FEDERAL EMPLOYER IDENTIFICATION NUMBER (EIN)

ITEM 1 MAILING ADDRESS

ITEM 3

MONTHLY RETAIL TRADE REPORT

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.

RETURN COMPLETED FORM 

IN THE ENCLOSED ENVELOPE

CONTACT PERSON

Name

Title

Telephone (Area code, number, ext.)

FAX (Area code, number)

DUE DATE:

ITEM 2

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

U.S. DEPARTMENT OF COMMERCE

BUREAU OF THE CENSUS

or FAX: 1–800–447–4613

For help call: 1–800–772–7852

FORM SM-20(06)I

U.S. DEPARTMENT OF COMMERCE Economics and Statistics Administration

U.S. CENSUS BUREAU

(11-8-2007)

Dollars

MERCHANDISE INVENTORIES (END OF MONTH) (See instructions on reverse.)

• Report the cost value of all merchandise for the end of month.

• For inventories at LIFO cost, report the LIFO amount plus the LIFO reserve. 

• Estimates are acceptable if book figures are not available. 

• Explain any significant difference in inventories from previous month in "Remarks" section.

Merchandise in retail stores covered by this report. Include leased departments and concessions operated by your firm in other establishments. .......................... a.

b. Merchandise in warehouses, offices, or in transit for distribution to your retail stores. ..............

Report merchandise inventories covered by this report, regardless of where held,

owned as of the end of the month.

d.

c.

Are the data reported in items 4a through 4c for a date other than the end of the month specified?

No Yes – Enter the date the data represent

NUMBER OF RETAIL ESTABLISHMENTS (See instructions on reverse.)

Enter the total number of retail establishments covered by this report.

Month Day Year

USCENSUSBUREAU

ITEM 5

ITEM 4

TOTAL merchandise inventories – (before Last-in, First-out adjustment if any) – Sum of items 4a and 4b...

For assistance in completing this form, you may visit www.census.gov/econhelp/mrts
REMARKS – Please use this space for comments or to explain any large differences in data from the prior month.

FORM SM-20(06)I (11-8-2007) Page 2

COVERAGE INSTRUCTIONS AND DEFINITIONS OF 

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.

III. Leased Departments and Concessions are separate

businesses that lease space on the premises of another

business.

INCLUDE

• Merchandise if title has passed to you, including 

 merchandise in transit

• Merchandise in auxiliary establishments 

• Merchandise of leased departments and concessions

 which you operate or own but are located in other

 establishments – Exclude if a department

 store.

EXCLUDE

• Fixtures, equipment, and supplies not held for resale 

• Merchandise of leased departments and concessions

 operated by other firms in your retail establishments

Public reporting burden for this collection of voluntary information is estimated to average 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 Paperwork@census.gov; "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. This 8-digit number appears in the top right corner on the front of this form.

II.

Item 4 – Merchandise Inventories (End of Month)

EXCLUDE

• Leased departments and concessions operated by 

 this firm in other establishments – Exclude if a 

 department store.

• Auxiliary establishments

INCLUDE

• Total number of retail establishments covered by this report

• Leased departments and concessions operated by 

 other firms in your retail establishments

• Merchandise owned by this firm but held by others for

 sale on consignment

• Merchandise owned by others such as those held

 on consignment

• Merchandise under contract for sale 

▼

▼Item 5 – Number of Retail Establishments

For more help, access our Business Help Site at www.census.gov/econhelp/mrts

To view the results of this survey, visit www.census.gov/mrts/www/mrts.html