Form Dr 1191 - Sales Tax Exemption On Purchases Of Machinery And Machine Tools - 2013
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DR 1191 (10/17/13)
COLORADO DEPARTMENT OF REVENUE
Denver CO 80261-0009
(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
Is Equipment
Date of Purchase
Amount of Purchase
(MM/DD/YY)
Leased
Purchased
Description of Item(s) Including Machine Parts
How Used in Manufacturing
How Sold
End Product
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.
Name of Person Authorizing Purchase (please print)
By (Authorized Signature of Purchasing Firm)
Title
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Parent category: Financial