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Zero File Form, Sales and Use Tax, Finance

Please complete the form below. If you wish to clear the form and start over, click on the "Clear Form" button at the bottom of the form. This will clear the form and allow you to begin again. Return to instructions.

Business Name:		Bus. Address:
City:		State:
Zip:		Bus. Phone:
Email:		Period: (Jan - Mar 05)
Please enter your City of Longmont account number. Do not enter any dashes.
Account Number:		Verify Account Number:
1.	Gross Sales and Service	5.	City Sales Tax 3.275% of Line 4
2A.	Add: Bad Debts Collected	6.	Add: Excess tax Collected
2B.	Total Lines 1 & 2A	7.	Adjusted City Tax (add line 5 & 6)
3.	A. Non-Taxable Service	8.	DEDUCT Vendor Fee
	B. Sales for Resale	9.	TOTAL SALES TAX (line 7 minue 8)
	C. Shipped Out of City	10.	Amount Subject to Use Tax ____ x 3.275%
	D. Bad Debts	11.	Total Tax Due (Add Lines 9 & 10)
	E. Trade-in for Resale	12.	Penalty 10% if filed late
	F. Gas & Cigarettes		Interest .50 per months if filed late. Total =
	G. Gov., Religious & Charitable	13.	TOTAL TAX, PENALTY & INTEREST DUE
	H. Returned Goods
	I. Prescription

	Total Deductions
	Net Taxable	15.	Total Due & Payable:


	I hereby certify the statements made herein are true and correct.
Preparer's Information: First Name: Last Name:
IMPORTANT NOTE: The information you provide on this form, is the only way we will be able to contact you regarding your Sales Tax Form. Please be sure that the information is correct before you click on the "Submit" button. HAVE PROBLEMS? If you have problems with this process or form, please contact the Sales & Use Tax office, at 303-651-8672 or via email at sue.marcott@ci.longmont.co.us. PRINT: Please Print this page before clicking submit. You only need to click the "SUBMIT" button one time. The system will provide you with a thank you page to confirm that your request has been received by the City. Thank you!