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                                                  DR 0594 (06/16/15)
                                                  COLORADO DEPARTMENT OF REVENUE
                                                  Denver CO  80261-0013
*DO=NOT=SEND*

                                                             Renewal Application for Sales 
                                                                          Tax License

                                                                          Instructions

General Instructions                                         Specific Instructions
This form is used to renew your existing sales tax license(s)  Verify the information on this application is correct. Update 
for each physical location (site).                           changes to name and/or address on this form. If there is a 
The fee for a two-year period is $16 for each physical       change in ownership, you will need to send in the Colorado 
location.                                                    Sales Tax Withholding Account Application, CR 0100 to 
                                                             apply for a new account. 
Do not use this form to add physical locations. If physical 
locations are not shown, complete and send in the            If one or more locations have been closed, draw a line 
Colorado Sales Tax Withholding Account Application,          through the locations and note the closed date.
CR 0100 to add new physical locations to your account.       If data shown is incorrect, draw a line through the incorrect 
If non-physical locations are not shown on the form, apply   data and insert the correct information.
for non-physical sites by submitting an email to:            Sales Tax License Number Verify the correct license 
dor_multilocations@state.co.us. Include the existing         number is listed. Use this account number for all sales tax 
account number, city name, county, and location jurisdiction  references. 
code from Form DR 0800. No fee is required for non-                        If locations have been closed, 
                                                             Total Fee(s) Owed
physical locations in which you do not have a business       recalculate the total due, cross out the figure in Total Fee(s) 
location but have a requirement to collect the local tax.    Owed and insert the correct figure. 
These businesses are mainly telecommunications, public 
utilities, leasing companies, caterers and mobile vendors.   Payment Information
Anyone who sells at retail in Colorado without obtaining     Include the account number on your check to ensure proper 
a sales tax license commits a class 3 misdemeanor and        credit. Attach remittance for the amount in Total Fee(s) 
may also be subject to a civil penalty of $50 per day to a   Owed, sign and date the application and mail it with your 
maximum penalty of $1,000.                                   payment to:
For additional Sales Tax Licensing information, refer to FYI        Colorado Department of Revenue 
Sales 9.                                                            Denver, CO 80261-0013
                                                             Retain a copy of this application for your records.



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                         DR 0594 (06/16/15)
                         COLORADO DEPARTMENT OF REVENUE
                         Denver CO 80261-0013
*150594==19999*

                         Renewal Application for Sales Tax License
Date Received                                                                            Renewal Application License Period (MMYY-MMYY)

Last Name                                                                     First Name                                                                     Middle Initial

Address                                                                       City                                                                           State Zip

        Check If all business(es) sell cigarettes or tobacco products over the counter or by vending machine on their 
        premises.

                         Liability Information
County / City / Industry                                                                             Activity

Type                     Sales Tax License Number                                                    Year Due                                                Notice Date

The State may convert your check to a one time electronic banking transaction. Your bank account may be debited as early as the same day received            Total Fee(s) Owed
by the State. If converted, your check will not be returned. If your check is rejected due to insufficient or uncollected funds, the Department of Revenue 
may collect the payment amount directly from your bank account electronically.
                                                                                                                                                           $               .00
Address                                                                       City                                                                           State Zip

License Number                                                                Liability—Source Trans                                                         Fee

Address                                                                       City                                                                           State Zip

License Number                                                                Liability—Source Trans                                                         Fee

Address                                                                       City                                                                           State Zip

License Number                                                                Liability—Source Trans                                                         Fee

Address                                                                       City                                                                           State Zip

License Number                                                                Liability—Source Trans                                                         Fee

Address                                                                       City                                                                           State Zip

License Number                                                                Liability—Source Trans                                                         Fee

Address                                                                       City                                                                           State Zip

License Number                                                                Liability—Source Trans                                                         Fee

Signature of Applicant                                                        Title                                                                          Date



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*150594==29999*

Name                                          Account number

Address                City                                 State Zip

License Number         Liability—Source Trans               Fee

Address                City                                 State Zip

License Number         Liability—Source Trans               Fee

Address                City                                 State Zip

License Number         Liability—Source Trans               Fee

Address                City                                 State Zip

License Number         Liability—Source Trans               Fee

Address                City                                 State Zip

License Number         Liability—Source Trans               Fee

Address                City                                 State Zip

License Number         Liability—Source Trans               Fee

Address                City                                 State Zip

License Number         Liability—Source Trans               Fee

Address                City                                 State Zip

License Number         Liability—Source Trans               Fee

Address                City                                 State Zip

License Number         Liability—Source Trans               Fee

Address                City                                 State Zip

License Number         Liability—Source Trans               Fee

Address                City                                 State Zip

License Number         Liability—Source Trans               Fee

Address                City                                 State Zip

License Number         Liability—Source Trans               Fee

Signature of Applicant Title                                Date






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