*220104US19999**DO=NOT=SEND*
DR 0104US (10/19/22) 
COLORADO DEPARTMENT OF REVENUE
Tax.Colorado.gov
Page 1 of 1

                     2022 Consumer Use Tax Reporting Schedule

Use this schedule to report consumer use tax                    For more information on your consumer use tax 
due. This is one of three methods of filing to pay a            obligation, including how to use the annual customer 
consumer use liability. You may also use Revenue                reports from non-collecting retailers, please visit  
Online or file a DR 0252, Consumer Use Tax Return.              Tax.Colorado.gov/Consumer-Use-Tax
See instructions or more information on how to file.            Special Districts also assess a use tax. More than 
What is Consumer Use Tax?                                       half of Colorado residents live in one or more of 
Individuals and businesses are required to pay use tax          these districts. The special districts that assess use 
on tangible personal property purchased from vendors            tax and the applicable tax rates can be found at 
either inside or outside of this state if the property is used, https://Colorado.TTR.Services.
stored, or consumed within the state and sales tax was 
not collected or paid on the property.

           DO NOT CUT – If filing by paper, return full page WITH the 2022 DR 0104 formDO NOT 

Name                                                                                          SSN or ITIN

1. Enter the total purchases for which state sales or use tax was not previously paid.   1                           0 0
                                      SEND
2. Multiply line 1 by 0.029. Enter the result in whole dollars here.                     2                           0 0
3. Enter the total purchases for which special district sales or use tax was not 
   previously paid.                                                                      3                           0 0
4. Enter the 2-digit SDCU Code for any applicable special district(s). 
   See instructions.                                                                     4

5. Enter the corresponding use tax rate. See instructions.                               5

6. Multiply line 3 by the rate on line 5. Enter the result in whole dollars here.        6                           0 0

7. Add line 2 and line 6, transfer to the DR 0104 line 18.                               7                           0 0

           DO NOT CUT – If filing by paper, return full page WITH the 2022 DR 0104 form