DR 0593 (06/11/15)
                                                COLORADO DEPARTMENT OF REVENUE
                                                Denver CO 80261-0013
*150593==19999*
 
                                             Application For Renewal of  
                                        Multiple Event Sales Tax License

General Instructions                                           Specific Instructions
If you will be participating in special events during the next Renewal Application License Period Enter the renewal 
two year period, you will need to renew your Multiple Event    application license period as (MMYY)-(MMYY). For the 
Sales Tax License using this application.                      2016-2017 licensing period, enter (0116)-(1217).
The fee for a two-year period is $16.                          Special Event License Number Enter your special event 
Note: There is no fee for this license to vendors who          license number. Use this account number for all special 
already have a standard sales tax license. The application     event references.
must be mailed to the department even if no fee is due.        Standard Sales Tax License Number Enter your sales 
Anyone who sells at retail in Colorado without obtaining       tax license number (if applicable).
a sales tax license commits a class 3 misdemeanor and          Amount Owed
may also be subject to civil penalty of $50 per day to a         •  Enter $16 if you do not have a standard sales tax 
maximum penalty of $1,000.                                          license. 
For additional Sales Tax Licensing information, refer to FYI     •  Enter $0 if you have a standard sales tax license. 
Sales 9.                                                            Be sure to enter your standard sales tax license 
                                                                    number on the application.
                                                               Payment Information
                                                               Include the account number on your check to ensure 
                                                               proper credit. 
                                                               Sign and date the application and mail it with your payment 
                                                               (if any) to:
                                                               Colorado Department of Revenue 
                                                               Denver, CO 80261-0013

 Last Name or Business Name                                       First Name                                                                 Middle Initial

 Address                                                                                                                        Phone Number
                                                                                                                                (           )
 City                                                                                                                     State Zip

 Renewal Application License Period (MMYY-MMYY) Special Event License Number              Standard Sales Tax License Number

                        Liability Information (Refer to Sales Tax License for Liability Information)
 Industry                               Type                      Liability Date Activity                                       Due Date

 County                                                           City

 Signature of Applicant                                           Title                                                         Date

 The State may convert your check to a one time electronic banking transaction. Your bank account may be deposited              Amount Owed 
 as early as the same day received by the State. If converted, your check will not be returned. If your check is rejected   0140-751 (999)
 due to insufficient funds or uncollected funds, the Department Of Revenue may collect the payment amount directly 
 from your bank account electronically.                                                                                   $                  .00