PERIOD                      DUE                         ACCOUNT /                                                                                   CITY OF COLORADO SPRINGS 
 COVERED                     DATE                        CUSTOMER ID                                COMPUTATION OF TAX                                  SALES TAX RETURN 
  1.    GROSS SALES          (TOTAL RECEIPTS FROM CITY ACTIVITIES MUST BE                         5A. CITY SALES TAX    3.12%    OF LINE 4 =                                                       
        AND SERVICE REPORTED INCLUDING ALL SALES, RENTALS, & LEASES, &                                                                                                                             
                             ALL SERVICES BOTH TAXABLE & NON-TAXABLE)                             5B. AMOUNT OF LINE 4 SUBJECT TO LODGERS’ TAX          _____________ X 2.0% = 
                                                                                                                                                                                                   
 2A.    ADD: BAD DEBTS COLLECTED                                                                  5C. AMOUNT OF LINE 4 SUBJECT TO AUTO RENTAL TAX       _____________ X 1.0% = 
 2B.    TOTAL LINES 1 & 2A                                                                        6.  ADD EXCESS TAX COLLECTED =                                                                   
 3A.    NON-TAXABLE SERVICE SALES (INCLUDED IN LINE 1)                                            7.  DEDUCT    0%    OF LINE 7 (VENDOR FEE, IF PAID BY DUE DATE) =                      N/A 
                                                                                                                                                                                                   
        RESALE 
 3B.    SALES TO OTHER LICENSED DEALERS FOR TAXABLE                                               8.  CITY USE TAX – AMOUNT SUBJECT TO TAX             ______________ X 3.12% = 
 3C.    SALES SHIPPED OUT OF CITY AND/OR STATE                                                    9.  MOTION PICTURE THEATRE ADMISSIONS TAX            _______________ X 2.0% =                     
        (INCLUDED IN LINE 1) 
                                                                                                                                                                                                   
 3D.    BAD DEBTS CHARGED OFF                                                                     10. BICYCLE EXCISE TAX  –  # OF NEW BICYCLES SOLD    _______________ X $4.00 = 
        (ON WHICH CITY SALES TAX HAS BEEN PAID) 
 3E.    TRADE-INS FOR TAXABLE RESALE                                                              11. TOTAL TAX DUE (ADD LINES 5A THROUGH LINE 10)                                                 
        ( FOR CITY TAXABLE SALES ONLY)                                       
 3F.    SALES OF GASOLINE AND CIGARETTES                                                                         LATE FILING               PENALTY   X 10%=                                        
        SALES TO GOVERNMENTAL, RELIGIOUS, AND                                                     12.   ADD IF RETURN IS FILED             INTEREST PER MONTH  X    .5%=                           
 3G.    CHARITABLE ORGANIZATIONS                                                                                AFTER DUE DATE 
 3H.    RETURNED GOODS (ON WHICH CITY TAX WAS PAID)                                               13. TOTAL TAX PENALTY AND INTEREST DUE (ADD LINES 11 AND 12)                                     
                                                                             
  3I.   PRESCRIPTION DRUGS AND PROSTHETIC DEVICES                                                       ADJUSTMENT PRIOR PERIODS           A. ADD (+)                                              
        GROCERIES EXEMPTED BY SECTION 2-7-415 OF                                                  14.   (ATTACH COPY OF OVER OR            B. DEDUCT(-)                                            
  3J.   ORDINANCE                                                                                       UNDER PAYMENT NOTICE) 
 3K.    OTHER DEDUCTIONS (LIST)                                              
 3L.                                                                                              15. TOTAL DUE AND PAYABLE                                                       $                
 3M.                                                                                                                                                                               
                    3. TOTAL DEDUCTIONS (TOTAL OF LINES 3A THRU M)                                                                                                                 
   4. TOTAL CITY NET TAXABLE SALES & SERVICE (LINE 2B MINUS TOTAL LINE 3)                                                                                                          
 
                                                         SCHEDULE C – CONSOLIDATED ACCOUNTS REPORT – SALES TAX 
                    This form 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 a schedule in same format. 
  LOCATION          BUSINESS ADDRESSES                 PERIODS TOTAL          PERIODS NET          LOCATION             BUSINESS ADDRESSES              PERIODS TOTAL               PERIODS NET 
  NUMBERS       OF CONSOLIDATED ACCOUNTS               GROSS SALES           TAXABLE SALES         NUMBERS       OF CONSOLIDATED ACCOUNTS               GROSS SALES                 TAXABLE SALES 
                                                 (AGGREGATE TO LINE 1)      (AGGREGATE TO LINE 4)                                                    (AGGREGATE TO LINE 1)        (AGGREGATE TO LINE 4) 
                                                 $                         $                                                                        $                            $                 
                                                                                                                                                                                                   
                                                                                                                        AGGREGATE TOTALS:           $ SUM = LINE 1               $ SUM = LINE 4    
 
                                                         CITY OF COLORADO SPRINGS GENERAL INFORMATION: 
     Return must be filed even if no tax due                                                         Instructions for this return are available on our website 
     Returns are late if not in tax office or postmarked by due date                                 Corporate name changes will require additional documentation 
     Please retain a copy for your records                                                           Online Services, additional forms & amended returns are available on our 
     Make check or money order payable to The City of Colorado Springs                                website: ColoradoSprings.gov, search “Sales Tax” 
     Questions: Tele: 719-385-5903 or Email: salestax@springsgov.com                                 If no longer in business list your cancellation date here:  
     Mailing address: City of Colorado Springs, Department 2408, Denver, CO                           ______ / ______ / 20_____  
      80256-0001                                                                                       (return your sales tax license with this return if business is cancelled) 
 
                                                                           SHOW BELOW NAME AND/OR ADDRESS CHANGE:                I HEREBY CERTIFY, UNDER PENALTY OF PERJURY, THAT THE STATEMENTS 
                                                                            BUSINESS ADDRESS /  MAILING ADDRESS               MADE HEREIN ARE TO THE BEST OF MY KNOWLEDGE TRUE AND CORRECT. 
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