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City of Glendale Monthly Occupational Privilege Tax Return

2. Tax Department
   950 South Birch Street Glendale, CO 80246 (303) 639-4706

   950 South Birch Street Glendale, CO 80246 (303) 639-4706

3. CITY OF GLENDALE
   OCCUPATIONAL PRIVILEGE TAX RETURN

   OCCUPATIONAL PRIVILEGE TAX RETURN

4. 

6. YOU MUST FILE A RETURN EVEN IF YOU HAVE DETERMINED THAT NO TAX IS DUE

8. INSTRUCTIONS
   <br><p>LINE A<p> <br> <p>This line should include all employees that receive gross compensation of $750 or more in a month and work all or part of their time within Glendale. Employees that have furnished a form verifying another employer is withholding, would be excluded from this total.<p> <br> <p>LINE B<p><br> <p>This line should include all employees that receive gross compensation of $750 or more in a month and work all or part of their time within Glendale. This figure should include all employees even though the employee may have another employer that is withholding. Self-employed individuals, owners, partners and officers who are not paid a salary or commission are subject to only the employer portion of the tax, and must be included in this line.<p> <br> <p>LINE C<p> <br> <p>This line is a total of the employees on line A and line B multiplied by the tax rate of $5.00 per month.<p> <br> <p>LINE D<p> <br> <p>Include Penalty of 10% or $100, which ever is greater, if return is not filed by due date indicated on this form. <br> <br><p>LINE E<p> <br> <p>Include Interest of 1% for each month the return is filed after the due date. Any portion of a month counts as a whole month.<p> <br> <p>LINE F<p> <br> <p>Credits: Include a full explanation of reason for the credit claimed. Attach appropriate documentation with all details.<p> <br> <p>LINE G<p><br> <p>City Issued Adjustment from previous period: If an amount shows up on this line, add if balance due, deduct if credit.<p> <br> <p>LINE H<p><br> <p>This line is a total of lines C + D + E - F +/- G. If you file a tax return showing “NO TAX LIABILITY”, please include a full explanation.<p>

   
   

   LINE A

   
   

   This line should include all employees that receive gross compensation of $750 or more in a month and work all or part of their time within Glendale. Employees that have furnished a form verifying another employer is withholding, would be excluded from this total.

   
   

   LINE B

   
   

   This line should include all employees that receive gross compensation of $750 or more in a month and work all or part of their time within Glendale. This figure should include all employees even though the employee may have another employer that is withholding. Self-employed individuals, owners, partners and officers who are not paid a salary or commission are subject to only the employer portion of the tax, and must be included in this line.

   
   

   LINE C

   
   

   This line is a total of the employees on line A and line B multiplied by the tax rate of $5.00 per month.

   
   

   LINE D

   
   

   Include Penalty of 10% or $100, which ever is greater, if return is not filed by due date indicated on this form.
   
   

   LINE E

   
   

   Include Interest of 1% for each month the return is filed after the due date. Any portion of a month counts as a whole month.

   
   

   LINE F

   
   

   Credits: Include a full explanation of reason for the credit claimed. Attach appropriate documentation with all details.

   
   

   LINE G

   
   

   City Issued Adjustment from previous period: If an amount shows up on this line, add if balance due, deduct if credit.

   
   

   LINE H

   
   

   This line is a total of lines C + D + E - F +/- G. If you file a tax return showing “NO TAX LIABILITY”, please include a full explanation.

10. Account Number*

11. Period Covered*
    Period Covered Start Date

    —

    Period Covered End Date

12. Due Date*

14. Line         Description

16. A         Number of Employees from whom tax was withheld:*

18. B         Number of Employees for whom business must match:*

20. C        Total (A+B=C)*

21. TAX RATE
    x $5.00

    x $5.00

22. Total                 C*

24. D         Late Filing Penalty: Line C x 10% or $100.00 (Whichever is Greater)
    &nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;+

                                                                                                                            +

25. Total                 D*

27. E        Late Filing Interest: Line C x 1.5% per each month delinquent
    &nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;+

                                                                                                                            +

28. Total                 E*

30. F        Less Credit (Documentation must be attached)
    &nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;-

                                                                                                                            -

31. Total                 F*

33. G        Balance From Previous Period
    &nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;+ or -

                                                                                                                      + or -

34. Total                G*

36. H        Total Due: (Add C + D + E - F +/- G)
    &nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=

                                                                                                                            =

37. Grand Total   H*

39. CHECK BOXES AND COMPLETE INFORMATION AS APPROPRIATE

    1. MAILING ADDRESS CHANGE
       (For Sales Tax Returns)
    2. MAILING ADDRESS CHANGE
       (For OPT Returns)
    3. LOCATION ADDRESS CHANGE

    1. FINAL RETURN - CANCEL ACCOUNT
       (Out of Business Date Required)
    2. CHANGE OF OWNERSHIP
       (Date, New Owner and New Address Required)
    3. PHONE CHANGE

41. Change of Information

43. First Name

44. Last Name

46. Address1

48. Address2

50. City

51. State

52. Zip

54. Phone Number

55. Out of Business or New Owner Date
    Out of Business or New Owner Date

57. Electronic Signature (Must Complete First and Last Name, along with Title)

59. First Name*

60. Last Name*

62. Title*

63. Date*
    Date

Leave This Blank:


64. 1. Receive an email copy of this form.
65. Email address

    This field is not part of the form submission.

66. Submit Submit and Print

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