Form Dr 0173 - Retailer'S Use Tax Return

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3
DR 0173 (08/28/07) 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/FD OR BD USE TAX. USE A SEPARATE FORM.
E A C H
E A C H
• A SEPARATE RETURN (remittance coupon) MUST BE FILED FOR E A C H
E A C H
E A C H 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. USE RETAILER’S USE TAX ZEROFILE (SEE PAGE 1).
• INCLUDE ACCOUNT NUMBER ON CHECK. MAKE CHECK PAYABLE TO: COLORADO DEPARTMENT OF REVENUE.
See Form Below
DETACH FORM
ON THIS LINE
MAIL COMPLETED FORM WITH PAYMENT TO THE
COLORADO DEPARTMENT OF REVENUE, DENVER CO 80261-0013
DR 0173 (08/28/07) WEB
COLORADO DEPARTMENT OF REVENUE
RETAILER’S USE TAX RETURN
SIGNED UNDER PENALTY OF
PERJURY IN THE 2ND DEGREE. Date
Phone (
)
Signature
Name
1. Gross Sales and Services (include bad debts, previously deducted)
(1-6)
00
Due Date
2. Deductions:
A. Sales to other licensed dealers, for resale
(2-6)
17
0260-102
00
Acct
Period
B. Other deductions (from line 6 on page 4) .............
C. TOTAL (add lines 2A and 2B) ..........
RTA___________
BD
FD
CD
RTD
STATE
00
00
00
00
00
00
3. NET SALES (line 1 minus line 2C) .............
00
00
00
00
00
00
A. sales out of taxing area ...........................
00
00
00
00
00
00
B. exemptions (list on page 4) .....................
00
00
00
00
00
00
(4-1)
(4-2)
(4-3)
(4-4)
(4-5)
(4-6)
4. Net taxable sales (line 3 minus A & B) .............
.001
.001
.001
.0100
.029
TAX RATE
00
00
00
00
00
00
5. Amount of sales tax .....................................
00
00
00
00
00
00
(6-1)
(6-2)
(6-3)
(6-4)
(6-5)
(6-6)
6. Excess tax collected ....................................
00
00
00
00
00
00
7. Total (add lines 5 & 6) ..................................
.0333
.0333
.0333
.0333
.0333
NOT
8. A. Service fee rate .......................................
APPLICABLE
00
00
00
00
00
00
(8-2)
(8-3)
(8-4)
(8-5)
(8-6)
B. Service fee allowed vendor .....................
(only if paid on or before due date)
00
00
00
00
00
00
(9-1)
(9-2)
(9-3)
(9-4)
(9-5)
(9-6)
(100)
9. Sales Tax Due (line 7 minus line 8B) .........
00
00
00
00
00
00
(10-1)
(10-2)
(10-3)
(10-4)
(10-5)
(10-6)
(200)
10. Penalty: 0.10 times line 9 ..........................
.0066
00
00
00
00
00
00
(300)
(11-1)
(11-2)
(11-3)
(11-4)
(11-5)
(11-6)
11. Monthly prime interest rate times line 9 .........
00
00
00
00
00
00
12. Total each tax(add lines 9, 10 & 11) .........
$
Paid by EFT
(355)
00
13. Total amount remitted (make checks payable to the Colorado Department of Revenue) ...........................................
If your check is rejected due to insufficient or uncollected funds, the Department of Revenue may collect the payment amount directly from your banking account electronically.

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