Form Dr 0100 - Colorado Retail Sales Tax Return Page 3
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3DR 0100 (12/13/16)
*160100==39999*
COLORADO DEPARTMENT OF REVENUE
Denver, CO 80261-0013
Colorado Account Number (XXXXXXXX-XXXX)
Name
Period
(MM/YY-MM/YY)
–
Exemptions Schedule- Part B (Exemptions vary, refer to Colorado Sales/Use Tax Rates, DR 1002).
This schedule is required for exemptions claimed on line 3b, page 1.
State
RTD/CD
Special District
County/MTS
City/LID
(B1-1)
(B1-2)
(B1-3)
(B1-4)
(B1-5)
1. Food, including food sold
00
00
00
00
00
through vending machines
(B2-1)
(B2-2)
(B2-3)
(B2-4)
(B2-5)
00
00
00
00
00
2. Machinery
(B3-1)
(B3-2)
(B3-3)
(B3-4)
(B3-5)
00
00
00
00
00
3. Electricity
(B4-1)
(B4-2)
(B4-3)
(B4-4)
(B4-5)
00
00
00
00
00
4. Farm Equipment
(B5-1)
(B5-2)
(B5-3)
(B5-4)
(B5-5)
5. Sales of low-emitting
00
00
00
00
00
vehicles, etc.
(B6-1)
(B6-2)
(B6-3)
(B6-4)
(B6-5)
00
00
00
00
00
6. School related sales
(B7-1)
(B7-2)
(B7-3)
(B7-4)
(B7-5)
N/A
00
N/A
00
00
00
00
7. Cigarettes
(B8-1)
(B8-2)
(B8-3)
(B8-4)
(B8-5)
8. Renewable energy
00
00
00
00
00
components
(B9-1)
(B9-2)
(B9-3)
(B9-4)
(B9-5)
00
00
00
00
00
9. Space Flight Exemption
(B0-1)
(B0-2)
(B0-3)
(B0-4)
(B0-5)
10. Other Exemptions,
00
00
00
00
00
explanation required
Explain
11. Total: add lines 1 through
10 of each column, enter total
00
00
00
00
00
exemptions on line 3b, page 1.
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