Form Dr 0100 - Colorado Retail Sales Tax Return, Dr 0100-1 - Supplementary Schedule For Colorado Retail Sales Tax Return

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DR 0100 (06/29/09) WeB

ColoRado dePaRtMent oF ReVenue

ColoRado RetaIl SaleS tax RetuRn

DenveR, CO 80261-0013

Deductions and exemptions Schedule:

2B Other Deductions must be itemized in the schedule below.

KEEP THiS FOR YOUR RECORDS

(1) Service sales ......................................................................................................................................

.00

(2) Sales to governmental agencies, religious or charitable organizations ..............................................

.00

(3) Sales of gasoline ................................................................................................................................

.00

(4) Sales of drugs by prescription and prosthetic devices .......................................................................

.00

(5) Trade-ins for taxable resale ................................................................................................................

.00

(6) Bad debts charged-off, returned goods, trade discounts and allowances where tax was paid

.00

(cash discounts are not allowed) ........................................................................................................

(7) Cost of utilities, excluding tax (restaurants only, at end of year, using form DR1465) ........................

.00

(8) Sales of Agricultural Compounds .......................................................................................................

(9) Other (explain) ...................................................................................................................................

.00

Total add lines (1) through (9) (enter here and on line 2B of the return) ................................................Total

.00

3b. enter total State Exemptions and applicable Local exemption on line 3b. Net sales must be itemized below.

(1) Food, including food sold

.00

through vending machines ...........

.00

(2) Machinery ...................................

.00

(3) electricity ....................................

.00

(4) Farm equipment .........................

.00

(5) Pesticides ...................................

.00

(6) Sales of low-emitting

.00

vehicles, etc. ...............................

.00

(7) School related sales ...................

.00

n/A

(8) Cigarettes ...................................

.00

(9) Renewable energy components .

.00

(10) Other (explain) ............................

.00

(11) total

(enter here and on line 3B of the return)

Return Check Policy -

The State may convert your check to a one time electronic banking transaction. Your bank account may be debited as early as the same

day received by the State. If converted, your check will not be returned. If your check is rejected due to insufficient or uncollected funds, the

Department of Revenue may collect the payment amount directly from your bank account electronically.

MAiL COMPLETED FORM wiTH PAYMENT TO: Colorado department of Revenue, Denver, CO 80261-0013

Signed under penalty of perjury in the second degree. Signature

Date

Phone (

)

•

(1-4)

name

1. Gross Sales and Services (include bad debts, previously deducted) .....

•

Due Date

(2-4)

2. Deductions: a. Sales to other licensed dealers, for resale .

20-100

Acct. no.

Period

b. Other deductions (itemized above) ..............

email address

c. Total (add lines 2a & 2b) ...............

3. Net sales: (line 1 minus line 2C) ............................

a. Sales out of taxing area ............................

b. exemptions (from schedule) .....................

c. Overpayment from previous return ..........

•

(4-4)

(4-1)

(4-2)

(4-3)

4. Net taxable sales (line 3 minus a,b,& c) .........

TAX RATe

5. Amount of sales tax ...................................

•

(6-4)

(6-1)

(6-3)

6. Excess tax collected ..............................

(6-2)

7. Total (add lines 5 & 6) ................................

8. a. Service fee rate .....................................

b. Service fee allowed vendor

•

(8-4)

(8-1)

(8-2)

(8-3)

....................

(only if paid on or before due date)

9. Sales tax due (line 7 minus line 8B) .............

•

(10-1)

(10-3)

(10-4)

(10-2)

10. Tax on $ ______________ .................

(11-1)

(11-3)

(11-2)

(11-4)

11. Total tax due (add lines 9 & 10) ...........(100)

(12-2)

(12-4)

(12-1)

(12-3)

12. Penalty: 0.20 times line 11 .............(200)

13. Monthly interest rate

(13-1)

(13-2)

(13-4)

(13-3)

.....................................(300)

times line 11

14. Total each tax (add lines 11, 12, & 13) ............

.00

15. TOTAL AMOUNT REMiTTED (add all columns on line 14)

(See return check policy above)

................Paid by EFT

(355)

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