Arapahoe 

                             County 

                             Colorado's                           First 
 
                                         Arapahoe  County 

                                        Open  Space  Use Tax 
 Purchaser:                             Business Name:                                                        Phone Number :              Tax Period: 

 Street Address:                        City:                                                                 State:                      Zip: 

 Project Description : 

 Job Site Address(s) and/or Location(s)       Materials Purchased                                                     Supplier              Amt of Purchase 
                                                                                                                                           
 SUBTOTAL ................   .................................... .... .................................. . . .. .... ........ . .         
 Use Tax Rate  .25%-                                                                                                                      X         0.0025  .. 
 TOTAL USE TAX DUE                                                                                                                         
 
  USE TAX IS    DUE  IF:                                                                                       PAYMENT: 
  Items purchased  were                                                                                          Is due by the 20th of the month 
  construction  or  building materials,                                                                        following the purchase.      
  used or consumed  in Arapahoe                                             
  County, and you did not already                                                                              Make checks or money orders 
  pay sales tax on those items.                                                                                payable to ARAPAHOE COUNTY 
                                                                                                               and mail to Arapahoe County 
  For questions  about this form                                                                               Sales Tax Analyst, 5334 S. Prince 
  call the Arapahoe  County                                                                                    Street,Littleton, CO 80166-0001       
  Sales Tax Analyst at                                                      
  303-795-4571                                                                                                                   updated 01/11/2018