Form Dr 0100 - Colorado Retail Sales Tax Return

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DR 0100 (06/30/11) WeB

ColoRado dePaRtMent oF ReVenue

ColoRado RetaIl SaleS tax RetuRn

DeNveR, CO 80261-0013

Deductions and exemptions Schedule:

2B Other Deductions must be itemized in the schedule below.

KEEP THiS FOR YOUR RECORDS

(1) Service sales ......................................................................................................................................

(2) Sales to governmental agencies, religious or charitable organizations ..............................................

(3) Sales of gasoline ................................................................................................................................

(4) Sales of drugs by prescription and prosthetic devices .......................................................................

(5) Trade-ins for taxable resale ................................................................................................................

(6) Bad debts charged-off, returned goods, trade discounts and allowances where tax was paid

(cash discounts are not allowed) ........................................................................................................

(7) Cost of utilities, excluding tax (

) .....................................................

not exempt 03/01/2010 to 06/30/2012

(8) Sales of Agricultural Compounds (not exempt 03/01/2010 to 06/30/2011) ........................................

(9) Other (Explain) ...................................................................................................................................

Total add lines (1) through (9) (enter here and on line 2B of the return) ................................................Total

3b. enter total State Exemptions and applicable Local exemption on line 3b. Net sales must be itemized below.

(1) Food, including food sold

through vending machines ...........

(2) Machinery ...................................

(3) electricity

(See instructions - line 3B) ...........

(4) Farm equipment .........................

(5) Pesticides ...................................

(6) Sales of low-emitting

vehicles, etc. ...............................

(7) School related sales ...................

N/A

(8) Cigarettes ...................................

(9) Renewable energy components .

(10) Other (explain) ............................

(11) total

(enter here and on line 3B of the return)

The State may convert your check to a one time electronic banking transaction. Your bank account may be debited as early as the same day received by the State. If converted, your check will not be

returned. If your check is rejected due to insufficient or uncollected funds, the Department of Revenue may collect the payment amount directly from your bank account electronically.

Photocopy for your records.

Cut here and send only the coupon below. Help us save time and your tax dollars.

Signed under penalty of perjury in the second degree. Signature

Date

Phone (

)

•

(1-4)

Name

1. Gross Sales and Services (include bad debts, previously deducted) .....

•

(2-4)