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pdfOMB No. 0607-0104: Approval Expires 09/30/2012
ENT OF C
TM
OM
AR
CE
ER
U.S.
D
M
EP
DUE DATE:
FORM
SM-72(06)A (8-23-2007)
R
S
BU
US
U.S. DEPARTMENT OF COMMERCE
EA
EN
U O
F TH E C
Economics and Statistics Administration
U.S. CENSUS BUREAU
NOTICE — Your report to the U.S.
Census Bureau is confidential by law
(Title 13, U.S. Code, Section 9).
Only persons sworn to uphold the
confidentiality of U.S. Census Bureau
information may see the questionnaires
and may use them only for statistical
purposes. Additionally, all reports are
immune from legal process.
ADVANCE MONTHLY RETAIL TRADE REPORT
For assistance in completing this form you may visit www.census.gov/econhelp/marts
ITEM 1 MAILING ADDRESS
RETURN COMPLETED FORM
IN THE ENCLOSED ENVELOPE
or FAX: 1–800–447–4613
For help call: 1–800–772–7852
ITEM 2 CONTACT PERSON
Name
Title
Telephone (Area code, number, ext.)
FAX (Area code, number)
(Please correct any errors in name, address, and ZIP Code)
ITEM 3 FEDERAL EMPLOYER IDENTIFICATION NUMBER (EIN)
ITEM 4 SALES AND REPORT PERIOD (See instructions on reverse.)
a. Sales
• Report cash and credit sales. If none, enter "0".
• Estimates are acceptable if book figures are not available.
• Explain any significant difference in sales from previous month in "Remarks" section.
• Include sales from e-commerce if not submitted on a separate monthly retail report.
E-commerce sales and other operating receipts are sales of goods and services, where an order is
placed by the buyer or price and terms of the sale are negotiated over an Internet, extranet, EDI
network, electronic mail, or other online system. Payment may or may not be made online.
• Include leased departments and concessions operated in other establishments.
• Exclude leased departments and concessions operated by other firms in your retail establishments.
• Exclude sales taxes and finance charges.
b.Report period
Mark (X) one box to indicate the period covered by the sales entered in
item 4a. If other than "Calendar month" is marked, specify ending date.
Calendar month
4-week period ⎫
5-week period ⎬
⎭
c. Do the sales reported in item 4a represent book figures or estimates?
ITEM 5
NUMBER OF RETAIL ESTABLISHMENTS (See instructions on reverse.)
Enter the total number of retail establishments, leased departments, and concessions covered by this report.
USCENSUSBUREAU
Dollars
Ending date
(Month and day)
Book
Estimate
COVERAGE INSTRUCTIONS AND DEFINITIONS OF E-COMMERCE SALES,
AUXILIARY ESTABLISHMENTS, LEASED DEPARTMENTS AND CONCESSIONS
I. Coverage Instructions
III. Auxiliary Establishments are facilities primarily
engaged in furnishing supporting services (such as
warehouses, garages and central administrative offices)
to your retail establishments.
IV. Leased Departments and Concessions are separate
businesses that lease space on the premises of another
business.
II. E-Commerce Sales and other operating receipts are
sales of goods and services, where an order is placed by
the buyer or price and terms of the sale are negotiated
over an Internet, extranet, EDI network, electronic mail,
or other online system. Payment may or may not be
made online.
For more help, access our Business Help Site at
www.census.gov/econhelp/marts
To view the results of this survey, visit
www.census.gov/retail
Item 4 – Sales and Report Period
INCLUDE
• Cash and credit sales of merchandise whether or not
payment was received
• Leased departments and concessions operated in other
establishments
• E-commerce sales if not submitted on a separate monthly
retail report
• Wholesale sales made by retail establishments covered
by this report
• Receipts from layaway purchases
• Receipts from the rental or leasing of vehicles, equipment,
instruments, tools, etc.
• Receipts from deliveries
• Receipts from installations, maintenance, repairs,
alterations, storage, and other such services
• Value of trade-ins taken as part payment for other
merchandise
• Excise taxes (such as those on gasoline, liquor, and
tobacco) which are levied on the manufacturer or
wholesaler and included in the cost of goods purchased
by this firm
EXCLUDE
• Sales taxes collected from customers and paid directly
to a local, State, or Federal tax agency
• Leased departments and concessions operated by other
firms in your retail establishments
• Carrying or other finance charges
• Commissions from vending machine operators
• Nonoperating receipts (such as interest income, income
from investments, and receipts from the rental or sale of
real estate)
• Commissions from sales of government lottery tickets
• Sales from auxiliary establishments
DEDUCT
• 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
Contract Feeding (including food vending)
If terms of contract are –
Include as sales –
• Management fee basis . . . . Management fees plus
reimbursements for the
cost of food, labor, and
other operating expenses
• Profit-loss basis . . . . . . . . . All sales to customers
• Cost-plus basis . . . . . . . . . Sales to customers plus fees
or supplements from clients
▼
▼
SPECIFIC INSTRUCTIONS FOR COMPLETING ITEMS 4 AND 5
Item 5 – Number of Retail Establishments
INCLUDE
• Total number of retail establishments, leased departments,
and concessions covered by this report
• Leased departments and concessions operated by this firm
in other establishments
EXCLUDE
• Auxiliary establishments
• Leased departments and concessions operated by other
firms in your retail establishments
REMARKS – Please use this space for comments or to explain any large differences in data from the prior month.
Public reporting burden for this collection of voluntary information is estimated to average 5 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 0607-0104, U.S. Census Bureau, 4600 Silver Hill Road, AMSD - 3K138,
Washington, DC 20233. You may e-mail comments to [email protected] ; use "Paperwork Project 0607-0104" 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. This 8-digit number appears in the top right corner on the front of this form.
FORM SM-72(06)A (8-23-2007)
Page 2
File Type | application/pdf |
File Modified | 2009-09-16 |
File Created | 2007-11-15 |