMENDED RETURN                DENVER USE TAX RETURN 
Account Number        Tax Type            Due Date                 Period End           Media # 
                        Use Tax                                                         000000000007 
NAME                                                                                                                                                                     000000000007 
PRIMARY  BUSINESS  LOCATION 
PHONE NUMBER       
I hereby certify, under penalty of perjury, that the statements  made herein are to the best of my knowledge true and correct. 
Signature  (Required)                                                          Title                                                                                      Date 
                                                                                                                                                                                               00  
1    Gallons of Aviation / Rail Fuel Purchased - - - - - - - - - -- - - >                                                        x 4 ¢ / gallon 
2 
     Short Term Vehicle Rentals or Purchases  - - - - - - - - - - - - ->                                                         x 7.25%                                                       00  
3    Purchases of Taxable Food and Beverage - - - - - - - - - - - - >  
                                                                                                                                 x 4.00%                                                       00  
4    Other Taxable Purchases - - - - - - - - - - - - - - - - - - - - - - - - > 
                                                                                                                                 x 4. 1%8                                                      00  
5    Add Incremental  Tax Due (See instructions  above)- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ->                                                      00  
6    Total Tax Due:   (Total of lines 1 thru 5)- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ->                                              00  
7                                 A. Penalty: The greater of 15% of Line 6 or $25.00 - - - - - - - - - - - - - - - - - - - ->                                                                  00  
     Late Filing - if return is  
     filed after due date - Add:  B. Interest: 1% of Line 6 for each month that the return is late - - - - - - - - - - - ->                                                                    00 
8    Total Due and Payable (add Lines 6, 7A and 7B):  Include a check or money order made payable to
                                                                                                                                                                                               00 
     MANAGER  OF FINANCE - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - -->

                                                                                                                                   00000000000700000000003



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Important  Information: The City and County  of Denver  is now offering online filing for Sales,  Use,  Lodger's, 
Occupational Privilege,  Facilities  Development Admissions  and Telecommunications Business  Tax.  For more 
information  or to register  online,  visit www.DenverGov.org/eBizTax. 






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