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-45(06)BS

U.S. DEPARTMENT OF COMMERCE

(11-8-2007)

Economics and Statistics Administration

U.S. CENSUS BUREAU

USCENSUSBUREAU

COVERAGE INSTRUCTIONS AND DEFINITIONS OF DEPARTMENT STORES, 

E-COMMERCE SALES, AUXILIARY ESTABLISHMENTS, LEASED DEPARTMENTS AND CONCESSIONS

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.

V.Leased Departments and Concessions are separate

businesses that lease space on the premises of another

business.

Department Stores are establishments primarily

engaged in retailing a wide range of the following new

products with no one merchandise line predominating:

apparel, furniture, appliances, and home furnishings; and

selected additional items, such as paint, hardware,

toiletries, cosmetics, photographic equipment, jewelry,

toys, sporting goods, and limited nonperishable food

items. Merchandise lines are normally arranged in

separate departments. "Discount stores" are included as

department stores, provided they meet the criteria

described.

IV.

III. E-Commerce Sales 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.

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

For assistance in completing this form, you may visit www.census.gov/econhelp/mrts
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 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. This 8-digit number appears in the top right corner on the front of this form.

REMARKS – Please use this space for comments or to explain any large differences in data from the prior month.

FORM SM-45(06)BS (11-8-2007) Page 2

⎫

⎬

⎭

Calendar month

4-week period

5-week period

SALES AND REPORT PERIOD

Mark (X) one box to indicate the period covered by the sales entered in item 4a(1).

If other than "Calendar month" is marked, specify ending date.

Dollars

b.Report period Ending date (Month and day)

ITEM 5 MERCHANDISE INVENTORIES

ITEM 4

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. ................

TOTAL merchandise inventories (before Last-in, First-out adjustment if any) – Sum of items 5a and 5b...

d.

c.

Are the data reported in items 5a through 5c for a date other than the end of the month specified?

No Yes – Enter the date the data represent

NUMBER OF DEPARTMENT STORES

Enter the total number of department stores covered by this report. ............................

Month Day Year

c. Book Estimate

a.Sales Dollars

(2) Leased department sales . ...................................................

(4) E-Commerce Sales – Report e-commerce sales or their percent of total sales in item 4a(1). ........... %

ITEM 6

(1) Main store sales ........................................................

(3) TOTAL department store sales . ...............................................

INCLUDE

• Cash and credit sales of merchandise whether or not 

 payment was received. If none, enter "0"

• Receipts from other activities at your retail establishments 

 such as wholesale sales, deliveries, installation, repairs, 

 etc.

• Excise taxes (such as those on gasoline, liquor, and 

 tobacco) which are levied on the manufacturer or 

 wholesaler.

EXCLUDE

• Sales taxes collected from customers and paid directly to a

 local, State, or Federal tax agency

INCLUDE

• Merchandise under contract for sale

• Merchandise owned by this firm but held by others for

 sale on consignment

EXCLUDE

• Fixtures, equipment, and supplies not held for resale

• E-commerce sales if not submitted on a separate monthly 

 retail report

• Leased departments and concessions operated by your firm 

 in other establishments

Estimates are acceptable if book figures are not available

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

owned as of the end of the month.

• 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 extablishments

Do the sales reported in item 4a(1) represent book figures or estimates?

Does your firm have e-commerce sales? Yes No