Form Dr 0173 - Retailer'S Use Tax Return printable pdf download

DR 0173 (02/17/12) WEB

COlORaDO DePaRtment OF ReVenUe

DENVER ColoRaDo 80261-0013

(303) 238-SERV (7378)

RetaileR’s Use tax RetURn

• Do noT RePoRT RTA (Rural transportation authority) Use tax On tHe same RetURn (remittance coupon)

as state anD RtD/CD Use tax. Use a sePaRate FORm.

• A SePARATe ReTURn (remittance coupon) mUst Be FileD FOR eaCH Rta DistRiCt in WHiCH Use tax is

DUe. (see instructions in red on page 1)

• PenALTY AnD InTeReST ARe DUe IF noT FILeD on oR BeFoRe DUe DATe.

• ReTURn mUst Be FileD eVen iF nO tax is DUe. YOU maY File a zeRO RetURn tHROUGH ReVenUe

Online at

• InCLUDe YoUR ACCoUnT nUMBeR on CHeCK.

mAIL To AnD MAKe CHeCKS PAYABLe To: Colorado Department of Revenue

Denver, Co 80261-0013

DETACH FORM

ON THIS LINE

Photocopy for your records.

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

DR 0173 (02/17/12) WEB

RetaileR’s Use tax RetURn

COlORaDO DePaRtment OF ReVenUe

siGneD UnDeR PenaltY OF

PeRJURY in tHe 2nD DeGRee. Date

Phone (

)

Signature

•

(1-6)

Name

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

•

Due Date

2. Deductions:

A. Sales to other licensed dealers, for resale

(2-6)

0260-102

Acct

Period

B. Other deductions (from line 6 on page 4)...............

• □

Check here if this is an Amended Return .................................................................

C. tOtal (add lines 2a and 2B) ............

Rta_______

BD Prior to 2001 FD Prior to 2012

RtD

state

3. NET SalES

(line 1 minus line 2C)

a. sales out of taxing area ..................................

B. exemptions (list on back) ...............................

•

(4-1)

(4-2)

(4-3)

(4-4)

(4-5)

(4-6)

4. Net taxable sales

...............

(line 3 minus a & B)

.0010

tax Rate

5. amount of sales tax ............................................

•

(6-1)

(6-2)

(6-3)

(6-4)

(6-5)

(6-6)

6. Excess tax collected ........................................

7. Total

...........................................

(add lines 5 & 6)

NOT APPLICABLE

8. a. Service fee rate ..............................................

•

(8-1)

(8-2)

(8-3)

(8-4)

(8-5)

(8-6)

B. Service fee allowed vendor .........................

(only if paid on or before due date)

(9-1)

(9-2)

(9-3)

(9-4)

(9-5)

(9-6)

9. Sales Tax Due

(line 7 minus line 8B)

............(100)

(10-1)

(10-2)

(10-3)

(10-4)

(10-5)

(10-6)

10. Penalty......................................................(200)

(11-1)

(11-2)

(11-3)

(11-4)

(11-5)

(11-6)

11. Monthly prime interest rate time line 9 ......(300)

12. Total each tax

(add lines 9, 10 & 11)

...................

13. Amount Owed (make checks payable to the Colorado Department of Revenue) ...................................................................... Paid by eFt

(355)

.00

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.

Form Dr 0173 - Retailer'S Use Tax Return

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