Form Dr 0440 - Permit To Collect Sales Tax On The Rental Or Lease Basis

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DR 0440 (10/31/06)
COLORADO DEPARTMENT OF REVENUE
TAXPAYER SERVICE DIVISION
DENVER CO 80261-0013
(303) 238-SERV (7378)
PERMIT TO COLLECT SALES TAX
ON THE RENTAL OR LEASE BASIS
Permit to be used in the name(s) of
Full Legal Name of Corporation, Individual Owner or First Partner
Name of Second Partner or Additional Partner
Additional Partner
Additional Partner
Additional Partner
Trade Name
Phone Number
Business Address
City
State
ZIP
County
Mailing Address
City
State
ZIP
County
Above applicant hereby applies for permission to carry on the rental or lease business in Colorado for the use of the following
personal property: Describe type and locations of equipment, by city and/or county. Attach sheet if necessary.
(IF YOU DO NOT HAVE A TAX LICENSE, ATTACH APPLICATION (CR 0100)
Colorado Tax Account No.
AND FEE, IF APPLICABLE)
DO NOT WRITE IN THIS BOX - DEPARTMENTAL USE ONLY
Account Number
Period
From__________________ To__________________
Motor Vehicle Leasing
0150 - 750 (999)
$0.00
Non Motor Vehicle Leasing
0155-750
(999) $0.00
CRS 39-26-713.1(a) Out-of-State or corporate lessors must designate an agent in Colorado for service of process.
Name
Address
City
ZIP
This applicant hereby agrees to impose and collect sales tax on the amount(s) charged for the rental use of the tangible
personal property in Colorado and remit same to the Department of Revenue, State of Colorado, Denver, CO 80261-0013,
with check, draft or money order payable to the Colorado Department of Revenue.
If tangible personal property requires titling and registration with the Motor Vehicle Division, present one copy of certificate
issued to the County Clerk. This will authorize an exemption, the reason being, "Exempt leasing company under account
number _________________________________________________________ ."
Dated at _________________________ this ______________________ day of ___________________ 20 _________ .
Name of Person, Firm or Corporation
Signature (Must be signed by owner or Corporate Officer for Rental/Leasing Company
Approved By (Supervisor, Sales & Use Tax Section, Colorado Department of Revenue)
Date

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