2025 Admission Fee Remittance Form.xlsx

	A	B	D	E	F	G	I	J
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3		City of Central
4		c/o Finance Department						Phone: 303-582-5251
5		PO Box 249	CITY OF CENTRAL
6		Central City, CO 80427	Admission Fee Remittance Form
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9	Name of Business:				Company Name: (If Different)
10	Account #: ______________
11	Mailing Address:				Contact Information.		Phone #
12							Email:
13	Event(s) Dates:___________________________________________				Reporting Period: Month______________ Year__________
14	1	Gross Proceeds: Admissions
15	2	Prior Period Refunds
16	3	Net Admissions (line 1 minus line 2)		$ -
17	4	Local Admissions Fee (5% of Line 3)		$ -
18	5	Penalty (5% of line 4)
19	6	Interest (1% of line 4)
20	7	TOTAL DUE & PAYABLE (Add lines 4, 5, 6)		$ -
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23	Important
24	Per Ordinance 25-02, amending the City of Central Municipal Code (Sec.2-10-10), creates an Admission Fee on every vendor who charges admission to amusement or entertainment events within the City of Central.
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26	* The Admission Fee form will not be accepted without payment.
27	* The Admission Fee of five percent (5%) is imposed on the total purchase price to gain admission or access to an Amusement or Entertainment Event.
28	* The Admission Fee collected by a vendor is due monthly and shall be paid to the City on or before the 20th day of the month for the preceding month.
29	* If the Admission Fee is not received on or before the deadline, a 5% penalty and 1% interest will be charged and added to the amount due.
30	* The Admission Fee form must be signed by the preparer to certify accuracy and compliance with the City's local Admission Fee Ordinance.
31	* Ordinance 25-02 became effective on March 20, 2025.
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33	YOU MUST FILL OUT THE INFORMATION BELOW & SIGN ACCORDINGLY. FORM & PAYMENT MUST BE RECEIVED BY THE 20TH OF THE MONTH FOLLOWING THE REPORTING PERIOD.
34	I declare under penalty of perjury that the information contained on this form is true and correct to the best of my knowledge.
35	Signature:___________________________________________					Date:_____________________
36	Title:_______________________________________________					Phone:____________________
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