CITY OF WHEAT RIDGE
Sales Tax Division
7500 W. 29TH AVENUE
WHEAT RIDGE, CO  80033
Assistance:  (303) 235-2818 or (303) 235-2825
                                     INITIAL USE TAX FORM
                           This form must be completed if you're licensing a location  in Wheat Ridge.
                                     Due Date:  20 days after opening the business
                                     Applicable City Code sections:  22-66(a) and 22-66(b)
Business name
Wheat Ridge location address

       All supplies, equipment, furniture, fixtures and leasehold improvements used in business are
       subject to sales tax.  Credit is allowed for tax properly paid to another city (such as when you 
       pick something up at a store), but please be aware that if the other city's tax rate is less than
       3% you must pay the difference to Wheat Ridge.  A tutorial is available on the website or
       in print form on request.  Tax staff is also happy to answer any questions you may have.

Did you acquire this business on-site from a former owner?                   Yes            No
       If YES,  indicate DATE OF ACQUISITION and continue

A.  What was the nature of the acquisition?          Bought it                        Assumed debt

                                                           If "assumed debt" go to item G below.

B.  Were items of tangible personal property such as equipment, supplies, furnishings and fixtures,
(FFSE) included?                                                             Yes            No

                                                       If no, see the statement preceding item A.

C.  Did the seller collect sales tax on those items?                  Yes                 No
(Please check the bill of sale or contract to be sure.)
                                                                      If no, go to item E or  F below.

D.  If "yes" on item C, seller's name, addresses and phone number as listed on the bill of sale or contract:

If unable to provide seller 
information, provide agent 
       information.                  Phone             (             )
                                     (Complete either item E or F.)
E.  If itemized in the bill of sale, indicate the price paid for FFSE.

       If seller did not collect sales tax, multiply by the use tax rate of           3.0%
                                                                                                      PAY THIS AMOUNT

F.  OR , if it was a package deal, indicate the book value of equipment, furnishings and equipment that will be used for 
county property tax reporting purposes.  If this has not been determined, use a current 'used' price to estimate the
fair market value.  Which are you providing?                   Book                       Fair market

                                                       $

       If seller did not collect sales tax, multiply by the use tax rate of           3.0%                            
                                                                                                      PAY THIS AMOUNT

G.  If a debt assumption only, indicate the fair market value (current 'used' price) of the FFSE included.
                                                       $

                                     Multiply by the use tax rate of                  3.0%                            
                                                                                                      PAY THIS AMOUNT
Under penalty of perjury, I declare statements made in this form to be true and accurate to the best of my knowledge.
You MUST Sign and Date here: