SALES TAX RETURN                                DUE DATE: Return, with the remittance, 
                     City of Gunnison                                      must be filed with the City of Gunnison 
                     P.O. Box 239                                          Finance Department on or before the 
                                                                           20th of the month following the sale.  
                     Gunnison CO 81230
                                                                           Make checks payable to CITY OF 
                     970-641-8070                                                  GUNNISON.

Taxpayer's Name and Address:                                                       Phone Number

                                                                                   License Number

                                                                                   Period Covered

Computation of Tax:  (round to two decimal places)
1. Gross Sales:
2. Bad Debts Collected:
3. Adjusted Gross Sales: (add line 1. and 2.)
4. Exempt Sales
    a. Non-taxable service sales
    b. Sales to other licensed dealers for purposes of taxable resale
    c. Sales shipped out of City
    d. Sales to government, religious, and charitable
    e. Sales of gasoline and cigarettes
    f. Bad debts charged off  (on which City tax has been paid)
    g. Returned goods
    h. Discounts/rentals  on which tax has been paid
    i. Trade-ins for taxable resales
    j. Sales of drugs by prescription & prosthetic devices
5. Total Deductions: (add line 4.a. through j.)
6. Total City Net Taxable Sales & Service: (line 3. minus line 5.)
7. Amount of City Sales Tax: ( 4%  of line 6.)
8. Special Marijuana Taxes: (from Schedule C line 3.)
9. Excess Tax Collected:
10. Adjusted City Tax: (add lines 7. 8. and 9.)
11. Vendors Fee: (4% of Line 10. if paid by due date)
12. Total Sales Tax: (line 10. minus line 11.)
13. City Use Tax: (from Schedule B)
14. Total Tax Due: (add lines 12. and 13.)
15. Penalty: ($15 or 10% of line 14., whichever is greater, if paid after due date)
16. Interest: (multiply line 14. by 1.5% per month, if paid after due date)
17. Total Amount Due: (add lines 14. 15. and 16.)

CERTIFICATION:  I hereby certify, under penalty of perjury, that the foregoing statements are true and correct 
to the best of my knowledge and belief.

Signature                                            Title                                   Date

                                      Schedule B City Use Tax
The Gunnison City Code imposes a tax upon the privilege of using, storing, distributing or otherwise consuming 
in the City tangible property or taxable services purchased, rented or leased.
   Date of Purchase         Name of Vendor             Type of Commodity Purchased            Purchase Price

                                   Total purchase price of property subject to city use tax. $
               Use Tax: Multiply above by 4% (Enter total here and on front on line 13.)     $

                                   Schedule C Special Marijuana Taxes
1. Special Marijuana Sales Tax *
   a. Gross sales of medical and retail marijuana (inc. infused products)
   b. Exempt sales of marijuana (see line 4. on front for allowable exemptions)
   c. Total City Net Taxable Sales & Service: (line 1.a. minus line 1.b.)
   d. Special Marijuana Sales Tax: (5% of line 1.c.)
2. Marijuana Excise Tax
   a. Cultivation or manufacturing sales to establishments outside City
   b. Marijuana Excise Tax: (5% of line 2.a.)
3. Total Special Marijuana Taxes: 
     (add line 1.d. & line 2.b. - Enter total here and on front on line 8.)

   * Please note these taxes are in addition to the 4% City sales tax on marijuana sales

                                  Schedule D Supplemental Information
1.   If ownership has changed, give date of change 
     and new owner's name.
2.   If business has been discontinued, give date.

3.   If business location has changed, give new 
     address.
4.   Records are kept at what address?

5.   If business is temporarily closed, give dates to 
     be closed.
6.   If business is seasonal, give months of operation.