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Application For Exemption From City Sales And/or Use Tax Form - City Of Colorado Springs Sales Tax Division

SALES TAX DIVISION

APPLICATION FOR EXEMPTION FROM CITY SALES AND/OR USE TAX

Religious or charitable organizations and nonprofit schools are exempt only for purchases paid for with funds of the

organization or school. These purchases must be for the use of the organization or school, not for personal use. Sales

made by the organization or school are not exempt.

1. Name of organization or school: ________________________________________________________________

2. Phone number: ______________________________________________________________________________

3. Address:

___________________________________________________________________________________

4. Mailing address: ____________________________________________________________________________

5. Please note - the City of Colorado Springs exempts only religious or charitable organizations; being nonprofit

does not automatically qualify an organization for exemption. Please indicate whether this is a religious or charitable

organization or nonprofit school:

RELIGIOUS ____

CHARITABLE ___

NONPROFIT SCHOOL ____

6. Please completely describe the activities of your religious and/or charitable organization or nonprofit school

which qualify your organization or school for exemption: ___________________________________________

_______________________________________________________(use reverse of form if more space is needed)

7. Attach copies of:

⎯ State exemption letter

__ Federal tax exemption letter

⎯ Articles of Incorporation with the Charter

__ Annual report filing to IRS for latest tax year

Signed: ________________________________________________________________________________________

Name (please print): _____________________________________________________________________________

Title: ______________________________________________________ Date: ____________________________

OFFICE USE ONLY

Approved by ____________________________________ Date: _______________________

30 S. Nevada Ave., Suite 203 • TEL 719-385-5903

Mailing Address: Post Office Box 1575, Mail Code 225 • Colorado Springs, Colorado 80901-1575

Application For Exemption From City Sales And/or Use Tax Form - City Of Colorado Springs Sales Tax Division