HTML Preview Construction Project Cost Report page number 1.
1) Legal Name of Business or Individual Name (Last, First):
2) Trade Name of Business (if any):
3) Mailing Address:
4) City: 5) State: 6) Zip:
E-mail Address:
10) Project Street Address:
17) Penalty Due (10% of line 16, minimum $15):
18) Interest Due (1% of line 16 per month):
19) TOTAL DUE (total of lines 16 through 18):
Signature Date
Printed Name Title Phone Number
CLAIM/DOC NO.
Signature Date
Signature Date
5300.____________.0000 Amount:__________________________
5400.____________.0000 Amount:__________________________
5300.____________.0911 Amount:__________________________
Return form with payment to: Westminster Department of Finance Sales Tax Division 4800 W 92nd Avenue Westminster, CO 80031
Approved By:
CASHIER VALIDATION - A/P PROCESSING DETAIL
14) Enter the estimated use tax collected upon issuance of the above-listed building permit.
If line 13 equals line 14, no additional use tax is due. Sign and submit the report without payment.
16) If line 14 is less than line 13 enter the difference. This is the additional use tax due.
Computation of
Use Tax Due
CITY USE ONLY
Reviewed By:
Taxpayer
Signature
15) If line 14 is greater than line 13 enter the difference. This is your overpayment amount.
(Include a
Job Cost Report
as documentation for your refund claim)
Under penalties of perjury, I declare that I have examined this Project Cost Report and it is true and correct to the best of my knowledge & belief.
11) Did this project require that construction equipment
owned by the contractor be used in the City?
13) Use Tax Due (Multiply line 12 by 3.85%):
9) Period Ending Date:
7) City Account No. (if assigned):
8) Permit No.:
Construction Project Cost Report
Use Tax Return/Claim for Refund
Please Type or Print Clearly. Include Required Supporting Documentation
12) Enter the total cost of construction materials used on the project.
Include costs of materials used by all subcontractors.
City of Westminster
Department of Finance
Sales Tax Division
DUE DATE FOR RETURN:
Any additional use tax due computed on line 16 must be reported
and paid within 30 days of written acceptance, final inspection, or the
issuance of the Certificate of Occupancy, whichever is later (line 9).
Amounts paid after this grace period are subject to penalty and
interest from the date on line 9.
Yes
No
Denied
Approved in Part: $________________________
Approved