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Who must submit this form? Any person, entity, or group of persons or entities acting as a unit who sell liquefied petroleum gas (propane) only at the retail level of trade, who does not desire to be licensed as a fuel distributor. Such company must conspicuously post at the distribution point a sign indicating the liquefied petroleum gas (propane) is not for sale for use in motor vehicles.
Mail completed form to:
Colorado Department of Revenue
Fuel Tax Unit, Rm 200
P.O. Box 17087
Denver CO 80217-0087
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