Form Dr 0715 - Application For Sales Tax Exemption For Colorado Organizations Page 2

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*130715==19999*
DR 0715 (11/16/16)
COLORADO DEPARTMENT OF REVENUE
Denver, CO 80261-0013
(303) 238-SERV (7378)
Application for Sales Tax Exemption for
Colorado Organizations
Purchases made by charitable organizations, federal and Colorado state government, and political subdivisions of
Colorado in their official functions and activities are exempt from sales tax. Purchases made for qualifying affordable
housing projects are also exempt.
Your application for the Colorado Organization must be completed in full
FEIN
Account Number (to be assigned)
Name of Organization
Address (Location)
City
State
Zip
Mailing Address (Street or PO Box)
City
State
Zip
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 next page.)
Affordable Housing Projects – Attach a statement from the housing authority certifying the housing authority's
ownership interest in the project and the percentage of the project that is for occupancy by persons of low income
Attach any additional information you wish to substantiate you request for a Colorado sales/use tax exemption
Authorized Signature (Corporate Office)
Date
(MM/DD/YY)
Type or Print Authorized Signature
Phone Number
Title
For Department of Revenue use
Reviewer
Date
(MM/DD/YY)

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