Form Dr 0100 - Colorado Retail Sales Tax Return Page 4
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4DR 0100 (06/18/14)
*140100V229999*
COLORADO DEPARTMENT OF REVENUE
Denver, CO 80261-0013
Colorado Retail Sales Tax Return
Deductions and Exemptions Schedule:
Colorado Account Number
Name
Period
(MM/YY-MM/YY)
–
Part A — Deductions
2B. Other Deductions must be itemized in the schedule below. Note: sales to other licensed dealers page 1 of form, line 2a.
(A1-1)
1. Service sales
00
(A2-1)
2. Sales to governmental agencies, religious or charitable organizations
00
(A3-1)
3. Sales of gasoline
00
(A4-1)
4. Sales of drugs by prescription and prosthetic devices
00
(A5-1)
5. Trade-ins for taxable resale
00
(A6-1)
6. Bad debts charged-off, returned goods, trade discounts and allowances where tax was paid
(cash discounts are not allowed)
00
(A7-1)
7. Cost of utilities, excluding tax (restaurants only (at end of year) using DR 1465 form)
00
(A8-1)
8. Sales of agricultural compounds and pesticides
00
(A9-1)
9. Other (explanation required)
00
Total add lines 1 through 9 (enter here and on line 2b of the return)
Total
00
Part B — Exemptions
3B. Enter total State Exemptions and applicable Local Exemption on line 3b.
County/MTS
City/LID
Special District
State
(B1-1)
(B1-2)
(B1-3)
(B1-4)
1. Food, including food sold
through vending machines
00
00
00
00
(B2-1)
(B2-2)
(B2-3)
(B2-4)
2. Machinery
00
00
00
00
(B3-1)
(B3-2)
(B3-3)
(B3-4)
3. Electricity
00
00
00
00
(B4-1)
(B4-2)
(B4-3)
(B4-4)
4. Farm Equipment
00
00
00
00
(B5-1)
(B5-2)
(B5-3)
(B5-4)
5. Sales of low-emitting
vehicles, etc.
00
00
00
00
(B6-1)
(B6-2)
(B6-3)
(B6-4)
6. School related sales
00
00
00
00
(B7-1)
(B7-2)
(B7-3)
(B7-4)
– – –
7. Cigarettes
00
00
00
00
(B8-1)
(B8-2)
(B8-3)
(B8-4)
8. Renewable energy components
00
00
00
00
(B9-1)
(B9-2)
(B9-3)
(B9-4)
9. Space Flight Exemption
00
00
00
00
(B0-1)
(B0-2)
(B0-3)
(B0-4)
10. Other (explanation required)
00
00
00
00
11. Total (enter here and on line 3b of
the return)
00
00
00
00
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