Affidavit For Colorado Sales Tax Exemption For Farm Equipment
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1DR 0511 (08/30/13)
*130511==19999*
colorado department of revenue
Denver, CO 80261 - 0009
Affidavit for Colorado Sales
Tax Exemption for Farm Equipment
I affirm that I have reviewed the written standards on this affidavit and that the primary use of this purchase or lease
will qualify for the Colorado sales tax exemption for farm equipment used directly and primarily in my for-profit farm,
ranch or livestock production facility operation, or used at my dairy farm for the production of raw milk.
I accept that I remain directly liable for the sales or use tax assessment, and any applicable penalty or
interest, if my purchase is found to not qualify for the exemption, or if my purchase or lease is converted to a
non-qualifying use.
I understand that the dealer may request this affidavit for every purchase or lease, or less frequently, but a minimum
of every two years.
Please Print or Type
Customer Last Name
First Name
Middle Initial
Colorado Driver License Number
Company Name (if applicable)
TIN or Colorado Tax Number (if applicable)
Address
City
State Zip
Signature
Date
(MM/DD/YY)
Seller Business Name
Colorado Sales Tax Account Number
Date of Sale*
Amount of Sale*
Invoice Number*
(MM/DD/YY)
Dealer: Where any dealer has a reasonable doubt
This affidavit must be retained for three years from the
about either the primary use of the item they are selling
date the vendor files his or her sales tax return
to a commercial farm or ranch, or whether the item
reporting the sale. The department may request a copy
qualifies as a farm tractor, implement of husbandry,
of this
irrigation equipment, or aircraft used in crop dusting, the
affidavit at any time during that three year period.
dealer cannot rely on this affidavit and must collect the
*Sellers must either (1) show the details of the sale here
sales tax. [§39-26-703 C.R.S.]. Any customer who must
on the affidavit blocks or (2) be able to tie this affidavit
pay the sales tax may claim a refund from the Depart-
back to every purchase the customer made that was tax
ment of Revenue on form DR 0137, providing such proof
emempted under this affidavit.
of his farming operation expenses and income and the
use of the item as is appropriate. Illegible or incomplete
affidavits cannot be accepted. Dealers who accept them
risk liability for tax on the products.
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