Form Dr 0100 - Colorado Retail Sales Tax Return
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2
3Departmental Use Only
DR 0100 (12/13/16)
COLORADO DEPARTMENT OF REVENUE
Denver, CO 80261-0013
Colorado Retail
Sales Tax Return
with Deductions & Exemptions Schedules
Signature (Signed under penalty of perjury in the second degree). Date
(MM/DD/YY)
*160100==19999*
SSN 1
SSN 2
FEIN
Last Name or Business Name
First Name
Address
City
State
Zip
Phone
(
)
Colorado Account Number (XXXXXXXX-XXXX)
Location Juris Code (Refer to form DR 0800)
Due Date
Period
(MM/DD/YY)
(MM/YY-MM/YY)
–
(1-1)
0021-102
1. Gross Sales and Services for
Mark here if this is an Amended Return
00
this site/location only.
Subtractions
(2a-1)
(2b-1)
2a. Sales to licensed
2b. Deductions-
2c. Total Deductions (add
00
00
00
dealers.
Page 2, Part A.
lines 2a & 2b.)
State
RTD/CD
Special District
County/MTS
City/LID
3. Net sales: Subtract line 2c
from line 1:
(3-1)
(3-2)
(3-3)
(3-4)
(3-5)
$ _____________________
Enter amount from above in
00
00
00
00
00
each applicable column
(3a-1)
(3a-2)
(3a-3)
(3a-4)
(3a-5)
00
00
00
00
00
3a. Sales out of taxing area
(3b-1)
(3b-2)
(3b-3)
(3b-4)
(3b-5)
3b. Exemptions-
00
00
00
00
00
Page 3, Part B.
(3c-1)
(3c-2)
(3c-3)
(3c-4)
(3c-5)
3c. Overpayment from
00
00
00
00
00
previous return
4. Net taxable sales (line 3
00
00
00
00
00
minus lines 3a, 3b and 3c)
Tax Rate
5. Amount of sales tax
00
00
00
00
00
(multiply tax rate by line 4)
(6-1)
(6-2)
(6-3)
(6-4)
(6-5)
6. Add: Excess tax
00
00
00
00
00
collected
00
00
00
00
00
7. Total (add lines 5 & 6)
8. a. Service fee rate
(8-1)
(8-2)
(8-3)
(8-4)
(8-5)
b. Service fee (discount)
00
00
00
00
00
(multiply line 7 by line 8a).
9. Sales tax due
00
00
00
00
00
(line 7 minus line 8b)
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