Form Dr 0594 - Renewal Application For Sales Tax License - Colorado Department Of Revenue Page 2

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*150594==29999*
Name
Account number
Address
City
State Zip
License Number
Liability—Source Trans
Fee
Address
City
State Zip
License Number
Liability—Source Trans
Fee
Address
City
State Zip
License Number
Liability—Source Trans
Fee
Address
City
State Zip
License Number
Liability—Source Trans
Fee
Address
City
State Zip
License Number
Liability—Source Trans
Fee
Address
City
State Zip
License Number
Liability—Source Trans
Fee
Address
City
State Zip
License Number
Liability—Source Trans
Fee
Address
City
State Zip
License Number
Liability—Source Trans
Fee
Address
City
State Zip
License Number
Liability—Source Trans
Fee
Address
City
State Zip
License Number
Liability—Source Trans
Fee
Address
City
State Zip
License Number
Liability—Source Trans
Fee
Address
City
State Zip
License Number
Liability—Source Trans
Fee
Signature of Applicant
Title
Date

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