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TAXPAYER AMEN AND DDRESSA TOWN OF PARKER SALES TAX RETURN
MAIL TO: SALES AX T DMINISTRATION A EMAIL: SALESTAX@PARKERONLINE.ORG
PO B OX 5602 PHONE: 303.805.3228
ENVER D , CO 80217-5602 FAX: 303.805.3219
RETURN MUST BE FILED EVEN IF LINE 16 IS ZERO
THIS RETURN MAY BE FILED AND PAID OVER THE INTERNET AT :
PERIOD COVERED UE D ATE D OWN T ICENSEL # WWW.PARKERONLINE.ORG/FILEANDPAY
SCHEDULE A –OMPUTATIONC OF AXABLE T ALES S ERVICE& S CHECK BOX IF ACCOUNT HANGESC ARE NOTED BELOW
1. G ROSS SALES AND SERVICES : (BEFORE SALES TAX )
MUST BE REPORTED INCLUDING ALL SALES ,RENTALS ,LEASES ,AND $ 5A. NET SALES AX T INE (L X 4 3.00%) $
SERVICES ,BOTH TAXABLE AND NON-TAXABLE
2A. ADDITIONS TO GROSS SALES (SEE INSTRUCTIONS ) $ 5B. $_____________ SUBJECT TO ODGINGL TAX X 3.00% $
2B. ADD LINES 1 & 2A $ 6. ADD : E XCESS TAX COLLECTED $
3. A. NON-TAXABLE SERVICES OR LABOR NCLUDED(I IN INEL 1) $ 7. NET ADJUSTED SALES TAX (ADD LINES 5&6) $
B. SALES TO OTHER LICENSED DEALERS FOR THE PURPOSE OF TAXABLE DEDUCT3.33% OF LINE 7ENTER ( 0IF RETURN IS FILED LATE ) $
RESALE $ 8. ***MAXIMUM DEDUCTION ALLOWED IS $200.00***
C. SALES SHIPPED OUT OF THE OWNT OF ARKERP $ 9. TOTAL SALES TAX DUE LINE ( MINUS7 LINE 8) $
D. BAD DEBTS CHARGED OFF ON( WHICH OWNT TAX WAS PREVIOUSLY PAID ) $ 10. CONSTRUCTION MATERIALS SUBJECT TO USE TAX (SCHEDULE B ) $
E. TRADE INS- FOR TAXABLE RESALE $ 11. USE TAX DUE (LINE 10 X3.00%) $
F. SALES OF GASOLINE AND CIGARETTES $ 12. TOTAL TAX DUE (ADD LINES 9 & 11) $
A PENALTY: GREATER OF
G. SALES TO GOVERNMENTAL RELIGIOUS , AND, CHARITABLE $ LATE FEES DUE $10 OR15% OF LINE12 $
ORGANIZATIONS ENTER TOTAL
IF FILED AFTER B INTEREST: 1.5% PER OF A,B & C
MONTH OF LINE 12 $
H. RETURNED GOODS CURRENT( PERIOD RETURNS ONLY ON WHICH OWNT $ 13. DUE DATE BELOW
TAX WAS PAID) ADMINISTRATIVE C REQUIRED FOR PAPER
FEE FILING $10.00 $
I. PRESCRIPTION DRUGS PROSTHETIC/ DEVICES FOR HUMANS $ 14. TOTAL TAX ,PENALTY ,INTEREST AND FEES DUE (ADD LINES 12 & 13) $
J. FOOD PURCHASED WITH FOOD STAMPS WIC/ VOUCHERS $ 15. PRIOR PERIOD ADJUSTMENT FOR OVER OR UNDERPAYMENT $
K. OTHER DEDUCTIONS EXPLANATION( REQUIRED ) 16. TOTAL DUE (ADD LINES 14 & 15) $
$ PUT TOTAL
_______________________________ BELOW MY SIGNATURE AFFIRMS THAT I HAVE READ THIS RETURN AND IT IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND IS
$ SIGNED SUBJECT TO PENALTIES FOR PERJURY AND OTHER CRIMINAL OFFENSES.
_______________________________ SIGNATURE : ______________________________________________________________
3. TOTAL DEDUCTIONS (ADD LINES 3A THRU K3 ) $ D ATE : _____________________ ITLE T : ___________________________________
PHONE : _____________________ MAIL E : ___________________________________
4. TOTAL TOWN NET TAXABLE SALES &SERVICE LINE ( B2MINUS LINE 3) $
SCHEDULE B –ONSTRUCTION C ATERIALS M SE AXU T SCHEDULE C –ONSOLIDATED C CCOUNTS A EPORTR
THE TOWN OF ARKERP IMPOSES A USE TAX UPON THE PRIVILEGE OF STORING USING, OR CONSUMING THIS SCHEDULE IS REQUIRED IN ALL CASES WHERE THE VENDOR IS REPORTING SALES FOR MORE
WITH THE TOWN ANY CONSTRUCTION AND BUILDING MATERIALS . LIST ALL PURCHASES OF THAN ONE LOCATION WITHIN THE TOWN OF ARKER P ACH. ELOCATION MUST HAVE A SEPARATE
CONSTRUCTION AND BUILDING MATERIALS . IF ADDITIONAL SPACE IS NEEDED ,ATTACH SCHEDULE . LICENSE . IF ADDITIONAL SPACE IS NEEDED ,ATTACH SCHEDULE .
DATE OF NAME &ADDRESS OF TYPE OF COMMODITY PURCHASE TOWN BUSINESS TOTAL GROSS TOTAL DEDUCTIONS NET TAXABLE ALESS
PURCHASE VENDOR PURCHASED PRICE LICENSE# S ALES (TOTAL TO (TOTAL TO LINE 3) (TOTAL TO LINE 4)
LINE 1)
$ $ $ $
$ $ $ $
$ $ $ $
TOTAL PRICE OF CONSTRUCTION AND BUILDING MATERIALS SUBJECT TO USE TAX – $ CONSOLIDATED $ $ $
TOTAL TO LINE 10 ABOVE TOTALS
ACCOUNT CHANGES
NEW BUSINESS ATED 1. IF OWNERSHIP HAS CHANGED ,GIVE DATE AND NEW OWNER’S NAME SHOW BELOW ANY CHANGE OF OWNERSHIP AND/OR ADDRESS ,ETC.
2. IF BUSINESS HAS BEEN PERMANENTLY CLOSED ,GIVE DATE CLOSED
3. IF BUSINESS LOCATION HAS CHANGED ,GIVE NEW ADDRESS _________________________________________________________________
4. R ECORDS ARE KEPT AT WHAT ADDRESS ? ________________________ _________________________________________________________________
CLOSED DATE 5. IF BUSINESS IS TEMPORARILY CLOSED ,GIVE DATES OF CLOSURE _________________________________________________________________
6. IF BUSINESS IS SEASONAL ,GIVE MONTHS OF OPERATION _________________________________________________________________
7.IF THIS RETURN INCLUDES SALES FOR MORE THAN ONE LOCATION ,REFER TO AND COMPLETE BUSINESS ADDRESS MAILING ADDRESS
SCHEDULE C
Rev. 3.9.2016
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