Form Dr 0525 - Annual Report Of Public Utility Intrastate Gross Operating Revenues - Colorado

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DR 0525 (11/02)
COLORADO DEPARTMENT OF REVENUE
ANNUAL REPORT OF PUBLIC UTILITY INTRASTATE
GROSS OPERATING REVENUES
This is your reporting form to make the report of gross operating regulated revenue from intrastate utility
business in the State of Colorado during the calendar year 2002. If you need additional forms, please refer to
MUST
Form DR 0525 in your request. You may photocopy these forms. This report
be filed with the
May 1, 2003
Colorado Department of Revenue on or before
.
COLORADO DEPARTMENT OF REVENUE
TO:
MAIL
PUC: BUSINESS TAX ACCOUNTING SECTION
1375 SHERMAN STREET, ROOM 286
DENVER, COLORADO 80261
For statutory reverences, you may refer to Section 40-2-111, et.seq., Colorado Revised Statutes. A copy is
available on the Colorado Public Utilities Commission web site at
On the basis of the reports from all utilities under the jurisdiction of the Colorado Public Utilities
Commission, and the provisions of the above statute, we will compute your fee for the upcoming fiscal year
and advise you of the amount to be paid.
The Colorado Department of Revenue (CDR) and the Colorado Public Utilities Commission (CPUC) are
asking that, with this response, you include the sheet of your CPUC annual report that matches the amounts
on this DR 0525.
If the CPUC annual report amount does not match the amount on the DR 0525, please provide a
reconciliation, and attach the documentation that supports this reconciliation. The above information is
required in accordance with §40-2-111, C.R.S.
If you have any questions about this, please call the Colorado Public Utilities Commission at 303-894-
2000
.
Name of Utility
Contact Person
Mailing Address
Contact Phone No.
(
)
City
State
Contact Email Address:
Zip
Period
Date Prepared
January 01,2002 to December 31,2002
Year 2002 Gross Regulated Operating Revenues from
$
INTRASTATE UTILITY business in Colorado (1520-130)**
**This figure must agree with the amount reported in the annual report filed with the Colorado Public Utilities Commission
I declare under penalties of perjury, that this report has been examined by me and to the best of my knowledge is a true report made
in good faith for the year stated.
Officer Signature
Print Name
Title
Date
Officer Signature
Print Name
Title
Date
Section 40-2-111, Colorado Revised Statutes, requires the signatures of two executive officers of the entity. 7183R/D-0162R

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