TAXPAYER'S NAME AND ADDRESS
PERIOD ACCOUNT CITY OF LONGMONT
COVERED NUMBER SALES/USE TAX RETURN
DUE
DATE
Business Name: _______________________________
DBA: _________________________________________
Mailing Address: _______________________________ Mail Completed Return with Payment to:
City, State Zip Code: ____________________________ 350 Kimbark Street
Longmont, CO 80501
(303) 651-8672
www.longmontcolorado.gov
COMPUTATION OF TAX
1. GROSS SALES TOTAL RECEIPTS FROM CITY ACTIVITY MUST BE REPORTED AND 5. AMOUNT OF CITY SALES TAX 3.275% OF LINE 4
AND SERVICE ACCOUNTEDANDFORALL SERVICESIN EVERY RETURNBOTH TAXABLEINCL. SALESAND NON-TAXABLERENTALS AND LEASES 6. ADD: EXCESS TAX COLLECTED
2A. ADD: BAD DEBTS COLLECTED 7. TOTAL CITY SALES TAX (ADD LINES 5 & 6)
DEDUCT VENDOR FEE (IF PAID BY DUE DATE)
2B. TOTAL LINES 1 & 2A 8. 3%OF LINE 7 OR $25, WHICHEVER IS LOWER.
MAXIMUM DEDUCTION $25 PER LOCATION
3. A. NON-TAXABLE SERVICE SALES 9. TOTAL SALES TAX (LINE 7 MINUS LINE 8)
(INCLUDED IN ITEM 1 ABOVE) CITY USE TAX (FROM SCHEDULE B)
10.
B. SALES TO OTHER LICENSED DEALERS FOR AMOUNT SUBJECT TO TAX: $ x 3.275% =
PURPOSES OF TAXABLE RESALE
C. SALES SHIPPED OUT OF CITY AND/OR STATE 11. TOTAL TAX DUE (ADD LINES 9 & 10)
(INCLUDED IN ITEM 1 ABOVE)
D. BAD DEBTS CHARGED OFF LATE FILING PENALTY
(ON WHICH CITY SALES TAX HAS BEEN PAID) IF RETURN IS FILED 10% OF TAX ▼ TOTAL PENALTY & INTEREST ▼
12.
E. TRADE-INS FOR TAXABLE RESALE AFTER DUE DATE INTEREST
D ADD: .50% PER MONTH
E
D
U F. SALES OF GASOLINE AND CIGARETTES 13. TOTAL TAX, PENALTY & INTEREST DUE
C G. SALES TO GOVERNMENT AND USE LINE 14 IF ADJUSTMENT NOTIFICATION WAS RECEIVED
T CHARITABLE ORGANIZATIONS A. ADD:
I 14.
O H. RETURNED GOODS ATTACH COPY OF NOTIFICATION B. DEDUCT:
N TO RETURN
S I. PRESCRIPTION DRUGS AND
PROSTHETIC DEVICES 15. TOTAL DUE AND PAYABLE MAKE CHECK OR MONEY
ORDER PAYABLE TO
J. OTHER DEDUCTIONS (LIST) CITY OF LONGMONT
K.
SIGNATURE REQUIRED ON BOTTOM OF FORM
L.
3. TOTAL DEDUCTIONS (TOTAL OF LINES 3 A THROUGH L) SCHEDULE A SPECIAL MESSAGE TO CITY FROM TAXPAYER
_______ CHECK HERE FOR BUSINESS CLOSURE/CHANGE OF OWNERSHIP
4. TOTAL CITY NET TAXABLE SALES & SERVICE (LINE 2B MINUS LINE 3) _______ CHECK HERE FOR CHANGE OF ADDRESS
COMPLETE THE BOTTOM PORTION IF ANY OF THE ABOVE APPLY. ALWAYS SIGN BOTTOM OF FORM
SCHEDULE B - CITY USE TAX SCHEDULE C - CONSOLIDATED ACCOUNTS REPORT
THE CITY OF LONGMONT MUNICIPAL CODE IMPOSES A TAX UPON THE PRIVILEGE OF USING, STORING, DISTRIBUTING, OR THIS SCHEDULE IS REQUIRED IN ALL CASES IN WHICH THE TAXPAYER MAKES A CONSOLIDATED RETURN WHICH
OTHERWISE INCLUDES SALES MADE AT MORE THAN ONE LOCATION. IT MUST BE COMPLETELY FILLED OUT AND CONVEY ALL
CONSUMING IN THE CITY TANGIBLE PERSONAL PROPERTY OR TAXABLE SERVICES PURCHASED RENTED OR LEASED. IF INFORMATION REQUIRED IN ACCORDANCE WITH THE COLUMN HEADINGS. IF ADDITIONAL SPACE IS NEEDED ATTACH
ADDITIONAL SPACE IS NEEDED ATTACH SCHEDULE IN SAME FORMAT. SCHEDULE IN SAME FORMAT.
VENDOR NAME TYPE OF COMMODITY PURCHASE ACCOUNT NUMBER BUSINESS ADDRESSES OF PERIODS TOTAL GROSS PERIODS NET TAXABLE
PURCHASE DATE ADDRESS PURCHASED PRICE CONSOLIDATED ACCOUNTS SALES (AGGREGATE TO SALES (AGGREGATE TO
LINE 1 ABOVE) LINE 4 ABOVE)
TOTAL PURCHASE PRICE OF PROPERTY & SERVICES SUBJECT $ - ENTER TOTALS HERE AND ON THE RETURN ABOVE $ - $ -
TO CITY USE TAX (ENTER ON LINE 10 ABOVE)
CLOSURE/OWNERSHIP CHANGE DATES NEW OWNERSHIP/ADDRESS CHANGE INFORMATION: SIGNATURE (REQUIRED)
I HEREBY CERTIFY, UNDER PENALTY OF PERJURY, THAT THE STATEMENTS
NEW BUSINESS MO DAY YR MADE HEREIN ARE TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE.
____________________________________________
START DATE BY:
____________________________________________
DISCONTINUED MO DAY YR TITLE:
BUSINESS DATE ____________________________________________
PHONE: DATE:
BUSINESS ADDRESS MAILING ADDRESS
IMPORTANT REMINDERS:
1. INCLUDE CITY OF LONGMONT ACCOUNT NUMBER, NAME, AND ADDRESS IN THE UPPER LEFT.
2. INCLUDE THE PERIOD FOR WHICH YOU ARE FILING.
3. THE DUE DATE IS THE 20TH OF THE MONTH FOLLOWING THE END OF THE REPORTING PERIOD.
4. YOUR CITY OF LONGMONT ACCOUNT NUMBER IS NOT YOUR FEIN # OR YOUR STATE OF COLORADO
DEPARTMENT OF REVENUE ACCOUNT NUMBER.
5. IF YOU HAVE RECENTLY APPLIED FOR A CITY OF LONGMONT ACCOUNT NUMBER, WRITE "APPLIED FOR"
AND THE APPLICATION DATE IN THE ACCOUNT NUMBER AREA.
6. ZERO LIABILITY RETURNS MAY BE FAXED TO (303) 774-4453 (PRIOR TO THE DUE DATE) OR
FILED ELECTRONICALLY AT WWW.CI.LONGMONT.CO.US. IF YOU FILE ELECTRONICALLY OR FAX
A RETURN, DO NOT MAIL A COPY.
7. A RETURN IS REQUIRED EVEN IF NO TAX IS DUE. LATE RETURNS ARE SUBJECT TO PENALTY.