Form Dr 1191 - Sales Tax Exemption On Purchases Of Machinery And Machine Tools

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DR 1191 (09/16/05)
COLORADO DEPARTMENT OF REVENUE
TAXPAYER SERVICE
1375 SHERMAN ST.
DENVER, CO 80261
(303) 238-SERV (7378)
SALES TAX EXEMPTION ON
PURCHASES OF MACHINERY AND MACHINE TOOLS
Seller
Colorado Sales Tax Account Number
Address
City
State
ZIP
Purchaser
Colorado Sales Tax Account Number
Address
City
State
ZIP
Date of Purchase
Amount of Purchase
Is Equipment
Leased
Purchased
Description of Item(s) Including Machine Parts
How Used in Manufacturing
End Product
How Sold
Wholesale
Retail
New
Used
THIS SECTION IS FOR BUSINESSES LOCATED IN ENTERPRISE ZONES
(SEE INSTRUCTIONS ON REVERSE SIDE)
Amount of Purchase for Machinery, Machine Tools and Parts
Materials used in the construction of machinery and machine tools (after 06/07/89)
I hereby certify that __________________________________________________________________ is
(Name of Purchasing Firm or Person)
entitled to the exemption on purchases of machinery or machine tools.
By (Authorized Signature of Purchasing Firm)
Title

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