Resale Exemption Certificate - City Of Colorado Springs Sales Tax Division

Resale Exemption Certificate - City Of Colorado Springs Sales Tax Division - 2011

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__________________________________

======================================================================

SALES TAX DIVISION APPROVAL

FOR THE DIRECTOR OF FINANCE

By: ______________________________________ Date: _______________

Title: _____________________________________

(Rev 2/11)

Resale Exemption Certificate - City Of Colorado Springs Sales Tax Division - 2011