CITY OF GREELEY, COLORADO 
                                  INITIAL USE TAX FORM 
                                  (Instructions are on the reverse side of this form) 

Greeley Sales Tax License Number: 

Business Name: 

Business Address:                            City:                     State:                   Zip Code: 

Business Telephone Number: 

Section A 
Date of Purchase  If business was purchased, indicate: Purchase Price of Equipment, Fixtures,  4.11% of Purchase
                  Seller’s Name and Address                 Furniture, Supplies, Etc.                     Price 

Section B:  Purchase of Equipment, Fixtures, Furniture, Supplies, Etc.
                                                                             Purchase Price on Purchase Price on 
                                                                             Which Tax Was     Which Tax Was Not 
Invoice Date                      Vendor’s Name and Address                           Paid                Paid 

                                                                      Totals 

                                                                                      Amount   X 4.11%
                                                                                      Due 

Section C: Leases of Equipment, Fixtures, and Furniture
                                                                                               Tax paid by (/ // / ) 
                                                                      Type of Equipment 
      Lessor                      Address                             Fixtures / Furniture     Lessor     Lessee 

Total Tax Due 

Section A ________ + Section B ________ = Total Tax ________  

Penalty ________ + Interest_______ = Total Tax, Penalty & Interest _________ 

                     CITY OF GREELEY, COLORADO 
                     Instructions - Initial Use Tax Form 

The INITIAL USE TAX FORM must be completed when an existing business is purchased from a previous 
owner, or when opening a new business. 

       PURCHASED BUSINESS - If you purchased the business from a previous owner, the USE TAX you 
owe is 4.11% of the purchase price of the equipment, fixtures, supplies, etc., based on the allocated 
acquisition price as stated in the purchase contract, but not less than the fair market value.  COMPLETE 
SECTION A. 

       NEW BUSINESS - If this is a new business, COMPLETE SECTION B.  List vendors from whom you 
purchased your equipment, fixtures, furniture, supplies, etc., as shown in the purchase contract.  Indicate the 
purchase price in the appropriate column, Tax Was Paid or Tax Was Not Paid.  Multiply the Tax Was Not Paid 
column by 4.11%  This is the amount due from your business. 

If you lease equipment, fixtures, or furniture, a 4.11% tax is due on the gross amount of the lease.  
COMPLETE SECTION C.  This amount is to be paid either by you or the lessor over the period of the lease. 
List all leases and indicate whether you or the lessor will pay the tax. 

If a local sales tax has been paid, but at a rate of less than 4.11% use tax is due on the difference between the 
amount of sales tax actually paid and the amount calculated at the rate of 4.11% 

Please provide a detailed listing for each section that applies to you.  If additional space is needed, attach 
continuation sheets. 
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Checks should be made payable to the City of Greeley.  This form is due on the 20  day of the month following 
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the date an existing business in Greeley is purchased.  If this is a new business, the form is due on the 20  
day of the month following the first day that sales are made or services are provided in Greeley.  A late filing of 
this form is subject to a 10% penalty of the tax owed, and interest of 1% per month of the tax owed. 
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Return this form to the City of Greeley, 1000 10  Street, Greeley, CO 80631.  If you need assistance in 
completing the form, or have questions concerning the use tax, please contact the sales tax office at (970) 
350-9733.

After the INITIAL USE TAX FORM has been filed, subsequent purchases should be included on your regularly 
filed sales/use tax returns for the City of Greeley.  Do not use this form to compute or pay tax on motor 
vehicles, trailers, or the tax on materials used in construction of real property or real property improvements 
which involve the issuance of a building permit.