Form Dr 0076 - Certification Of Qualified Nature Of Enterprise Zone Rehabilitation Expenditures Page 2

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*130076==29999*
Qualified Expenditures does not include soft costs such as the cost of appraisals; architectural, engineering and interior 
design fees; legal, accounting and Realtor fees; loan fees; sales and marketing; closing; building permit, use and inspection 
fees; bids; insurance; project signs and phones; temporary power; bid bonds; copying; and rent loss during construction. 
Qualified Expenditures does not include costs associated with acquisition; interior furnishings; new additions, except 
as may be required to comply with building and safety codes; excavation; grading; paving; landscaping; and repairs to 
outbuildings.
To be completed by taxpayer, owner or authorized company official
Signature of Zone Administrator
Date 
(MM/DD/YY)
Enterprise Zone 
Taxpayer Last Name/Company Name
First Name
Middle Initial
Address 
Phone Number
( 
)
City
State
Tax year ending 
Zip
(MM/YY)
Colorado Account Number (CAN)
SSN or FEIN
Address of building for which expenditures were made
City
State
Zip
Year building was constructed 
Date of last occupancy 
(YYYY)
(MM/DD/YY)
Current year qualifying expenditures
$
Rehabilitation tax credit claimed
$
I declare that all of the above information is true and correct to the best of my knowledge and belief.
Signature of Owner/Authorized Official
Title
Date 
(MM/DD/YY)
certification by Zone administrator
I hereby certify to the Colorado Department of Revenue that the expenditure amount stated was of a nature that qualified 
for the enterprise zone building rehabilitation for commercial use credit.
for more information about Enterprise Zones contact the agencies listed below:
Colorado Department of Revenue 
Colorado Office of Economic Development 
Denver, CO  80261–0005  
and International Trade 
Phone: 303-238-SERV(7378)
1625 Broadway, Suite 2700 
Denver, CO  80202  
Refer to FYI Income 24.
Phone: 303-892-3840 
Visit   for Enterprise Zone information, 
including Enterprise Zone Administrator contact information.

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