AFFIDAVIT OF EXEMPTION SALES/ACCOMMODATIONS TAX
The State of Colorado and the Town of Breckenridge require that an affidavit must be completed by any organization requesting exemption from Sales and Accommodation Tax at local lodges or hotels. If any organization does not complete this form, exemption will not be granted.
| Name and Address of Organization: | _______________________________________________________ _______________________________________________________ _______________________________________________________ |
Event/Meeting/Conference Name: |
_______________________________________________________ |
Reservation Name & Number: |
_______________________________________________________ |
Dates of Stay: |
_______________________________________________________ |
Tax Exempt: |
Yes ______ No ______ |
State of: |
__________________________ |
Exemption # |
__________________________ |
Category: |
Charitable |
Please circle your answer to the following questions and return affidavit to Beaver Run Resort. NOTE: All questions musts be answered "YES" for the purchase to qualify as tax exempt.
| YES/NO | Is the organization a governmental entity, a not-for-profit school, a qualified religious organization, or a qualified charitable organization? |
| YES/NO | Is this purchase billed directly to the organization and paid for directly by the organization from funds of the organization? |
| YES/NO | Is the purchase paid for out of the budget of the organization and not reimbursed back to the organization by any individuals who attend this meeting or event? |
| YES/NO | Is the purchase being made for use by the organization in its exempt capacity? |
The undersigned attests that the answers to the above statements are true and that he/she has the capacity, as a representative of the organization, to complete this document.
NAME __________________________________________ TITLE _____________________
SIGNATURE _____________________________________ DATE _____________________
