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                                             DR 0173 (10/14/22)
                                             COLORADO DEPARTMENT OF REVENUE
                                             Denver CO 80261-0013
*DO*NOT*SEND*                                (303) 238-SERV (7378)
                                             Tax.Colorado.gov

                                     Retailer’s Use Tax Return
                                                Instructions

General Information                                                Paper Check
                                                                   Regardless of whether they file electronically or with a paper 
In general,  any retailer  that makes sales  into Colorado  is     return, retailers can remit payment with a paper check. Retailers 
required to obtain a sales tax license and collect sales tax,      should write “Retailer’s Use Tax,” the account number, and 
rather than use tax. See Part 4: Retailers Who Must Collect        the filing period on any paper check remitted to pay retailer’s 
in the Colorado Sales Tax Guide for additional information         use tax to ensure proper crediting of their account.
about retailers’ obligations to collect Colorado sales tax.
                                                                   Paper Return – Retailers who file a paper return 
Retailers with active retailer’s use tax accounts must file a        can mail a paper check with the return to pay the tax 
return for each filing period, even if the retailer made no sales    reported on the return.
in Colorado during the period and no tax is due. Typically, 
                                                                   Electronic Filing Through Revenue Online 
returns must be filed on a monthly basis. If a retailer fails to 
                                                                     A retailer who files electronically through Revenue 
file a return for any filing period, the Department will estimate    Online can remit payment by paper check. Once the 
the tax due and issue to the retailer a written notice of the        electronic return has been submitted, the retailer can 
estimated  tax  due.  The  Department  may  deactivate  the          select “Payment Coupon” for the payment option to 
retailer’s use tax account of a retailer who fails to file returns   print a payment processing document to send along 
for successive filing periods.                                       with their paper check.
ELECTRONIC FILING INFORMATION                                      FILING A PAPER RETURN
Retailers can save time and reduce filing errors by filing         Retailers electing to file a paper return must sign, date, and 
their retailer’s use  tax returns electronically  through          mail the return, along with their payment, if applicable, to:
Colorado.gov/RevenueOnline.    Retailers     must     first
                                                                   Colorado Department of Revenue
create a Revenue Online account to file returns through 
Revenue Online. Revenue Online can  be accessed  at                Denver CO 80261-0013
Colorado.gov/RevenueOnline.                                        Retailers are required to keep and preserve for a period of 
                                                                   three years all books, accounts, and records necessary to 
PAYMENT INFORMATION
                                                                   determine the correct amount of tax.
The Department offers retailers several payment options for 
remitting retailer’s use taxes.
Electronic Payments
Regardless of whether they file electronically or with a paper 
return, retailers can remit payment electronically using one 
of  two  payment  methods.  Retailers  who  remit  electronic 
payments should check the appropriate box on line 13 of the 
return to indicate their electronic payment. 
EFT Payment – Retailers can remit payment by 
  electronic funds transfer (EFT) via either ACH debit 
  or ACH credit. There is no processing fee for EFT 
  payments. Retailers must register prior to making 
  payments via EFT and will not be able to make 
  payments via EFT until 24-48 hours after registering. 
  See Electronic Funds Transferred (EFT) Program 
  For Tax Payments (DR 5782) and Electronic Funds 
  Transfer (EFT) Account Setup For Tax Payments (DR 
  5785) for additional information.
Credit Card and E-Check – Retailers can remit 
  payment electronically by credit card or electronic 
  check online at Colorado.gov/RevenueOnline. A 
  processing fee is charged for any payments remitted 
  by credit card or electronic check.



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                                        DR 0173 (10/14/22)
                                        COLORADO DEPARTMENT OF REVENUE
                                        Denver CO 80261-0013
*DO*NOT*SEND*                           (303) 238-SERV (7378)
                                        Tax.Colorado.gov

