Form Dr 0229 - Tobacco Products Tax Return - State Of Colorado

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TOBACCO PRODUCTS
DR 0229 (05/01)
COLORADO DEPARTMENT OF REVENUE
TAX RETURN
1375 SHERMAN STREET
DENVER CO 80261-0013
(303) 205-8211
EXT. 6860
KEEP THIS COPY
Account Number
Period
Due Date
0900-100
Social Security Number 1
Social Security Number 2
FEIN
1. Total gross purchases
(Manufacturer's list price)
2. Exempt sales
3. Taxable amount
(line 1 minus line 2)
MAKE CHECK PAYABLE TO THE
(100)
4. Tax - 20% (.20) of line 3
COLORADO DEPARTMENT OF REVENUE
5. Credit claimed for taxes previously paid on products:
INCLUDE THE ACCOUNT NUMBER ON \
a. Exported from Colorado
YOUR CHECK TO ENSURE PROPER CREDIT
b. Returned to manufacturer
c. Destroyed by distributor
TOTAL (a+b+c)
(905)
TOTAL x 20% (.20)
6. Total tax due (line 4 minus line 5)
7. Deduct 3 1/3% (.0333)
(105)
(not allowed on delinquent return)
8. Total tax due
(200)
9. Penalty
(300)
10. Interest
J
(355)
11.
TOTAL DUE Add lines 8, 9 and 10
F
F
RETURN COPY BELOW - DETACH HERE
TOBACCO PRODUCTS
DR 0229 (05/01)
13
RETURN THIS COPY
COLORADO DEPARTMENT OF REVENUE
TAX RETURN
1375 SHERMAN STREET
DENVER CO 80261-0013
Account Number
Period
Due Date
0900-100
Social Security Number 1
Social Security Number 2
FEIN
1. Total gross purchases
(Manufacturer's list price)
2. Exempt sales
SIGNED UNDER PENALTY OF PERJURY IN THE SECOND DEGREE
3. Taxable amount
(line 1 minus line 2)
(100)
4. Tax - 20% (.20) of line 3
Signature
Date
Phone
5. Credit claimed for taxes previously paid on products:
Are you paying your taxes by EFT?
Yes
No
a. Exported from Colorado
b. Returned to manufacturer
c. Destroyed by distributor
TOTAL (a+b+c)
TOTAL x 20% (.20)
(905)
6. Total tax due (line 4 minus line 5)
7. Deduct 3 1/3% (.0333)
(105)
(not allowed on delinquent return)
8. Total tax due
(200)
9. Penalty
(300)
10. Interest
J
(355)
11.
TOTAL DUE Add lines 8, 9 and 10
DO NOT WRITE BELOW THIS LINE

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