Form Dr 0202 - State Sales Tax Refund For Vehicles Used In Interstate Commerce

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Department Use Only
DR 0202 (04/19/12) WEB
COLORADO DEPARTMENT OF REVENUE
DENVER, CO 80261-0009
State Sales Tax
Refund For Vehicles Used
In Interstate Commerce
Most heavy vehicles qualify for a full refund of the state tax as a LEV vehicle. See FYI Sales 91 before you file this form.
0202-650
Section 1: General Information
SSN
FEIN
Colorado IRP Number
•
•
•
Name (Individual or Business)
Street Address
City
State
ZIP
Phone
Mailing Address (if different from above)
City
State
ZIP
Section 2: Vehicle Information (One vehicle per application)
This motor vehicle must be titled and registered in the state of Colorado. See the instruction page of this form for required
documentation. If the required documentation is not submitted, the refund application will not be processed.
Make
Model
Year
VIN
Check One
Purchase or lease date
• □
• □
Purchase
•
•
Lease
Section 3: Leased Vehicle (Only complete if vehicle is leased)
Complete Section 3 if the vehicle was leased. You must file a separate refund claim for each of the first three (3) years of
requested eligibility. Check only the year applicable.
Total of Base Monthly
Total Number of Lease
Number of Lease Payments
For which lease year are you requesting this refund?
Payment
Payments
made in prior year
• □
• □
• □
First Year
Second Year
Third Year
Section 4: Purchased Vehicle (Only complete if vehicle is purchased)
Complete Section 4 if the vehicle was purchased. Filing this claim in the year of purchase will complete the refund claim
for all three (3) years of eligibility.
Sale Price
Trade-In
Difference (Taxable Amount)
State Tax Paid
•
•
Section 5: Applicant Certification
I certify under penalty of perjury in the second degree that the above statements are true correct and complete.
Print Name
Title
Signature of Owner or Corporate Officer
Date

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