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STATE OF COLORADO
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ANNUAL STATEMENT OF PROPERTY
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2022 DECLARATION
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RENEWABLE ENERGY COMPANY
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DIVISION OF PROPERTY TAXATION
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STATE ASSESSED SECTION
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1313 SHERMAN STREET, ROOM 419
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DENVER, COLORADO 80203
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Contact: Michael Krueger / Telephone: (303) 864-7792
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Email: michael.krueger@state.co.us
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Website: cdola.colorado.gov/state-assessed
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DUE FRIDAY, APRIL 1, 2022
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Property Owner and Tax Bill AddressState Assessed File Number: ____________
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Company Name:Industry Type: Renewable Energy (EG) for Biomass, Geothermal, Small or Low-Impact Hydroelectric, Solar, Wind, Energy Storage, and Clean Energy Resource
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Department:
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Street Address:What is the ratio of personal property to total property in the state of Colorado? ___________%
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Unit / Suite #:
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City, State and Zip:Total property includes both real and personal property.
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Do not enter the tax agent address above unless they pay the tax bill. Definitions and descriptions can be found on pages 10 and 11.
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Ratio should be consistent with the distribution information reported to the county assessors in August.
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IS ANY OF THE ABOVE NEW INFORMATION?Y / N
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FIRST TIME FILING IN COLORADO?Y / N
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Federal Employer Identification Number: ____________
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Property Owner Company ContactState of Incorporation: ____________
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Name:Year Colorado Operations Began: ____________
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Title:
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Phone:Subsidiary of Another Corporation?Y / N
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Email:Name of Ultimate Parent Company: ____________________
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Tax Agent Company and Contact*
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Name:
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Company:
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Phone:
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Email:
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Tax Agents must have a current letter of agency on file with the Division for each company represented.
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DECLARATION
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I declare, under the penalty of perjury in the second degree, that this statement, together with any accompanying exhibits or schedules, has been examined by me and, to the best of my knowledge, information, and belief, sets forth a full and complete list of all taxable property owned, in the possession or under the control of the reporting entity. I further declare that such property has been reasonably described with its value fairly represented, and that no attempt has been made to mislead the Property Tax Administrator as to its age, quality, or value.
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Signature:†Date:
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Name:
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Title:
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*If the reporting entity uses an agent to prepare or represent the reporting entity in matters related to this 2022 Annual Statement of Property, a letter of authorization signed by an officer of the reporting entity must be submitted as an addendum to this report.
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†An electronic signature (e-signature) is legally effective acknowledgment.
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