CITY OF COLORADO SPRINGS SALES TAX DIVISION
P.O. BOX 1575, MAIL CODE 225, COLORADO SPRINGS, CO 80901
30 S. NEVADA AVE, SUITE 203, COLORADO SPRINGS, CO 80903
VOICE (719) 385-5903 FAX (719) 385-5291
********RESALE EXEMPTION CERTIFICATE********
THIS CERTIFICATE MUST BE APPROVED BY THE SALES TAX DIVISION
PLEASE READ INSTRUCTIONS ON BACK BEFORE COMPLETING THIS CERTIFICATE
THIS EXEMPTION CERTIFICATE IS ISSUED BY THE CITY TO:
Company Name (Purchaser):__________________________________________________
Address:__________________________________________________________________
____________________________________________________________________
_________________________________________________________________________
The above-named Purchaser is a
( ) Retailer
( ) Wholesaler
( ) Manufacturer
( ) Lessor
( ) Other_____________________________
engaged in the business of selling/leasing the following:
_________________________________________________________________________.
State of Colorado Wholesalers License #_________________.
General description of property to be purchased for exempt purpose:
_________________________________________________________________________.
I hereby certify the following:
1) The information given by me on this Certificate is true and complete.
2) The tangible personal property described herein will be resold in the normal course of
business. If such property is used for other than for its exempt purpose, use tax is due and
will be paid to the City of Colorado Springs.
3) I am an owner, partner, corporate officer or other person authorized to sign this Certificate
on behalf of this business.
Signature of Authorized Person___________________________________Date__________
Name of Person_________________________________ Title________________________
Telephone Number (____)_____________ email__________________________________
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SALES TAX DIVISION APPROVAL
FOR THE DIRECTOR OF FINANCE
By: ______________________________________ Date: _______________
Title: _____________________________________
(Rev 2/11)