DR 1102 (11/03/11) Web
COLORADO DEPARTMENT OF REVENUE
ADDRESS CHANGE OR BUSINESS CLOSURE
FORM (DR 1102) INSTRUCTIONS
The address change or closure form must be used to notify the department of name/address changes, or to notify
the department that you are no longer liable for Colorado sales tax, withholding tax or retailer’s use tax. you can
close your account online at
File this form now through Revenue Online. Visit
so that you may collect and remit the
correct sales tax for your new location. Once the department
has received your Address Change or Business Closure
Revenue Online allows convenient and secure access
Form, you will first receive a single flat DR 0100 return and
to conduct business with the Department of Revenue. To
then a coupon book the following month. If you elect to file
learn more about Revenue Online, choose the “Help Link”
electronically, you will not receive a flat or a coupon book.
in the upper left hand corner of the login screen. The “Help
See the DR 1002 available on our Web site to verify the tax
Link” gives detailed information of the services available.
rates applicable to your new address location. If you are
Third party login access information is included in the list
changing a corporate name, you must include the Amended
of services.
Articles of Incorporation from the Secretary of State’s Office.
CHANGE IN OWNERSHIP: If there has been a change in
IMPORTANT: DO NOT make changes to the name
ownership and you are the new owner, you must complete
and address on your returns after you have notified the
a Sales Tax / Wage Withholding Account Application
Department on the Address Change or Closure Form.
(CR 0100) for a new account to be established.
DATE OF CLOSURE: Check the appropriate tax type box
FEIN: This is your Federal employer identification number.
and indicate the date your account should be closed.
Please enter your Federal employer identification number.
This box should be checked ONLy if:
NOTE: A new FEIN will require a new Department of
1. Your business was sold or discontinued.
Revenue account. Please fill out a Sales Tax / Wage
2. You are no longer liable for the tax indicated.
Withholding Account Application (CR 0100).
3. The structure of your business changed and a new
CHANGE OF NAME/ADDRESS
Federal Employer I.D. Number (FEIN) was issued.
Use the right hand block to change any portion
4. Your corporation merged into another corporation.
of your name/address. Mail the completed form to
Mail the completed forms to:
the Department of Revenue. If you have changed
Department of Revenue
jurisdiction and are filing a sales tax return please
Registration Control Section
download a single flat DR 0100 form our Web site at
1375 Sherman Street, Room B132
Denver, CO 80261-0009
DETACH FORM
ON THIS LINE
Cut here and send only the coupon below. Help us save time and your tax dollars.
DR 1102
(11/03/11) Web
ADDRESS CHANGE OR BUSINESS CLOSURE FORM
Account No.
FEIN
DATE ACCOUNT CLOSED:
Sales Tax _________________
No Longer in
(Last day of Sales)
Business___________________
Withholding Tax ____________
Other _____________________
(Last day of Payroll)
ADDRESS CHANGE ONLy
Previous Name and Address
New Name and Address
Name
Address
City
State
Zip
Telephone Number
Please indicate county where business is located County ________________________________________
Inside City
Outside City
Mailing Address
Physical Address
Both
MAIL TO:
Colorado Department Of Revenue
Authorized Signature
Registration Control Section
1375 Sherman Street B132
Denver, Colorado 80261-0009
Note: If your retail business location changes during a filing period, you must file a separate sales tax return for the taxes collected at each location.