SM-45(12)SE Monthly Retail Trade Report, Department Store/Sales Only

U.S. DEPARTMENT OF COMMERCE

OMB No. 0607-0717: Approval Expires 5/31/2014

Economics and Statistics Administration

U.S. CENSUS BUREAU

MONTHLY RETAIL TRADE REPORT

FORM

SM-4512SE-A

(09-14-2012)

Due Date

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GENERAL INSTRUCTIONS
• Any significant change in this firm's operations should be noted in 4
• For establishments sold or acquired during the month, report data only for the period the establishment was operated by this firm
• Estimates are acceptable if book figures are not available
• Enter "0" where applicable
INCLUDE
• Data for auxiliary facilities primarily engaged in supporting services
to this firm's establishment(s) such as warehouses, garages, central
administrative offices, and repair services
• Leased departments and concessions operated in other establishments

EXCLUDE
• Leased departments and concessions operated by other firms in this
firm's establishments
• Sales taxes and finance charges
• Data for establishments operated by other firms, such as franchises

44515013

ANNOUNCEMENTS AND SPECIAL INSTRUCTIONS

1

FEDERAL EMPLOYER IDENTIFICATION (EIN)
Has this firm acquired any new EINs for its retail operation(s) since last month?
Yes - List here and continue with

2

. Report additional EIN(s) in

4

EIN (9 digits)

. . . . . . . . . . .

No

2

NUMBER OF RETAIL ESTABLISHMENTS

Number

How many retail establishments did this firm operate? . . . . . . . . . . . . . . . . . . . . . . . . .
The remainder of this report refers to the establishments reported here.
CONTINUE ON PAGE 2

Form SM-4512SE-A
3

Page 2

(09-14-2012)

SALES, RECEIPTS, OR REVENUE
INCLUDE
• Cash and credit sales of merchandise whether or not payment
was received
• E-commerce sales if not submitted on a separate monthly
retail report
• Wholesale sales and services revenue made by retail
establishments covered by this report
• Value of trade-ins taken as part payment for other
merchandise

EXCLUDE
• Commissions from vending machine operators and from sales
of government lottery tickets
• Nonoperating receipts (such as interest income, income from
investments, and receipts from the rental or sale of real estate)
• Refunds and allowances for returned goods
• The actual value of rebates and discounts granted to the
purchaser, even if granted as an increase in trade-in allowance

A. What type of reporting period do this month's sales represent?
Calendar month reporting period - Go to

3

C

4-week reporting period
Ending Date
Month Day

5-week reporting period
B. If not a calendar month reporting period, what is the ending date for the period you are reporting sales?
Dollars

C. What were the total sales in
1. Main store sales . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2. Leased department sales . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3. Total department store sales . . . . . . . . . . . . . . . . . . . . . . . . . . . .
D. Do the sales reported in

3

C represent book figures or estimates?

Book Figure
Estimate

Dollars

E. What were the total e-commerce sales in

. . . . . . . . . . . . . . .
Percent

OR

44515021

4

%
If e-commerce sales not available - What was the percent of total sales in 3 C that represents e-commerce?
REMARKS - Please use this space to explain any significant month-to-month changes, to clarify responses, or indicate where data were
estimated.

CONTACT INFORMATION
Name of person to contact regarding this report
Area code
Telephone

Number

-

Title
Extension

Area code
Fax

Number

-

DEFINITIONS OF E-COMMERCE SALES, AUXILIARY ESTABLISHMENTS, LEASED DEPARTMENTS AND CONCESSIONS
• E-commerce is the sale of goods and services where the buyer places an order, or the price and terms of the sale are negotiated, over an Internet, mobile device (MCommerce), extranet, EDI network, electronic mail, or other comparable online system. Payment may or may not be made online.
• Auxiliary Establishments are facilities primarily engaged in furnishing supporting services (such as warehouses, garages and central administrative offices) to this
firm's establishments.
• Leased Departments and Concessions are separate businesses that lease space on the premises of another business.
Public reporting burden for this collection of voluntary information is estimated to average 7 minutes per response, including the time for reviewing instructions,
searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this
burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to: Paperwork Project 0607-0717, U.S. Census Bureau,
4600 Silver Hill Road, AMSD-3K138, Washington, DC 20233. You may e-mail comments to [email protected]; use "Paperwork Project 0607-0717" as the subject.
Respondents are not required to respond to any information collection unless it displays a valid approval number from the Office of Management and Budget (OMB). The
8-digit OMB number appears in the top right corner on the front of this form.