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DR 0202 (09/17/13)                                                                         Departmental Use Only
COLORADO DEPARTMENT OF REVENUE
Denver CO 80261-0009

     State Sales Tax Refund For Vehicles  
                                                                                           *140202==19999*
             Used In Interstate Commerce

Most heavy vehicles qualify for a full refund of the state tax as a LEV vehicle.  See FYI Sales 91 before you file this form.
Section 1: General Information                                                                        0202-650
SSN                                       FEIN                               Colorado IRP Number

Last Name (Individual or Business)                    First Name                                      Middle Initial

Address                                               City                                 State      Zip

Mailing Address (if different than above)             City                                 State      Zip

Section 2: Vehicle Information (One vehicle per application)
This motor vehicle must be titled and registered in the state of Colorado. See the instruction page of this form for  
required documentation. If the required documentation is not submitted, the refund application will not be processed. 
Make                                                  Model                                Year (YYYY)

VIN                                                   Check One                            Purchase or Lease Date
                                                                                           (MM/DD/YY)
                                                                    Purchase Lease

Section 3: Leased Vehicle (Only complete if vehicle is leased)
Complete Section 3 if the vehicle was leased. You must file a separate refund claim for each of the first three (3) years of 
requested eligibility. Check only the year applicable.
Total of Base Monthly Payment             Total Number of Lease Payments     Number of Lease Payments made in prior year

For which lease year are you requesting                  First Year            Second Year        Third Year
this refund? 
Section 4: Purchased Vehicle (Only complete if vehicle is purchased)
Complete Section 4 if the vehicle is purchased. Filing this claim in the year of purchase will complete the refund claim for 
all three (3) years of eligibility. 
Sale Price                                                  Trade-In

Difference (Taxable Amount)                                 State Tax Paid

Section 5: Applicant Certification
I certify under penalty of perjury in the second degree that the above statements are true correct and complete.
Print Name                                                  Title

Signature of Owner or Corporate Office                                                     Date (MM/DD/YY)

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State Sales Tax Refund For Vehicles

Used In Interstate Commerce

Instructions

Who qualifies: Complete all applicable items in each section.
Individuals or businesses that purchased a new 2010
or later truck tractor with a GVW in excess of fifty-four Section 1: General Information
thousand pounds (54,000 GVW) on or after July 1, 2011, Enter Social Security Number (SSN), OR Federal ID
and use this vehicle in interstate commerce. number (FEIN), and Colorado IRP account number. Owner
A separate application must be completed for each vehicle. or business name, home or business address, phone
number, and mailing address if different. Section 2: Vehicle
The application must be accompanied by proof of payment Information.
of Colorado state sales and/or use taxes paid by the
taxpayer associated with the purchase. Applications Section 2: Vehicle Information
without the requested documentation will not be
Enter make, model, year, vehicle identification number
processed. Documentation should include:
(VIN) and date of purchase or lease for the vehicle for
Copy of the cab card for the vehicle for which you which you are requesting the refund. Mark if you purchased
are requesting the refund. or leased the vehicle. Complete either section 3 or 4.
Copy of the vehicle registration
Section 3: Leased Vehicle Information
Copy of Colorado Title if available
Enter total of base monthly payment, total number of
In-State purchases – DR 0024 Standard Sales Tax
lease payments in your lease agreement, number of lease
Receipt showing sales tax collected.
payments included with this refund that you made in the
Copy of the purchase agreement or lien holder’s prior year. Check the box of the applicable year for this
agreement. application.
Out-of-State purchases – Colorado Registration/
Section 4: Purchased Vehicle information
Ownership Tax Receipt showing sales tax collected.
Enter the sale price of your vehicle, trade-in allowance,
For leases – Attach proof of state tax paid. This
subtract the trade-in from the purchase price and enter the
would include a copy of the lease agreement and
difference (this is the taxable amount), Colorado state sales
copies of documents showing the monthly lease
tax paid.
payments made.
Copy of your Lease Act Disclosure document. Only a portion of the 2.9% state sales tax is refundable, no
Refunds are processed on a first in first out basis. other taxes are to be included in your request. If the refund
Refunds will be issued until allocated funds expire is being requested on a leased vehicle include only state
for each of the first three calendar years after the sales taxes paid during the calendar year applied for with
purchase/lease of the vehicle. this request.

For additional information, see FYI Sales 88 Refund for Section 5: Applicant Certification
Vehicles Used in Interstate Commerce on the department’s Sign and date the application. Include job title of the officer
web site at www.TaxColorado.com when the refund is requested by a business.

Mail to and make checks payable to:
Colorado Department of Revenue
Denver, CO 80261-0009

PDF file checksum: 3893394418

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