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                                DR 1192 (10/12/17)
                                COLORADO DEPARTMENT OF REVENUE
                                Denver CO 80261-0009
*DO=NOT=SEND*                   Colorado.gov/Tax

      Instructions For Using Colorado Machinery and 
      Machine Tools Sales Tax Exemption Agreement

1. Taxpayer currently files more than 100 Machinery and        4. Taxpayer will include a description of item(s) including 
   Machine  Tool  Exemption  forms  (DR  1191's)  per  year.      machine parts (after 01/01/88) and how this Machine(s) 
   Taxpayer elects to use this alternative method of meeting      or Machine part(s) is used in manufacturing on either the 
   Machinery and Machine Tool responsibilities by completing      purchase order or the sales invoice. If the description is 
   and signing the "Colorado Machinery and Machine Tools          entered on the purchase order then the purchase order or 
   State Sales Tax Exemption Declaration". This declaration       a photocopy of the purchase order must be attached to 
   is then sent to the Colorado Department of Revenue.            the sales invoice and maintained in the sales invoice file.
2. Taxpayer may photocopy this declaration and send this       5. Taxpayer  agrees  to  maintain  the  sales  invoices  and 
   photocopy along with purchase order (excluding blanket         purchase  order  records  in  accordance  with  Colorado 
   or  open  purchase  orders)  for  machinery  and  machine      Statutory requirements. 
   tools qualifying for exemption from Colorado State sales       This alternative method will not require purchaser to file 
                                                               6. 
   tax. Seller will type or write purchasers Colorado account     any documents with the Department of Revenue. Should 
   number on the sales invoice.                                   purchaser  be  audited  all  required  information  will  be 
3. If taxpayer routinely purchases from a vendor a photocopy      available within the taxpayer's sales invoice file.
   of the declaration may be kept on file by the vendor. The      The  Colorado  Department  of  Revenue  may  revoke 
                                                               7. 
   purchaser can then purchase machinery and machine              taxpayer's Colorado Machinery and Machine Tools Sales 
   tools, qualifying for exemption of Colorado State sales        Tax  Exemption  Agreement  if  taxpayer  is  abusing  the 
   tax by indicating on the purchase order "exempt sale -         privilege of using this alternative method.
   Colorado State Sales Tax Account #XXXXXXXX" (excludes 
   blanket or open purchase orders). Seller will type or write 
   purchasers Colorado account number on the sales invoice. 
   It should be noted by the purchaser that inclusion of the 
   purchasers Colorado account number on the purchase 
   order removes any sales tax liability from the seller. The 
   purchaser is liable for any subsequent sales tax liability 
   for the purchase. 

Note: Cities, counties and special districts may or may not exempt manufacturing equipment from local sales taxes. Refer 
to publication DR 1002 for a list of localities that exempt this equipment from local tax.



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                          DR 1192 (10/12/17)
                          COLORADO DEPARTMENT OF REVENUE
                          Denver CO 80261-0009
*141192==19999*           Colorado.gov/Tax

                 Colorado Machinery and Machine Tools
                          State Sales Tax Exemption Declaration

A taxpayer may file the DR 1192, Colorado Machinery and •  Maintains  sales  invoices  with  a  description  of  item(s) 
Machine Tools State Sales Tax Exemption Declaration, if including  machine  parts  (after  01/01/88)  and  indicate 
the taxpayer (purchaser):                               how  the  machine(s)  or  machine  part(s)  are  used  in 
                                                        manufacturing.
•  Anticipates  filing  annually  more  than  100  Machinery  •  Agrees to comply with all instructions for using Colorado 
 and  Machine  Tool  Exemption  forms  (DR  1191's).    Machinery  and  Machine  Tools  Sales  Tax  Exemption 
                                                        Declaration.

Company Name                                            Colorado Sales Tax Account Number               Date (MM/DD/YY)

Location Address          City                                                            State         Zip

Mailing Address           City                                                            State         Zip

Type of Business

Phone Number                                            Fax Number

 I declare under penalty of perjury in the second degree that I am a duly authorized officer of the corporation for which 
 Exemption Declaration is requested and that I am acting in my official capacity in making this request.
Name (printed)                                          Title

Signature                                                                                               Date (MM/DD/YY)






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