Colorado Special District Sales Tax Return Form - Department Of Revenue Page 2

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DR 0200 (11/02/05) WEB
COLORADO DEPARTMENT OF REVENUE
DENVER CO 80261-0013
(303) 238-SERV (7378)
COLORADO SPECIAL DISTRICT SALES TAX RETURN - SUPPLEMENT
See Form Below
COMPLETE THIS FORM IF YOU MUST COLLECT THE BASEBALL DISTRICT TAX ON PERIODIC
PAYMENTS RECEIVED AFTER DECEMBER 31, 2000 FOR LEASE AND CREDIT SALES. IF YOU
ARE LOCATED IN THE PARK MEADOWS MALL, CITY OF LONE TREE, OR ACRES GREEN,
YOU MAY NEED TO USE THIS SUPPLEMENT. YOU MAY VERIFY BY CHECKING THE DRP 1002
OR SEE FOR SPECIAL DISTRICT RATES THAT APPLY TO YOUR
ACCOUNT. IF YOU DO NOT REQUIRE THIS FORM, PLEASE NOTIFY THE DEPARTMENT.
(303) 238-SERV (7378).
DETACH FORM
ON THIS LINE
MAKE A COPY FOR YOUR RECORDS
MAIL COMPLETED FORM WITH PAYMENT TO THE COLORADO DEPARTMENT OF REVENUE,
DENVER, COLORADO 80261-0013
COLORADO SPECIAL DISTRICT SALES TAX RETURN - SUPPLEMENT
DR 0200 (11/02/05) WEB
SIGNED UNDER PENALTY OF
Date
Phone (
)
Signature
PERJURY IN THE 2ND DEGREE.
Name
1. Gross Sales and Services (include bad debts, previously deducted)
(1-4)
00
Due Date
2. Deductions: A. Sales to other licensed dealers, for resale
(2-4)
17
0560-102
00
Acct
Period
B. Other deductions (from line 10 of Deduction Schedule)
MAKE CHECK(S) PAYABLE TO COLORADO
C. TOTAL (add lines 2A and 2B)
DEPARTMENT OF
REVENUE
00
00
00
00
3. NET SALES (line 1 minus line 2C) ...................
00
00
00
00
A. sales out of taxing area .................................
00
00
00
00
B. exemptions
.....
(from line (8) of Exemption Schedule)
00
00
00
00
C. overpayment from previous return ................
00
00
00
00
(4-1)
(4-2)
(4-3)
(4-4)
4. Net taxable sales (line 3 minus A, B & C) ...............
.0010 BASEBALL
.0010 FOOTBALL
.0010 CULT. DIST.
.0100 RTD
TAX RATE
00
00
00
00
5. Amount of sales tax ...........................................
00
00
00
00
(6-1)
(6-2)
(6-3)
(6-4)
6. Excess tax collected ..........................................
00
00
00
00
7. Total (add lines 5 & 6) ........................................
00
00
00
00
.0333
.0333
.0333
.0333
8. A. Service fee rate .............................................
00
00
00
00
(8-1)
(8-2)
(8-3)
(8-4)
B. Service fee allowed vendor ...........................
(only if paid on or before due date)
00
00
00
00
9. Sales Tax Due (line 7 minus line 8B) ...............
00
00
00
00
(10-1)
(10-2)
(10-3)
(10-4)
10.Tax on $
..................
00
00
00
(11-1)
(11-2)
(11-3)
(11-4)
00
(100)
11. Total Tax Due (add lines 9 & 10) .....................
00
00
00
(12-1)
(12-2)
(12-3)
(12-4)
00
(200)
12. Penalty: 0.10 times line 11 ..............................
(300)
(13-1)
00
(13-2)
00
(13-3)
00
(13-4)
00
13. Monthly prime interest rate (.0084) times line 11 ..........
00
00
00
00
14. Total each tax(add lines 11, 12 & 13) .............
15. Total remitted(make checks payable to the Colorado Department of Revenue & attach a seperate check to each form.) PAID BY EFT
$
00
If your check is rejected due to insufficient or uncollected funds, the Department of Revenue may collect the payment amount directly
(355)
from your banking account electronically.

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