PITKIN COUNTY COLORADO: USE TAX RETURN
            MATERIALS COST DETAIL LIST & WORKSHEET: PURCHASE & CREDITS [FORM PCR]
           Required to be used when claiming tax credits, or optionally when needing more space; attach to Use Tax Return
                                          See Notes & Instructions Below
General Information
Company Name
Use Tax License Number

Reporting Period          Begin             (Day/Month/Year)
                          End               (Day/Month/Year)

Job Materials Information Materials Consumed During the Period                              MATERIALS QUALIFYING FOR CREDIT
You may combine all purchases from one vendor onto a single line                            Re-Enter Cost of Materials: if
                                                                       All Purchases        Sales Tax Was Already Collected
                                                                                                                               See Note
                          Vendor Location Type of                                   Cost of                                    by Other
           Vendor Name           (County) Materials                    Materials                 by Pitkin County              Colo County
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                                          Totals                       $$$

                                              Enter on Use Tax Return: Enter on Line 1           Enter on Line 2               Enter on Line 3

This form must be prepared if credit for sales taxes already paid are being claimed.
Note: no credit is given for sales taxes paid to other counties on purchases made after 12/31/08.
Credit of up to 0.5% is available for sales taxes paid to Pitkin County or to other Colorado Counties (tax must be > or = 0.5%)
   Credit excludes "Cities & Counties" such as Denver.  Out of state purchases are always subject to use tax.pyj
   If tax collected on a purchase does not exceed 0.5%, take credit for full amount paid.  Note: you must modify the form.
rev 1-2009                                www.aspenpitkin.com/usetax                                                      FORM PCR