Form Instructions                                                       Location Juris Code
                                                                        Retailers  must  enter  the  applicable  six-digit  location 
In preparing a retailer’s use tax return, a retailer must include 
its identifying information (such as name and account                   jurisdiction (juris) code to identify the site/location of sales 
number),  the  filing  period  and  due  date,  and  information        reported  on  the  return.  The  juris  code  is  determined  by 
about sales and exemptions in order to calculate the tax due.           whether the sale is delivered to a location inside a Regional 
Specific  instructions  for  preparing  retailer’s  use  tax  returns  Transportation  Authority  (RTA)  district.  The  following  juris 
appear below and on the following page.                                 codes should be used in preparing retailer’s use tax returns:
Amended Returns                                                         •  Roaring Fork RTA: 24-0016
If  a  retailer  is  filing  a  return  to  amend  a  previously  filed •  Pike Peak RTA: 04-0017
return, the retailer must mark the applicable box to indicate           •  South Platte Valley RTA: 13-0029
that the return is an amended return. If the retailer needs 
to  amend  multiple  previously  filed  returns,  a  separate           •  Sales delivered outside of all RTAs: 80-0000
amended  return  must  be  filed  for  each  filing  period.  The  A  complete  listing  of  location  juris  codes  can  be  found  in 
amended  return  replaces  the  original  return  in  its  entirety  Department  publication  Location/Jurisdiction  Codes  for 
and  must  report  the  full  corrected  amounts,  rather  than  Sales Tax Filing (DR 0800).
merely  the changes  in the amount of sales  or tax due. If 
the amended return reduces the amount of tax reported on                Due Date
the original return, the retailer must file a Claim for Refund          Retailers must enter the due date for the return. Returns are 
(DR 0137) along with the amended return to request a refund  due the 20th day of the month following the close of the filing 
of the overpayment. If the amended return is filed after the  period. If the 20th is a Saturday, Sunday, or legal holiday, 
due date and reports an increase in the amount of tax due,  the return is due the next business day.
penalties and interest will apply.                                      Monthly Returns: due the 20th day of the month following 
SSN and FEIN                                                            the reporting month.
Retailers must provide a valid identification number, issued 
                                                                        Quarterly Returns:
by the federal government, when filing a retailer’s use tax 
return. If the retailer is a corporation, partnership, or other         1st quarter (January – March): due April 20
legal  entity,  this  will  generally  be  a  Federal  Employer         2nd quarter (April – June): due July 20
Identification  Number  (FEIN).  If  the  retailer  is  a  sole         3rd quarter (July – September): due October 20
proprietorship, a Social Security number (SSN) will generally 
be used instead.                                                        4th quarter (October – December): due January 20
Colorado Account Number                                                 Annual Returns: (January – December): due January 20
Retailers must enter their Colorado account number on each              State and Special District Use Taxes
return, including both their eight-digit account number and             The Retailer’s Use Tax Return (DR 0173) is used to report 
the four-digit site/location number (for example: 12345678-
                                                                        not only Colorado retailer’s use tax, but also retailer’s use 
0001). If a retailer makes sales that are delivered within the 
boundaries of any Regional Transportation Authority (RTA)               taxes administered by the Colorado Department of Revenue 
district, the retailer must file a separate return for that RTA         for various special districts in the state. The use taxes for 
district. The eight-digit account number will be the same for  different local jurisdictions are calculated and reported in 
each RTA district, but the four-digit site/location number will  separate columns of the DR 0173. Retailer’s use taxes for 
be unique for each RTA district.                                        the state, the  Regional Transportation District (RTD), and 
If you have applied for your license, but do not have your  the Scientific and Cultural Facilities District (CD) should all 
account  number,  please  contact  the  Customer  Contact  be reported on the same return, in the designated column 
Center at 303-238-7378 for assistance.                                  for  each.  If  the  return  is  filed  for  any  tax  period  prior  to 
Period                                                                  January 1, 2012, use taxes for the Metropolitan Football 
Retailers  must  indicate  the  filing  period  for  each  return.  Stadium  District  (FD)  should  be  reported  on  the  same 
The filing period is defined by the first and last months in            return, in the appropriate column.
the  filing  period  and  entered  in  a  MM/YY-MM/YY  format. 
                                                                        Several  different  RTAs  in  Colorado  impose  use  taxes  on 
For example:
                                                                        tangible  personal  property  delivered  within  their  district 
•  For a monthly return for January 2020, the filing period 
would be 01/20-01/20.                                                   boundaries. A separate return must be filed to report and 
•  For a quarterly return for the first quarter (Jan. through           remit use taxes collected for each RTA. RTA use taxes are 
March) of 2020, the filing period would be 01/20-03/20.                 reported in the first column of the DR 0173. The name of the 
•  For an annual return filed for 2020, the filing period               specific RTA district for which the return is being filed must 
would be 01/20-12/20.                                                   be entered at the top of the column.



