Form Dr 0715 - Application For Sales Tax Exemption For Colorado Organizations

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Departmental Use Only
DR 0715 (10/19/05)
COLORADO D/EPARTMENT OF REVENUE
DENVER CO 80261
303-238-SERV(7378)
Application for Sales Tax Exemption
for Colorado Organizations
Statute 39-26-718, C.R.S., allows charitable organizations, federal and Colorado state
government, and political subdivisions thereof, to purchase tax-exempt items to be
used for conducting exclusively charitable or governmental functions.
Account Number (to be assigned)
FEIN Number
YOUR APPLICATION FOR THE COLORADO
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ORGANIZATION MUST BE COMPLETED IN FULL.
Name of Organization
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Location (Street)
City
State
ZIP
County
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lkjjk
lkjlkj jkljkl
jklklj
Mailing Address (Street or PO Box)
City
State
ZIP
County
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jkljkl
jkl
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Exempt Status (All applicable documents must be submitted prior to review)
CHARITABLE (including churches)
• Attach a copy of your Federal Determination Letter (letter from IRS showing under which
classification code you are exempt. Only organizations exempt under 501(c)(3) of the
Internal Revenue Code will be considered for exemption. (Churches under a national
church body: include an official document from the national organization stating your group
affiliation.)
• Attach a copy of your latest financial statement to reflect sources of Colorado income and
expenditures. New organizations submit a projected statement.
• Attach a copy of Colorado Articles of Incorporation or of Organization. State a specific
purpose and function.
• Attach a copy of the most current Colorado Secretary of State Certificate known as,
"Certificate of Good Standing."
POLITICAL
• District – Attach a copy of court decree signed by establishing judge.
• Authority/District established by Statutory Act — Attach a copy of the establishing
statutory act and all jurisdictional documentation.
FEDERAL CREDIT UNION, LAND BANK, ETC., LOCATED WITHIN COLORADO – Attach a
copy of the federal charter.
(Government- United States, State of Colorado, Political Subdivisions- See other side.)
Attach any additional information you wish to substantiate your request for a Colorado sales/use tax exemption.
Authorized Signature (Corporate Officer)
Date
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Type or Print Authorized Signature
Phone
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ljkklj
(
)
Title
For Department of Revenue use
ljlkj
Reviewer
Date

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