Form Dr 0220 - Cigarette Tax License Renewal Application
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2DR 0220 (10/97)
CIGARETTE TAX LICENSE
COLORADO DEPARTMENT OF REVENUE
1375 SHERMAN STREET
RENEWAL APPLICATION
DENVER CO 80261-0013
(303) 232-2451
IMPORTANT: Failure to
be properly licensed
constitutes a violation and
is subject to a penalty
of misdemeanor.
Do not use this form if change of
ownership. A new application is
needed.
LIABILITY INFORMATION
REGISTRATION NUMBER
LICENSE PERIOD
DUE DATE
COUNTY
CITY
INDUST
TYPE
LIABILITY DATE
KEEP THIS COPY
0820-750
AMOUNT DUE
'999(
Make remittance payable to:
COLORADO DEPARTMENT OF REVENUE
1375 Sherman Street
Denver CO 80261-0013
Signature of Applicant
Date
CHECK BOX TO INDICATE CHANGE
OF NAME (dba) AND/OR ADDRESS.
SHOW CHANGE ON REVERSE SIDE
Title
Telephone
OF THIS FORM.
RETURN COPY BELOW - DETACH HERE
CIGARETTE TAX LICENSE
DR 0220 (10/97)
8B
COLORADO DEPARTMENT OF REVENUE
1375 SHERMAN STREET
RENEWAL APPLICATION
DENVER CO 80261-0013
(303) 232-2451
LIABILITY INFORMATION
LICENSE PERIOD
DUE DATE
REGISTRATION NUMBER
COUNTY
CITY
INDUST
TYPE
LIABILITY DATE
0820-750
RETURN THIS COPY
AMOUNT DUE
'999(
Make remittance payable to:
COLORADO DEPARTMENT OF REVENUE
1375 Sherman Street
Denver CO 80261-0013
Signature of Applicant
Date
CHECK BOX TO INDICATE CHANGE
OF NAME (dba) AND/OR ADDRESS.
SHOW CHANGE ON REVERSE SIDE
Title
Telephone
OF THIS FORM.
DO NOT WRITE BELOW THIS LINE
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