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                                             DR 0173 (10/14/22)
                                             COLORADO DEPARTMENT OF REVENUE
                                             Denver CO 80261-0013
*DO*NOT*SEND*                                (303) 238-SERV (7378)
                                             Tax.Colorado.gov

On each return reporting RTA taxes, the columns for state, 
FD, CD, and RTD taxes should be left blank. RTA use taxes 
cannot be reported on the same return as state, FD, CD, 
and RTD taxes. The RTAs that currently impose a use tax 
in Colorado are:
Gunnison Valley – Gunnison County except for areas 
  surrounding the towns of Marble, Ohio City, Pitkin and 
  Somerset;
Pikes Peak – El Paso County except the 
  municipalities of Calhan, Fountain, Monument, Palmer 
  Lake and the Commercial Aeronautical Zone in the 
  City of Colorado Springs (any areas annexed into 
  these municipalities after 2004 are included in the 
  Pikes Peak RTA);
Roaring Fork – Aspen, Snowmass Village, Basalt, 
  Carbondale, Glenwood Springs, New Castle, Pitkin 
  County, and a portion of Eagle County;
San Miguel – Mountain Village and Telluride and 
  portion of unincorporated San Miguel County except 
  for the towns of Ophir and Sawpit;
South Platte Valley – Sterling city limits.
See Department publication Colorado Sales/Use Tax Rates 
(DR 1002) for tax rates, service fee rates, and exemption 
information for state-administered special district use taxes. 
City and County Use Taxes
The Colorado Department of Revenue does not administer 
retailer’s use taxes for any city or county in Colorado. Please 
contact directly any city or county in Colorado for information 
about any retailer’s use taxes they impose.
Avoiding Common Filing Errors
You  can  avoid  several  common  errors  by  reviewing  your 
return before filing it to verify that: 
•  You completed all applicable lines of the return. 
•  You completed the Itemized Deductions and 
  Exemptions Schedules and the RTA Schedules, 
  if applicable. You must complete and submit all 
  these schedules, even if you have no deductions or 
  exemptions to report. 
•  You entered your account number and site number 
  correctly on your return. 
•  You used the correct tax rate for each 
  jurisdiction reported on your return. See 
  Colorado.gov/tax/sales-and-use-tax-rates-lookup 
  for information about state and local tax rates. 



