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Request For Exemption From Denver Sales, Use And/or Business Occupational Privilege Tax Form - City And County Of Denver

CITY AND COUNTY OF DENVER

TREASURY DIVISION

DEPARTMENT OF FINANCE

201 WEST COLFAX AVE.,

MICHAEL HANCOCK

DENVER, COLORADO 80202

Mayor

FAX: (720) 913-9460

Mail completed form to: Department of Finance

Treasury Division

Attention: Dean Peressini

201 W. Colfax Avenue, MC 1001

Dept. 1009

Denver, Colorado 80202

REQUEST FOR EXEMPTION FROM DENVER SALES, USE AND/OR

BUSINESS OCCUPATIONAL PRIVILEGE TAX

INSTRUCTIONS:

This form must be filled out completely and returned to the Manager of Revenue

before any request for exemption from Denver Sales, Use, or Business Occupational

Privilege Tax based on charitable status can be considered.

If you are unable to

fit your responses in the spaces provided, please use the back side of the sheet

containing the question or attach additional paper.

ORGANIZATION

Name: ____________________________________________ Date: ____________________

Address: _________________________________________

_________________________________________

Phone: ___________________________________________

Person to contact: _______________________________

Contact person’s signature: ______________________

Title: ___________________________________________

Organization Web Site Address:____________________

Denver Sales Tax # _______________________________

Denver Occupational Tax # ________________________

NOTE: questions 1 through 4 must be answered.

Is this corporation organized and operated exclusively for the purpose of providing

a gift to a person or persons? ____________(Gift is defined as “Something that is

bestowed voluntarily and without compensation.”)

To what person or group of persons is the gift provided?

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Request For Exemption From Denver Sales, Use And/or Business Occupational Privilege Tax Form - City And County Of Denver