Form Dr 0076 - Certification Of Qualified Nature Of Enterprise Zone Rehabilitation Expenditures

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DR 0076 (08/16/13)
*130076==19999*
colorado dEParTmEnT of rEvEnuE
Denver, CO  80261-0005
certification of Qualified nature of
Enterprise Zone rehabilitation Expenditures
Note — Beginning January 1, 2012, pre-certification is required prior to performing activities that are eligible for Enterprise 
Zone income tax credits.
Both pre-certification and the typical certification process can now be facilitated electronically through the Colorado Office 
of Economic Development's Enterprise Zone Web page 
Pre-certification Instructions
After reading and signing the affirmation statement for 
Complete this form only if you cannot do so electronically. 
your business, give the form to your Enterprise Zone 
Electronic submissions reduce errors that may delay the 
Administrator. Enterprise Zone Administrators will sign their 
processing of your applications and income tax returns. 
affirmation statement and return the form to the business. 
For a list of Enterprise Zone Administrators visit 
Complete any information, including name and address, 
that is currently available.
I certify that I am aware of the Enterprise Zone program, that Enterprise Zone tax credits are a contributing factor to the 
startup, expansion or relocation of my business in the Enterprise Zone, and I acknowledge that this pre-certification is for 
activities that shall commence after the date that the Enterprise Zone administrator signs this form to pre-certify, through 
the end of my business’s current income tax year.
Business Owner or Authorized Company Official Signature
Date 
(MM/DD/YY)
I, the duly authorized administrator of the above mentioned Enterprise Zone, hereby certify to the State of Colorado, 
Department of Revenue, that the above named facility is entirely within the designated Enterprise Zone; and hereby 
pre-certify this business in my Enterprise Zone.
Enterprise Zone Administrator
Date 
(MM/DD/YY)
This certification is public record and copies will be available from the enterprise zone administrator.
Check  here  if  this  certification  is  for  an  earlier  tax  year 
Tax  year  beginning 
(MM/YY)
and  is  a  confidential  tax  document:
This form certifies the qualified nature of the expenditures you made to rehabilitate for commercial use a building located 
in a Colorado enterprise zone. At the time the expenditure was made, the building must have been at least 20 years old 
and completely vacant for at least two years.
To claim the enterprise zone building rehabilitation credit:
  If filing electronically, you can expect an email from your Enterprise Zone Administrator within 3-4 business days of 
submission. Or, if you must file on paper and would like a copy of this form returned to you by the Enterprise Zone 
Administrator, be sure to enclose a self-addressed stamped envelope.  
 Submit a copy of the certified form when you file your Colorado income tax return. Also submit copies of receipts,
bills or any other documentation you may have that will verify the amount of the qualified expenditures. Pass-through 
entities must also submit a copy of the DR 0078A to specify the partner/shareholder name, ID number and amount 
of credit passed through to them. 
Qualified Expenditures means  expenditures  associated  with  exterior  improvements,  structural  improvements, 
mechanical improvements or electrical improvements necessary to put the building into a proper condition for the 
operation of a commercial enterprise. Qualified expenditures may include expenditures associated with demolition, 
carpentry, sheetrock, plaster, painting, ceilings, fixtures, doors, windows, sprinkler systems installed for fire protection 
purposes, roofing and flashing, exterior repair, cleaning, tuck pointing and cleanup.

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