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                                             DR 0173 (10/14/22)
                                             COLORADO DEPARTMENT OF REVENUE
                                             Denver CO 80261-0013
*DO*NOT*SEND*                                (303) 238-SERV (7378)
                                             Tax.Colorado.gov
Specific Line Instructions                                         Line 8B. Service fee allowed vendor
                                                                   The service fee is calculated by multiplying the amount of 
Retailers must complete all applicable lines, including lines 1,   sales tax from line 7 times the service fee rate on line 8A.
4, 9, and 13 entering 0 (zero), if applicable. Retailers must also 
                                                                   Limit on state service fee
include the Itemized Deductions and Exemptions Schedules 
and RTA Schedules, if applicable, with each return.                Beginning January 1, 2022, a retailer with total net taxable 
                                                                   sales  greater  than  $1,000,000  is  not  eligible  to  retain  the 
Line 1. Gross sales of goods and services for this                 state service fee. If the amount in the state column, line 4 
site/location only                                                 (net taxable sales) is greater than $1,000,000, enter $0 for 
Enter the gross sales of goods and services made into  the service fee allowed vendor, line 8B. For any filing period 
Colorado during the filing period. Include all sales of goods  beginning January 1, 2020 or later, the Colorado state service 
and services, whether taxable or  not,  and the  collection        fee  a  retailer  is  allowed  to  retain  is  limited  to  $1,000.  The 
during the filing period of any bad debts deducted on a return     amount on line 8B in the state column cannot exceed $1,000.
filed for a previous filing period.                                Timely payment of tax
Line 2A. Sales to other licensed dealers, for resale               If  the  tax  calculated  on  the  return  is  paid  by  the  return 
                                                                   due  date,  enter  on  line  8B  the  service  fee  calculated  by 
Enter any wholesale sales made to other licensed retailers 
                                                                   multiplying the amount on line 7 by the service fee rate on 
or wholesalers for which use tax was not collected. 
                                                                   line  8B,  regardless  of  whether  the  return  is  an  original  or 
Line 2B. Other deductions (from deductions schedule)               amended return. If the return is an original return and the tax 
Enter the total deductions calculated on line 9 of the Itemized  is not paid by the due date for the return, and therefore no 
Deductions  Schedule.  A  completed  Itemized  Deductions  service fee is allowed, enter $0 on line 8B.
Schedule must be submitted with your return.                       Amended returns
Line 3A. Sales out of taxing area                                  If the return is an amended return and the tax reported on 
Enter in each column the amount of any sales made into             the original return was not paid by the due date for the return, 
Colorado, but outside of the taxing jurisdiction reported in       and therefore no service fee is allowed, enter $0 on line 8B. 
that column. Do not enter the amount of any sales that are         If the tax reported on the original return was paid by the due 
not included in net sales on line 3.                               date  and  the  amended  return  reports  an  increase  of  the 
                                                                   tax due, the allowable service fee on the amended return 
Line 3B. Exemptions (list on Exemptions Schedule)                  is equal to the service fee allowed  on the original  return 
Enter the total exemptions calculated on line 11 of the Itemized  Enter on line 8B of the amended return the service fee allowed 
Exemptions Schedule or RTA Schedules. A completed Itemized  on the original return. No additional service fee is allowed for 
Exemptions Schedule must be submitted with your return.            the additional tax reported on the amended return.
Tax rate                                                           If the tax reported on the original return was paid by the due 
Enter the applicable state or special district tax rate in each    date and the amended returns reports a decrease of the tax 
                                                                   due, enter on line 8B the amount calculated by multiplying 
column  of  the  return.  The  Colorado  state  use  tax  rate  is 
                                                                   the amount on line 7 of the amended return by the service 
2.9%. The use tax rates for each special district can be found     fee rate on line 8A.
in  Department  publication  Colorado  Sales/Use  Tax  Rates 
(DR 1002) or online at Colorado.gov/RevenueOnline.                 Line 10. Penalty
                                                                   If any retailer does not, by the applicable due date, file a 
Line 6. Excess tax collected                                       return, pay the tax due, or correctly account for tax due, the 
Enter any tax collected in excess of the tax due as computed  retailer will owe a penalty. The penalty is 10% of the tax plus 
on line 5. For example, if the retailer collected $50 of RTD use  0.5% of the tax for each month the tax remains unpaid, not 
tax during the filing period, but only $45 of tax is calculated in  to exceed a total of 18%.  
the RTD column of the return, the excess $5 of tax collected       Line 11. Interest
must be reported on this line.                                     If the tax is not paid by the applicable due date, the retailer 
Line 8A. Service fee rate                                          will owe interest calculated from the due date until the date 
Enter the applicable service fee rate in each column of the        the tax is paid
return.                                                            See Part 7: Filing and Remittance in the Colorado Sales Tax 
For  taxpayers  that  have  net  taxable  sales  of  $100,000  or  Guide for additional penalty and interest information.
less, the state service fee is 5.3%. Please enter .053 in the      Itemized Deductions and Exemptions Schedules
state column of line 8A.                                           The Itemized Deductions and Exemptions Schedules are 
                                                                   used  to  report  various  deductions  and  exemptions.  Any 
For taxpayers with net taxable sales of over $100,000, the 
                                                                   amounts entered on lines 2B or 3B of the return may be 
state service fee is 4%. Please enter .04 in the state column 
                                                                   disallowed  if  the  Itemized  Deductions  and  Exemptions 
of line 8A.                                                        Schedules  for  each  site/location  are  not  completed  and 
Service fee rates for each city, county, and special district  included  with  the  return.  For  each  return  filed  to  report 
can be found in Department publication Colorado Sales/Use  RTA  taxes,  an  RTA  Schedule  must  be  completed  and 
Tax Rates (DR 1002).                                               submitted as well.



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                                                    DR 0173 (10/14/22)
                                                    COLORADO DEPARTMENT OF REVENUE
                                                    Denver CO 80261-0013
                                                    (303) 238-SERV (7378)
                                                    Tax.Colorado.gov

                                                         Retailer’s Use Tax Return                         0260-102
                                                    Mark here if this is an Amended Return 
*190173==19999*
Colorado Account Number                Period (MM/YY-MM/YY)            Due Date (MM/DD/YY) Location/Juris Code

Last Name or Business Name                                                First Name                              Middle Initial

Address                                                                   City                            State   ZIP

SSN 1                                            SSN 2                                     FEIN

Phone                                            Signed under          Signature                              Date
                                                    penalty of 
                                                 perjury in the 
                                                 second degree.
                                                                                                    (1-6)
1.  Gross Sales of Goods and Services 
  (include bad debts, previously deducted for this site/location only)                                                           00
                                                                                                    (2-6)
2.  Deductions (nontaxed sales):  
  A. Sales to other licensed dealers, for resale                                                                                 00

