Subcontractor Affidavit Template

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City
of
Boulder
Sales/Use Tax Division
______________________________________________________________________
Date _____________
SUBCONTRACTOR AFFIDAVIT
Subcontractor Contact _________________________
Subcontractor Name ____________________________
Subcontractor Address____________________________
City, State, Zip
____________________________
General
Contractor: _____________________________________
GC Permit
Number: ______________________________________
Project
Address:
______________________________________
The following information is needed in order for the general contractor (GC) or
homeowner acting as a contractor to complete the construction use tax reconciliation
tax return required by the City of Boulder. Please complete and sign this form and
return it to your general contractor so they can incorporate into their tax return.
A.
Did your company pull a building permit as a subcontractor for this project?
No
Yes
If Yes, enter Permit # _____________________
B.
What was the description of work provided per your subcontract with the GC?
_____________________________________________________________
C.
What was your total final contract price (including change orders) for the above
project? $ ____________
D.
Was any part of your contract subcontracted to others? No
Yes
If yes, please complete page 3. Send your subs a blank copy of this affidavit and
nd
request that they complete and send it back to you. Then, forward these 2
tier
sub affidavits along with your affidavit to the GC.
E.
Price paid for equipment rented by your company to perform the above contract.
$_______________
(If sales tax was paid, please provide copies of invoices)
F.
What was the total price charged to the GC (excluding any sales tax paid) for all
construction materials purchased from suppliers and used by your company for
the project? $_____________
(Exclude materials fabricated by your
company)
1777 BROADWAY P.O. BOX 791 BOULDER, CO 80306 303/441-3288

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