Financial Services
Sales Tax Division
nd
215 North Mason Street, 2 Floor
P.O. Box 580
Fort Collins, CO 80522
970.221.6780
970.221.6782 - fax
fcgov.com/salestax
TELEPHONE OCCUPATION TAX
Business Name:
Reporting Period:
Return Due:
Gross Units
Exempt Units
Net Units
Per Unit Fee
$0.70
Gross Tax
Interest: 10% per Annum
Net Tax Amount to be Remitted
__________________________________________________________________________________________
Signature
Date
Remit to:
City of Fort Collins
215 N Mason Street – 2nd Floor
PO Box 580
Fort Collins, CO 80522-0580
For City Use Only: 1000.413020