Initial Use Tax Form
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1
2CITY OF GREELEY, COLORADO
INITIAL USE TAX FORM
(Instructions are on the reverse side of this form)
Greeley Sales Tax License Number:
Business Name:
Business Address:
City:
State:
Zip Code:
Business Telephone Number:
Section A
Date of Purchase
If business was purchased, indicate:
Purchase Price of Equipment, Fixtures,
3.46% of Purchase
Seller’s Name and Address
Furniture, Supplies, Etc.
Price
Section B
:
Purchase of Equipment, Fixtures, Furniture, Supplies, Etc.
Purchase Price on
Purchase Price on
Which Tax Was
Which Tax Was Not
Invoice Date
Vendor’s Name and Address
Paid
Paid
Totals
Amount
X 3.46%
Due
Section C:
Leases of Equipment, Fixtures, and Furniture
Tax paid by (/ / / / )
Type of Equipment
Lessor
Address
Fixtures / Furniture
Lessor
Lessee
Total Tax Due
Section A ________ + Section B ________ = Total Tax ________
Penalty ________ + Interest_______ = Total Tax, Penalty & Interest _________
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