CITY OF PUEBLO 
FINANCE DEPARTMENT-SALES TAX DIVISION
P.O. BOX 1427 
PUEBLO, CO 81002                                                                                  S1
(719) 553-2659 – Office                           ONE TIME 
(719) 553-2657 - Fax
                                    SALES/USE TAX REMITTANCE FORM 

DATE ________________________________                               PHONE ___________________________ 
NAME _________________________________________________________________________________________ 
ADDRESS ______________________________________________________________________________________   
IF SUBCONTRACTOR, PLEASE LIST GENERAL CONTRACTOR AND JOB: 
______________________________________________________________________________________________

                            Sales Tax                                             Use Tax 

SALES TAXABLE AMOUNT__________________                  USE TAXABLE AMOUNT_____________________    

TAXABLE AMOUNT x 3.7% = Tax ____________                       TAXABLE AMOUNT x 3.7% = Tax ________ ____     _

PENALTY = Tax x 10% =__________________                 PENALTY = Tax x 10% =_____________________ 

INTEREST 1% per month of tax _____________              INTEREST 1% per month of tax _______________    

TOTAL DUE ______________________________                TOTAL DUE ______________________________               

                                                  Instructions 

      ONLY USE THIS FORM IF YOU ARE NOT LICENSED WITH THE CITY OF PUEBLO 
This form is to be used only for a one-time tax remittance.  Licensing must be secured if Sales and/or Use Tax 
liability is ongoing.  Completeness and accuracy of this form will ensure proper recognition of payment. 

Date:                   When form is completed and sent.
Phone:                  If questions arise we need to contact you.
Name:                   The name of the business remitting taxes. 
Address:                In the event correspondence needs to be sent. 
Subcontractor:          Provide name of General Contractor you are working for and job site location. 
Taxable Sales:          Gross amount of sales where sales tax has been charged to your customer. 

Use Taxable Amount:  Gross amount of material and/or equipment used or consumed on the project. 
                            Credit will be given for any other City Sales Tax paid if tax rate paid is lower 
                            than 3.7% than the difference would be owed. If tax paid is equal or greater 
                            than 3.7% there is no tax due.  In the event of an audit these records will need 
                            to be reviewed so it is recommended that you keep these records for at least 3 
                            years. 

Sales Tax Rate:         3.7% is the rate for both Sales and Use Tax. 
Total Due:              In order to determine tax owed take    Taxable Amount x  .03 7(tax rate) + Penalty +  
                                                               Interest  = TOTAL DUE.
 
If there are questions in completing this form please contact our office for assistance.  Do not remit State 
Sales Tax on this form.   Also, keep a copy of this form for your records.