Form Dr 0589 - Vendor Special Event License Application With Instructions Page 4
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5RETAIN THIS COPY FOR YOUR RECORDS.
DR 0098 (03/99) COLORADO DEPARTMENT OF REVENUE
SPECIAL EVENT
RETAIL SALES TAX
Date
(
)
Phone
Signature
SIGNED UNDER PENALTY OF PERJURY
IN THE SECOND DEGREE
Name
17
0020-100
Due Date
00
1. Gross Sales
•
Acct. No.
Period
00
2. Sales to other licensed dealers for resale
•
3. Line 1 less line 2 (Enter this amount on line 4 in all applicable columns)
4. Net Taxable Sales for each Tax
•
00
00
00
00
(4)
(4)
(4)
(4)
COUNTY
CITY
STATE
RTD/CD/BD
5.
Name of event & city and/or county &
County: : : : :
City:
tax rate where sale was made.
Tax rate: .008
Tax rate: .03
Tax rate:
Tax rate:
(See reverse side.)
event
6. Total tax (line 4 x line 5)
00
00
00
00
7. Service fee rate
.0333
.0333
8. Service fee allowed vendor
•
(8)
00
00
00
00
(8)
(8)
(8)
(line 6 x line 7)
9. Sales Tax Due (line 6 minus line 8)
(100)
(11)
00
00
00
00
(11)
(11)
(11)
10. Penalty (.10 x line 9)
(200)
(12)
00
00
00
00
(12)
(12)
(12)
11. Interest
% per Month
(13)
00
00
00
00
(300)
(13)
(13)
(13)
12. Total Each Tax (add lines 9, 10 & 11)
Make check payable to
13.
TOTAL AMOUNT PAID (355)
DO NOT WRITE BELOW THIS LINE
Colorado Department of Revenue.
DR 0098 (03/99) COLORADO DEPARTMENT OF REVENUE
SPECIAL EVENT
RETAIL SALES TAX
Date
Phone
(
)
Signature
SIGNED UNDER PENALTY OF PERJURY
IN THE SECOND DEGREE
Name
17
0020-100
Due Date
00
•
1. Gross Sales
Acct. No.
Period
00
2. Sales to other licensed dealers for resale
•
3. Line 1 less line 2 (Enter this amount on line 4 in all applicable columns)
4. Net Taxable Sales for each Tax
•
00
(4)
00
00
00
(4)
(4)
(4)
COUNTY
CITY
RTD/CD/BD
STATE
5.
Name of event & city and/or county &
County: : : : :
City:
tax rate where sale was made.
Tax rate: .008
Tax rate: .03
(See reverse side.)
Tax rate:
Tax rate:
event
6. Total tax (line 4 x line 5)
00
00
00
00
7. Service fee rate
.0333
.0333
8. Service fee allowed vendor
•
00
00
00
(8)
00
(8)
(8)
(8)
(line 6 x line 7)
9. Sales Tax Due (line 6 minus line 8)
(100)
00
(11)
00
00
00
(11)
(11)
(11)
10. Penalty (.10 x line 9)
00
(200)
(12)
00
00
00
(12)
(12)
(12)
11. Interest
% per Month
00
(13)
00
00
00
(300)
(13)
(13)
(13)
12. Total Each Tax (add lines 9, 10 & 11)
Make check payable to
TOTAL AMOUNT PAID (355)
13.
DO NOT WRITE BELOW THIS LINE
Colorado Department of Revenue.
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