Form DR 0076 Fillable Enterprise Zone Certification - Rehabilitation Expenditures
(all forms fillable on Windows, Mac, Android tablets, and iPad using Adobe Reader XI)

(08/16/13) (Address) (CAN) (checkbox) Unchecked (City) (Colorado Account Number (CAN)) (Date (MM/DD/YY)) (Date (MM/DD/YY)) (Date of last occupancy (MM/DD/YY)) (Enterprise Zone ) (First Name) (Middle Initial) (MM/DD/YY) (MM/DD/YY) (MM/DD/YY) (MM/YY) (Phone Number ( )) (Rectangle comment cupelj (SSN or FEIN) (Stamp comment (Stamp comment (Stamp comment (Stamp comment (State) (Tax year beginning (MM/YY)) (Tax year ending (MM/YY)) (Taxpayer Last Name/Company Name) (Title) (undefined) (Year building was constructed (YYYY)) (YYYY) (Zip) *130076==19999* *130076==29999* 0078A 10/28/2013 3:43:47 PM 10/28/2013 3:51:34 PM 10/28/2013 3:51:52 PM 10/28/2013 3:54:03 PM 10/28/2013 3:55:14 PM 10/28/2013 3:55:31 PM 10/28/2013 3:56:22 PM 10/28/2013 3:56:55 PM 303 238 SERV(7378) 303 892 3840 80202 80261 0005 above above Account accounting acknowledge acquisition; activities additions address Address administrator Administrator Administrator Administrator Administrators affirmation after amount amount applications appraisals; architectural associated associated authorized available aware beginning belief bids; bills blank) bonds; Broadway building building building building building business business business business s cannot carpentry ceilings certification certification by Zone administrator certification of Qualified nature of certified certifies certify certify Check claim claimed cleaning cleanup closing; codes; Colorado Colorado Colorado Colorado colorado dEParTmEnT of rEvEnuE commence commercial commercial Company Complete completely comply condition confidential constructed construction contact contributing copies copying; correct costs credit credit credit: credits current currently Date format is: MM/DD/YY Date format is: MM/DD/YY Date format is: MM/YY Date format is: YYYY declare delay demolition Denver Denver Department Department design designated Development Development's document: documentation doors during earlier Economic electrical Electronic electronically electronically eligible email enclose ending engineering enterprise enterprise Enterprise Enterprise Enterprise Enterprise Enterprise Enterprise Enterprise Enterprise Enterprise Enterprise Zone rehabilitation Expenditures entirely entities envelope errors Example: 01/13) Example: 01/16/13) Example: 01/16/13) Example: 2013) excavation; except expansion expect expenditure expenditures expenditures expenditures exterior facilitated facility factor fees; fees; filing First fixtures flashing for more information about Enterprise Zones contact the agencies listed below: furnishings; grading; hereby hereby improvements improvements include including income income Income information information Initial inspection installed Instructions CDOR Instructions CDOR Instructions CDOR Instructions CDOR insurance; interior International January knowledge landscaping; least legal located marketing; mechanical mentioned Middle Name/Company named nature necessary Note Beginning number Number occupancy Office Official operation other outbuildings Owner Owner/Authorized painting paper partner/shareholder Pass through passed paving; performing permit Phone Phone: phones; plaster pointing power; pre certification pre certification Pre certification Instructions pre certify prior process processing program project proper protection purposes qualified qualified Qualified Expenditures does not include costs Qualified Expenditures does not include soft Qualified Expenditures means expenditures qualifying reading Realtor receipts reduce Refer rehabilitate rehabilitation Rehabilitation relocation repair repairs required return returned returns Revenue Revenue roofing safety sales self addressed shall sheetrock Signature Signature signing signs specify sprinkler stamped startup State State stated statement structural submission submissions submit Submit Suite systems Taxpayer temporary their This certification is public record and copies will be available from the enterprise zone administrator through through Title To be completed by taxpayer owner or authorized company official Trade typical vacant verify visit which windows within would www AdvanceColorado com/EZ www AdvanceColorado com/EZ www AdvanceColorado com/EZ for www TaxColorado com years Zone;