   B. Other deductions (from deductions schedule line 9)                                                                         00

   C.  Total (add lines 2A & 2B)                                                                                                 00
   RTA:                                                  FD Prior to 2012            CD             RTD                STATE
3. Net Sales 
(line 1 minus line 2C)                           00                    00                  00                 00                 00
A. Sales out of taxing 
     area                                        00                    00                  00                 00                 00
B. Exemptions (list on 
     Exemptions Schedule)                        00                    00                  00                 00                 00
4. Net taxable sales             (4-1)              (4-3)                 (4-4)               (4-5)               (4-6)
  (line 3 minus A & B) 
                                                 00                    00                  00                 00                 00
Tax Rate                                                    .0010

5. Amount of use tax                             00                    00                  00                 00                 00
                                 (6-1)              (6-3)                 (6-4)               (6-5)               (6-6)
6. Excess tax collected 
                                                 00                    00                  00                 00                 00
7. Total 
  (add lines 5 & 6)                              00                    00                  00                 00                 00
                                       -N/A-                                     .0333              .0333              Max $1,000
8A. Service fee rate



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                                                   DR 0173 (10/14/22)
                                                   COLORADO DEPARTMENT OF REVENUE
                                                   Denver CO 80261-0013
*190173==29999*
Name                                                                          Account Number

                                    RTA       FD Prior to 2012             CD               RTD               STATE
8B. Service fee allowed    (8-1)            (8-3)              (8-4)             (8-5)               (8-6)
   vendor (only if paid on 
   or before due date)                   00               00                  00                  00                                                                                     00
9. Use Tax Due             (9-1)            (9-3)              (9-4)             (9-5)               (9-6)
  (line 7 minus line 8B) 
                                         00               00                  00                  00                                                                                     00
                          (10-1)            (10-3)             (10-4)            (10-5)              (10-6)

10. Penalty                              00               00                  00                  00                                                                                     00
11. Monthly prime         (11-1)            (11-3)             (11-4)            (11-5)              (11-6)
   interest rate times 
   line 9                                00               00                  00                  00                                                                                     00
12. Total each tax 
   (add lines 9, 10 & 11)                00               00                  00                  00                                                                                     00

13.  Total Amount Owed (add all columns                   Paid by EFT (355)
   on line 12. See return check policy below)                                           $                                                                                                .00
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 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.

Itemized Deductions and Exemptions Schedules
2B.Other Deductions     must be itemized on the schedule below. Enter total Deductions on line 2B on front of this form.

1. Service Sales                                                                        $

2. Sales to governmental agencies, religious or charitable organizations                $

3. Sale of gasoline                                                                     $

4.  Sales of drugs by prescription and prosthetic devices                               $

5. Trade-ins for taxable resale                                                         $
6.  Bad debts charged-off, returned goods, trade discounts and allowances where tax 
  was paid (cash discounts are not allowed)                                             $

7. Sales of agricultural compounds and pesticides                                       $

8.  Other (explain)                                                                     $

9. Total (enter on line 2B on page 1 of the form)                                       $

3B. Enter total State Exemptions and applicable Local exemptions.
   Net sales must be 
     itemized below              FD Prior to 2012              CD                   RTD                       State
1. Food (including food sold 
  through vending machines) $

2. Machinery                 $

3. Electricity               $



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                                                       DR 0173 (10/14/22)
                                                       COLORADO DEPARTMENT OF REVENUE
                                                       Denver CO 80261-0013
*190173==39999*

Name                                                                        Account Number

   Net sales must be 
     itemized below                 FD Prior to 2012          CD                              RTD             State

4. Farm Equipment                $
5. Sales of low-emitting 
  vehicles etc.                  $

6. School-Related Sales          $
                                                              -N/A-                           -N/A-           -N/A-
7. Cigarettes                    $

8. Energy Components             $
                                    (B9-1)             (B9-2)                          (B9-3)           (B9-4)

9. Space Flight Exemption   $

10. Other (explain)              $
11. Total All Exemptions (enter 
on line 3B on page 1 of the form)  $

RTA Schedules
Enter total applicable RTA exemptions and applicable local exemptions.
Net sales must be                   RTA Basalt     RTA RTA                  RTA Pitkin Total   Pikes Peak  Baptist Road  South Platte  
                     RTA Eagle
itemized below                      RTA New Castle Carbondale Glen. Springs (except    Roaring      RTA RTA   Valley RTA
                                                                            Basalt)    Fork RTA

