Form Dr 7064 - Fuel Distributors License Application

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DR 7064 (12/28/12)
COLORADO DEPARTMENT OF REVENUE
Denver CO 80261-0009
(303) 205-8205
Instructions
1. This booklet must be completed by wholesale fuel distributors, suppliers, importers, exporters, terminal operators,
blenders and carriers. Carriers who transport fuel they do not own (third party) must apply for a license.
2. Complete all five pages of the enclosed application and return with applicable fees and bond.
3. All requested information must be provided. If a section does not apply to your company enter N.A.
4. If you need additional sheets for additional locations, copy the sheet, provide the requested information, and return
with the application form.
5. Be sure to check the boxes for the types of fuel you want to be licensed to distribute on first page of application.
6. The application must be accompanied by all fees and the appropriate bond or it will not be processed.
7. Use Department form DR 0214 Fuel License Application Checklist available at to make sure
all documents are included with this application.

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