CITY OF PUEBLO 
FINANCE DEPARTMENT-SALES TAX DIVISION
P.O. BOX 1427 
PUEBLO, CO 81002                                                                                     S1
(719) 553-2659 – Office                           ONE TIME 
(719) 553-2657 - Fax
                                     SALES/USE TAX REMITTANCE FORM 

DATE ________________________________                            PHONE ___________________________ 

NAME __________________________________________________________________________ 

ADDRESS    

IF SUBCONTRACTOR, PLEASE LIST GENERAL CONTRACTOR AND JOB: 

_______________________________________________________________________________________________ 

TAXABLE SALES_____________________                AND/OR              USE TAXABLE AMOUNT _________________ 

SALES TAX RATE  x         3.7%                                        SALES TAX RATE x        3.7%       

TOTAL DUE _________________________                                   TOTAL DUE ___________________________ 

                                                  Instructions 

        ONLY USE THIS FORM IF YOU ARE NOT LICENSED WITH THE CITY OF PUEBLO 
This form is to be used only for a one-time tax remittance.  Licensing must be secured if Sales and/or Use Tax 
liability is ongoing.  Completeness and accuracy of this form will ensure proper recognition of payment. 

Date:                   When form is completed and sent. 
Phone:                  If questions arise we need to contact you. 
Name:                   The name of the business remitting taxes. 
Address:                In the event correspondence needs to be sent. 
Subcontractor:          Provide name of General Contractor you are working for and job site location. 
Taxable Sales:          Gross amount of sales where sales tax has been charged to your customer. 
Use Taxable Amount:  Gross amount of material and/or equipment used or consumed on the  
                          project. Credit will be given for any other City Sales Tax paid if tax rate paid is 

                        lower than 3.7% than the difference would be owed. If tax paid is equal or greater 
                        than 3.7% there is no tax due.  In the event of an audit these records will need to be 
                        reviewed so it is recommended that you keep these records for at least 3 years. 
Sales Tax Rate:         3.7% is the rate for both Sales and Use Tax. 
Total Due:              In order to determine tax owed take Taxable Amount x  .03 7(tax rate) = TOTAL DUE      . 

If there are questions in completing this form please contact our office for assistance.  Do not remit State 
Sales Tax on this form.   Also, keep a copy of this form for your records.