Form Dr 1240 - Certification For Sales Tax Exemption On Pine Or Spruce Beetle Wood

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DR 1240 (06/11/12) Web
COLORADO DEPARTMENT OF REVENUE
1375 SHERMAN STREET
DENVER, CO 80261
CERTIFICATION FOR SALES TAX EXEMPTION ON
PINE OR SPRUCE BEETLE WOOD
I(we) affirm that the product(s) listed in this document qualify for the Colorado sales tax exemption for wood salvaged
from trees infested in Colorado by mountain pine or spruce beetles.
I(we) affirm that the supplier/manufacturer of product(s) listed in this document has made the product(s) using wood
salvaged from trees infested in Colorado by mountain pine or spruce beetles.
I(we) understand the instructions for use of this form.
Please Print or Type
Colorado source of beetle-infested wood products (supplier or manufacturer name)
Supplier Colorado account number
Wholesaler Name
Wholesaler Colorado account number
Wholesaler Address
Wholesaler Business Phone
City
State
ZIP Code
Product(s)
Signature
Date
INSTRUCTIONS
Wholesalers should complete and sign this form for all products that will be sold in Colorado made from mountain pine
or spruce beetle-infested wood harvested in Colorado.
A copy of the signed certification form should be provided to each retailer that buys the product for resale in Colorado.
The retailer should retain this copy along with invoices showing purchases of the product for resale.
A copy of the signed certification form should be sent to the Colorado Department of Revenue Field Audit section at the
following address:
Field Audit Section
Colorado Department of Revenue
1375 Sherman
Denver, CO 80261

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