ADVANCE MONTHLY RETAIL TRADE REPORT

Calendar month

4-week period

5-week period

⎫

⎬

⎭

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.

SALES AND REPORT PERIOD (See instructions on reverse.)

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.

b.Report period

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.

ITEM 1

ITEM 3

ITEM 4

c. Do the sales reported in item 4a represent book figures or estimates? Book Estimate

For help call: 1–800–772–7852

Return Via Internet:

CONTACT PERSON

Name

Title

Telephone (Area code, number, ext.)

FAX (Area code, number)

ITEM 2

(Please correct any error in name, address, and ZIP Code)

U.S. DEPARTMENT OF COMMERCE

BUREAU OF THE CENSUS

MAILING ADDRESS

FEDERAL EMPLOYER IDENTIFICATION NUMBER (EIN)

• Exclude leased departments and concessions operated by other firms in your retail establishments.

• Exclude sales taxes and finance charges. 

FORM SM-72(06)A

U.S. DEPARTMENT OF COMMERCE

Economics and Statistics Administration

U.S. CENSUS BUREAU

(7-19-2012)

• Include leased departments and concessions operated in other establishments.

• 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.

Ending date 

(Month and day)

Dollars

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.

econhelp.census.gov/marts

Password:

Username:

Return Via Fax:

1–800–447–4613

Return Via Mail:

U.S. CENSUS BUREAU

1201 East 10th Street

Jeffersonville, IN 47132-0001
REMARKS – Please use this space for comments or to explain any significant difference.

FORM SM-72(06)A (7-19-2012) Page 2

COVERAGE INSTRUCTIONS AND DEFINITIONS OF E-COMMERCE SALES, 

AUXILIARY ESTABLISHMENTS, LEASED DEPARTMENTS AND CONCESSIONS

SPECIFIC INSTRUCTIONS FOR COMPLETING ITEMS 4 AND 5

I. Coverage Instructions 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.

INCLUDE DEDUCT

• Cash and credit sales of merchandise whether or not • Refunds and allowances for returned goods payment was received

• 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 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

• 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

• The actual value of rebates and discounts granted to the

 purchaser, even if granted as an increase in trade-in 

 allowance

• Commissions from vending machine operators

III.

Item 4 – Sales and Report Period

• Sales from auxiliary establishments

EXCLUDE

• Leased departments and concessions operated by this firm

 in other establishments

• Auxiliary establishments

Item 5 – Number of Retail Establishments

INCLUDE

• Total number of retail establishments, leased departments,

 and concessions covered by this report

Contract Feeding (including food vending)

• Management fee basis ....

• Leased departments and concessions operated by other 

 firms in your retail establishments

• E-commerce sales 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.

II.

• Profit-loss basis .........

• Cost-plus basis .........

• Receipts from deliveries

• Leased departments and concessions operated by other 

 firms in your retail establishments

• Carrying or other finance charges

• Leased departments and concessions operated in other 

 establishments

 If terms of contract are – Include as sales –

Management fees plus

reimbursements for the

cost of food, labor, and

other operating expenses

All sales to customers

Sales to customers plus fees

or supplements from clients

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

Paperwork@census.gov; 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.

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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