SCHEDULE A - CERTIFICATION/SALES/COMPUTATION OF TAX                                                                                          FRISCO TAX RETURN 
Period:                                 Acc't Number:                      BUSINESS NAME:            BUSINESS ADDRESS: 
Due Date:                               Date:                                                                                                                            TOWN OF FRISCO 
                                                                                                                                                                         PO Box 4100, 1st & Main St. 
PREPARER’S EMAIL:                                                          BUSINESS MAILING ADDRESS:                                                                         Frisco, CO 80443 
                                                                                                                                                                             (970) 668 – 9127 
PREPARER'S NAME (PRINT):                PHONE:                             I HEREBY CERTIFY UNDER PENALTY OF PERJURY THAT THE STATEMENTS MADE HEREIN ARE TO THE          soled@townoffrisco.com 
                                                                           BEST OF MY KNOWLEDGE TRUE AND CORRECT (SIGNATURE): 
1.) GROSS SALES/SERVICE (TOTAL RECEIPTS FROM TOWN ACTIVITY MUST BE REPORTED                          5.) AMOUNT OF TOWN SALES TAX (2.00% OF LINE 4) 
AND ACCOUNTED FOR IN EVERY RETURN INC. ALL SALES, RENTALS AND LEASES, AND 
ALL SERVICES BOTH TAXABLE AND NON-TAXABLE.) 
2A.) ADD - BAD DEBTS COLLECTED                                                                       6.) ADD EXCESS SALES TAX COLLECTED 
2B.) TOTAL LINES 1 & 2A                                                                              7.) ADJUSTED TOWN SALES TAX (ADD LINES 5 & 6) 

3A. NON-TAXABLE SERVICE SALES (INCLUDED IN ITEM 1 ABOVE)                                             8.) VENDOR'S FEE DEDUCTION (3.33% OF LINE 7 - ONLY IF PAID ON OR  
                                                                                                     BEFORE DUE DATE - NOT TO EXCEED $300) 
3B. SALES TO OTHER LICENSED DEALERS FOR PURPOSES OF                                                  9.) TOTAL SALES TAX DUE (SUBTRACT LINE 8 FROM LINE 7) 
TAXABLE RESALE 
3C. SALES SHIPPED OUT OF TOWN AND/OR STATE (INCLUDED IN ITEM 1                                       10.) NET TAXABLE LODGING SALES 
ABOVE) 
3D. SALES OF GASOLINE AND CIGARETTES                                                                 11.) AMOUNT OF TOWN LODGING TAX (2.35% OF LINE 10) 

3E. SALES TO GOVERNMENTAL, RELIGIOUS AND CHARITABLE                                                  12.) TOTAL SALES & LODGING TAX DUE (ADD LINES 9 & 11) 
ORGANIZATIONS 
3F. RETURNED GOODS                                                                                   13.) INTEREST AND PENALTIES            : TO 13A.) INTEREST PER MONTH                        
                                                                                                     BE ASSESSED ON TAX DUE BUT                                 OVERDUE (1.5% OF LINE 12) 
3G. PRESCRIPTION DRUGS/PROSTHETIC DEVICES                                                                                                                       13B.) IF TAX DUE  ≤$150, PENALTY =  
                                                                                                                                                                $15, IF TAX DUE > $150, PENALTY = 
                                                                                                     NOT REMITTED BY THE DUE DATE 10%                           OF LINE 12    
3H. OTHER DEDUCTIONS (PLEASE LIST) - SEE TOWN CODE, CHAP. 160 -                                      14.) TOTAL TAX, PENALTY AND INTEREST DUE (ADD LINES 12, 13A AND 
TAXATION: ARTICLE I, SECTIONS 1.3 AND 8.10                                                           13B)  
3.) TOTAL DEDUCTIONS (TOTAL LINES 3A-H)                                                              15.) ADJUSTMENT PRIOR PERIODS A.                           ADD
                                                                                                                                                                B. DEDUCT
4.) NET TAXABLE SALES AND SERVICES (SUBTRACT LINE 3 FROM LINE 2B)                                    16.) TOTAL TAX DUE AND PAYABLE (MAKE CHECK 
                                                                                                     PAYABLE TO TOWN OF FRISCO) 
              PLEASE BE SURE TO REPORT ANY CHANGES TO BUSINESS INFORMATION ON THE BACK OF THIS COUPON. THANK YOU! 

                                                                  SPECIAL MESSAGE FROM TAXPAYER TO TOWN 

                                                        SCHEDULE B - CHANGES TO BUSINESS INFORMATION (IF APPLICABLE) 
                        NEW BUSINESS DATE                      DISCONTINUED DATE                     SHOW BELOW CHANGE OF OWNERSHIP NAME, ADDRESS, ETC. 
                        MM           DD       YY               MM          DD  YY 

1.) If ownership has changed, give date of change and new owner's name. 
2.) If business has been permanently discontinued, give date discontinued. 
3.) If business location has changed, give new address. 
4.) Records are kept at what address?   
5.) If business is temporarily closed, give date to be closed. 

                                                        SCHEDULE C - CONSOLIDATED ACCOUNTS REPORT (IF APPLICABLE) 
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 filled out and convey all information required in 
accordance with the column headings. If additional space is needed attach schedule in same format. 
                                                                                                                              PERIODS TOTAL GROSS SALES (AGGREGATE TO             PERIODS NET TAXABLE SALES (AGGREGATE TO 
    ACCOUNT NUMBER                               BUSINESS ADDRESS OF CONSOLIDATED ACCOUNTS                                    LINE 1 ABOVE)                                       LINE 4 ABOVE) 

                                                                                 ENTER TOTALS HERE AND ABOVE