1. Food         $

2. Machinery    $

3. Electricity  $
4. Farm 
  Equipment     $
5. Low-emit 
  vehicles, etc.  $
6. School-Related 
  Sales         $

7. Cigarettes   $
8. Energy 
  Components  $
9. Space Flight 
  Property      $
10. Other 
   (explain)    $
11. Total (enter on 
   line 3 below)
     (Keep documentation for verification of these sales for Roaring Fork RTA only)



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                                             DR 0173 (10/14/22)
                                             COLORADO DEPARTMENT OF REVENUE
                                             Denver CO 80261-0013
*190173==49999*
Name                                                              Account Number

Roaring Fork RTA
Complete each applicable column of this schedule. The total for each district should be totaled into the Total Roaring Form RTA 
column. Transfer the total figures to the Retailer’s Use Tax Return. Write “Roaring Fork” in the RTA box.
                              RTA      RTA Basalt        RTA         RTA                RTA Pitkin                  Total Roaring 
                              Eagle    RTA New Castle Carbondale     Glen. Springs (except Basalt)                  Fork RTA
3. Net Sales  
 (line 1–line 2C)                   00       00                   00            00                             00               00
 A. Sales out of taxing 
    area                            00       00                   00            00                             00               00

 B.  Exemptions (list)              00       00                   00            00                             00               00
4. Net taxable sales 
 (line 3 minus A & B)               00       00                   00            00                             00               00
Tax Rate                    .0060      .0080          .0100          .0100                               .0040

5. Amount of use tax                00       00                   00            00                             00               00
6. Excess tax 
 collected                          00       00                   00            00                             00               00
7. Total 
 (add lines 5 & 6)                  00       00                   00            00                             00               00
                              -N/A-    -N/A-             -N/A-       -N/A-                               -N/A-      -N/A-
8A. Service fee rate
8B. Service fee allowed 
    vendor (only if paid on   -N/A-    -N/A-             -N/A-       -N/A-                               -N/A-      -N/A-
    or before due date)

9. Amount of use tax                00       00                   00            00                             00               00

10. Penalty                         00       00                   00            00                             00               00
11. Monthly prime int 
   x line 9                         00       00                   00            00                             00               00
12. Total each tax 
   (lines 9–11)                     00       00                   00            00                             00               00
Pikes Peak RTA
Complete this schedule and transfer the figures to the Retailer’s Use Tax Return. Write “Pikes Peak” in the RTA box.
                                       Pikes Peak RTA                                                          Pikes Peak RTA
                                                                                                                    -N/A-
3. Net Sales (line 1–line 2C)                         00 8. A. Service fee rate
                                                                                                                    -N/A-
 A. Sales out of taxing area                          00       B. Service fee allowed vendor

 B. Exemptions (list)                                 00 9. Amount of use tax                                                   00
4. Net taxable sales 
 (line 3 minus A & B)                                 00 10. Penalty                                                            00
Tax Rate                               .0100
                                                         11. Monthly prime int x line 9                                         00
5. Amount of use tax                                  00
                                                         12. Total each tax (lines 9–11)                                        00
6. Excess tax collected                               00

7. Total (add lines 5 & 6)                            00



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                              DR 0173 (10/14/22)
                              COLORADO DEPARTMENT OF REVENUE
                              Denver CO 80261-0013
*190173==59999*

Name                                                     Account Number

South Platte Valley RTA
Complete this schedule and transfer the figures to the Retailer’s Use Tax Return. Write “South Platte Valley” in the RTA box.
                              South Platte Valley RTA                                 South Platte Valley RTA
                                                                                      -N/A-
3. Net Sales (line 1–line 2C)      00 8. A. Service fee rate
                                                                                      -N/A-
A. Sales out of taxing area        00                 B. Service fee allowed vendor

B. Exemptions (list)               00 9. Amount of use tax                                                                   00
4. Net taxable sales 
(line 3 minus A & B)               00 10. Penalty                                                                            00
Tax Rate                      .0010
                                                      11. Monthly prime int x line 9                                         00
5. Amount of use tax               00
                                                      12. Total each tax (lines 9–11)                                        00
6. Excess tax collected            00

7. Total (add lines 5 & 6)         00






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