Form Dr 0221 - Colorado Cigarette Tax Return Page 2
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1
2INSTRUCTIONS
Lines 1 through 5 Enter gross amount of all purchases of
Line 13 Subtract line 12 from line 11.
cigarette stamps made during the month (by stamp type).
Line 14 Net tax due. Subtract line 13 from line 10. If the
Line 6
Total gross amount of stamp purchases (add
amount of the net tax credit (line 13) exceeds the
Lines 1 through 5).
net amount owed (line 10), Form DR 0137 ‘Claim
for Refund’ must be completed with the original
Line 7
Multiply amount on line 6 by .9524% (.009524)
manufacturer’s statement or affidavit of returned
ONLY if return is filed and paid by due date.
merchandise attached.
Round amount to the nearest dollar.
Line 15 Penalty. If payment is received after the due date,
Line 8
Enter net stamp purchases due (subtract line 7
multiply line 14 by 10% (.10).
from line 6).
Line 16 Interest. If payment is received after the due date,
Line 9
Manufacturers Only. Enter tax for sample and
multiply line 14 by preprinted rate.
test panel cigarettes.
Line 17 Amount Owed (add line 14, 15 and 16)
Line 10 Total tax due (add line 8 and 9).
•
Payment is required by EFT. If you pay by check,
Line 11 Returns to manufacturer. Multiply the total
your payment may be returned and/or your vendor
number of stamps returned to the manufacturer
fee denied. You must file a return even if no tax
by $.84 or $1.05 depending on the type of stamp
is due.
($.84 for 20 count packs and $1.05 for 25 count
packs). Attach manufacturer’s certification to the
•
You must file a return even if no tax is due.
return.
Mail return to: Colorado Department of Revenue
Line 12 Multiply the amount on line 11 by .9524% (.009524)
1375 Sherman Street
if the discount was taken when the stamps were
Denver, Colorado 80261-0009
originally purchased.
Stamp Type
Description
Sales Unit
121
20 count fuson padded sheets
3,750 per pad
122
20 count fuson
30,000 per box
123
25 count fuson 10 across
7,200 per box
124
25 count fuson 12 across
7,200 per box
126
20 count wide fuson
3,750 per pad
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Parent category: Financial