CWCB Repayment Contract ALP

A
FBI
- Complete sections A, B, C, D, E and F.
-Send forms and a copy of the organization's credit card.
-Fax: 970 - 871 -5501
- Email: grandbookit @steamboat.com
- Reference reservation ID and name.
COLORAbo WArtrat W OF MWEl 8
1W5SHEfWAh!iTREET SALES TAX EXEMPTION CERTIFICATE
nEI.VM0 LORAM W.3"
MULTI - JURISDICTION
r[wr r www tide rmr *Ovofsaaa.
tasxctoIseeeo The Steamboat Grand
2300 Mt. Werner Circle, Steamboat Springs, CO 80487
Name o• Flr- rguMv
is to be paid from the tax- exempt organization's funds and that said organization has not and will not
receive any reimbursement through either direct payment, collection or "donation" from any person(s)
for the use or consumption of said tangible personal property or service.
t
meet Address ar Part CMte Bas ILLrber
THAT
Sales Tat Exemption Number
[Date
Gel State 21P Cade
❑WHOLESOkLER ❑RETAIER ❑NANUFACTUrER EIL.ESSOW'S" Pao an Hirano Ail&) ❑ClWWABE OR MUMDVS
OUMM Y
EIPOUTCAL 911301VISION OR DOVEMWANTAL ACIENCY DO- (1wroI
AS
t) and is reoidemod watt the below Fated shwas aria wtttin which y%our tiirn would deliver purd Imes to us whim ere for osde or reese by us in the
tcham an%
appgomm
(WMa o"W of 0& baBiness whieh is OF
titan}
2: that Y.Htt piinlmsea are exwnpt tom pay nern of lea or use tax & i exh state a and dties be{:mae our buyer Is: ❑ cK%ai rAELE as FIEUraOLAS
❑ PCLrnCAL SUBOnB5K7N OR DONEN40134TAL AGENCY ❑ DTMERMM VENPT 6T STAnM tS YI__
Celt,' or State
Slate RepI"On or ID Number
CM) ar State
state Replsiratlor or O t4xter
Cdy ar State
Slsk Repistraaan or D Nrrrber
M ar State
Slave FWatitraW or 0 Ni rta
City or State
slate Reptsirasan ar 13 Humber
city ar State
state RepktraWr or a' k%r'ber
ff the list of states and cities is more than six (6), attach a list to this certificate_
d feather certify that Aany properly so porMased tax free is used or oonRhrr esd' by the semi as to mate it subject fo a Sailes air Use Tax we nQ pay b4e fax dice direct
to the proper tax V aufta yAy nl*n state taw so proindes or ff*rm the saVer for added tax b ffm p. This cervi cafe "be part of each order witwh we may hereto r
give to yew, imfess otherwise specd5ed, atd shat be vabd uniR ca ceNed by to !n waiting or rew*ed by the aW or state.
sienna: deacrtat" of omd.acis to te purmmed nwn the serer
is derpenatfies of perjury, ! s viw or af:5fm that frie infannatrart on fhfs form is true and cornea as to ewery rnwenat matter.
Aurmmrad Synakre 10ww, Ferrer or 070wale 01ftert
71k
Date
F
Affidavit of Non - Taxable Sale to Tax - Exempt Organization
The undersigned declares, under penalties of perjure, that the tangible personal property or taxable
service purchased without payment of othetwise applicable Colorado sales tax(es) from
0013a0: EMU= The Steamboat Grand
Vendor Address
2300 Mt. Werner Circle, Steamboat Springs, CO 80487
is to be paid from the tax- exempt organization's funds and that said organization has not and will not
receive any reimbursement through either direct payment, collection or "donation" from any person(s)
for the use or consumption of said tangible personal property or service.
Signature
lit le
Name of Taut- Exempt Organization
Sales Tat Exemption Number
[Date
YOUR RESERVATION WILL INCLUDE TAX UNTIL ALL PROPER DOCUMENTATION IS RECEIVED.