CITY OF DELTA 
 TRANSFER OR COMMENCEMENT OF BUSINESS 
                             SALES AND USE TAX RETURN 
                                              
1.  Trade name:                                                                                                                                                    
 
2.  Business is conducted at:                                                                                                                                
                                              Address                                 Phone 
 
3.  Name of previous owner (SELLER):                                                                                                                    
 
4.  Name of current owner (PURCHASER):                                                                                                                
 
4a.  Sales tax must be paid on the purchase of furniture, fixtures, equipment, machinery, supplies or any 
other tangible personal property or taxable services purchased, rented or leased not for resale when 
starting or acquiring a new business. 
 
4b.  Use tax must be paid on the purchase, rental or lease of tangible personal property or taxable 
services for use, storage, distribution or other consumption inside the City of Delta, upon which Delta 
Municipal Sales Tax has not been paid; additionally, use tax is due on tangible personal property 
previously owned and brought into the City of Delta, upon which Delta Municipal Sales and Use Tax has 
not been paid pursuant to sections 3.04.210. 
 
5.  Tangible personal property or taxable services purchased with business: $                           
(ATTACH A SCHEDULE OF TANGIBLE PERSONAL PROPERTY OR TAXABLE SERVICES COVERED IN THIS RETURN SHOWING TOTAL AMOUNT 
OF PURCHASE AND AMOUNT OF TAX PAID IF ANY) 
 
6.  Tangible personal property previously owned: $                           
(ATTACH A SCHEDULE OF TANGIBLE PERSONAL PROPERTY OR TAXABLE SERVICES COVERED IN THIS RETURN SHOWING TOTAL AMOUNT 
OF PURCHASE AND AMOUNT OF TAX PAID IF ANY) 
 
7.  Total of Delta Municipal Sales Tax and Use Tax due: $                            
(TOTAL OF LINES 5 AND 6, MULTIPLIED BY 3%) 
 
8a.  I hereby certify under penalty of perjury, that the statements made herein are to the best of my 
knowledge, true and correct. 
 
8b.  Signature:                                                                                                         8c.  Date:                             
 
8d.  Print name and title of signature: