Fillable Form Dr 7064 - Fuel Distributors License Application (Page 2 of 7) in pdf

Instructions to Complete the Application Form DR 7064 for Fuel Distributors

Who Must Apply:

2. Check the type of license(s) your company requires

Any person or business operating in

based on your company’s operations. If you are an

Colorado as a fuel distributor, supplier, importer, exporter, blender of

exporter or an importer, you are required to have a

fuel, carrier or terminal operator must be licensed as such.

distributor’s license. If you transport fuel for another

Fuel distributors, suppliers, importers, exporters, and blenders of

company, you must be licensed as a carrier.

fuel will be required to report on the monthly fuel tax return DR

3. A. List the amount of the bond you are providing in the

7050, collect, and remit taxes monthly.

appropriate box.

Terminal Operators must be licensed in Colorado and provide their

B. The Colorado license fee is $10.00 per application,

IRS terminal code. Third party terminal operators will be required

and a $5.00 fee for each additional Colorado location.

to report transactions for receipts to the terminal by position holder,

(See Part V., page 3).

disbursements from the rack by position holder, and provide an

inventory by position holder. The report is not a tax report; it rather

4. The application must be signed by the owner, authorized

provides accountability of fuel products moving through the terminal.

partner or officer of the company.

A separate report is required for each terminal.

Part III: You must provide the information requested on owners and

Common or Contract Carriers will be required to report all exports

partners. Changes in corporate/company officers as a result

and imports of motor fuel leaving or coming into Colorado. They

of changes of ownership or equity position in a twelve month

must also report all deliveries that are diverted from the bill of

period require notification to the DOR within thirty days of

lading or manifest destination to the Colorado Department of

the change.

Revenue (DOR) within 24 hours.

Part IV: You must provide the information requested on corporate

Application Requirements:

You must provide all the information

officers. (Make a copy and include if additional space is re-

quired.) Any equity interest or change of ownership amount-

requested on the application form (DR 7064), the application fees

and the original bond. A license will be issued upon approval of the

ing to 10% or greater in a twelve month period requires

notification to the DOR within thirty days.

application. Note: Allow four to six weeks to receive the license.

If the application is not approved, you will be notified of the reason

Part V:

Provide all Colorado business locations, identify the type of

for denial, and all fees and bond will be returned to the applicant.

fuel business, fuel storage, and fuel capacity at each location.

Completing The Application Form:

A duplicate license is required for each additional Colorado

If you have any questions

location.

about completing this form, call (303) 205-8205 for assistance.

Part VI: Provide all information concerning imports and exports. If

Part I:

Indicate the type of ownership of the business by placing

you are importing/exporting fuel from or to Colorado, you

an ‘X’ next to the appropriate box.

must provide your license number and jurisdiction (unless

Enter the name of the applicant (i.e., the person’s name if an

the other jurisdiction does not require a license - indicate by

individual, or legal business name if a corporation, etc.)

entering “Not Required”). If the license is required and not

provided, the application will be denied. Indicate the type

Trade name registration for individual and general partner-

of fuel and gallons you will be exporting or importing.

ships must be done with the Colorado Secretary of State.

Part VII: Provide all the requested information concerning the trans-

Provide the physical location where business will be con-

portation of fuel.

ducted in Colorado. Do not use a P.O. Box. Also provide the

Part VIII: All blenders must be licensed. You must provide the type

mailing address where your licenses and correspondence

and general characteristics of the products blended, purpose

will be mailed.

for blending, and the intended disposition of the blended

You must also provide the social security number if the busi-

products.

ness is owned by an individual, or the FEIN for a business

Part IX: Business/Financial Information - Provide the requested

entity such as a corporation.

information.

The liability date or account effective date is the date your

1. List any other businesses in which you have an ownership

business was purchased or the start date of your business.

or financial interest in Colorado.

Check the box for all of your business operations.

2. Provide the information concerning your bank

Part II: 1. Check the type of fuel your company will receive and/or

affiliation.

disburse in Colorado. Estimate your Colorado monthly

3. Attach the requested financial information.

sales and tax liabilities, your bond requirement is based

on your tax liability. (See application form DR 7064, part

II 3A., for minimum/maximum amounts.)

Mail the completed application, fees and bond to the Colorado Department of Revenue, Denver, CO 80261-0009.

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Form Dr 7064 - Fuel Distributors License Application Page 2

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