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Home My WebLink About20181954.tiffRESOLUTION RE: APPROVE, IN -PART, PETITION FOR ABATEMENT OR REFUND OF TAXES FOR ACCOUNT NUMBER R7130298 - MORALES, LEWIS D., LLC WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to Colorado statute and the Weld County Home Rule Charter, is vested with the authority of administering the affairs of Weld County, Colorado, and WHEREAS, the Board of County Commissioners of Weld County, State of Colorado, at a duly and lawfully called regular meeting held on the 20th day of June, 2018, at which meeting there were present the following members: Chair Steve Moreno, and Commissioners Barbara Kirkmeyer, Sean P. Conway, Julie A. Cozad, and Mike Freeman, and WHEREAS, notice of such meeting and an opportunity to be present has been given to the taxpayer and the Assessor of said County, with said Assessor, Christopher Woodruff, being present, and taxpayer, Morales, Lewis D., LLC, being represented by Property Tax Advisors, Inc., not being present, and WHEREAS, the Board of County Commissioners has carefully considered the attached petition, and is fully advised in relation thereto. NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County, Colorado, that the Board concurs with the recommendation of the Assessor and the petition be, and hereby is, approved, in -part, and an abatement or refund be allowed as follows: CORRECTION TO ASSESSED VALUATION ABATEMENT OR REFUND TAX YEAR $507,380.00 $17,367.98 2016 cc: O. SR (-cc-4_3 /,pI Dic), e.a.crH/gc,r01/4PPl_ REP o-7/(1/18' 2018-1954 AS0099 TAX ABATEMENT PETITION - MORALES, LEWIS D., LLC PAGE 2 The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 20th day of June, A.D., 2018. ATTEST: dleavo Weld County Clerk to the Board BY APP Deputy Clerk to the Board oun v"attorney Date of signature: QCo(Wo! t8' BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO Steve Moreno, Chair Srbara Kirkmeyerr o-Tem can P. Co way ie A. Cozad Mike Freeman 2018-1954 AS0099 1?3' - CIR PETITION FOR ABATEMENT OR REFUND OF TAXES RECEIVED County. Weld Section I: Petitioner, please complete Section I only. Date: 3/1/18 Month Day Year Petitioner's Name: Morales, Lewis D. LLC Petitioner's Mailing Address: _ 3025 8th Ave. Evans City or Town Date Received ApQ (Use Assessor's or Commissioners' l 610 4 2018 WELD COUNTY ASSESSOR GREELEY, COLORADO RECEIVED CO 80620 MAY 2 9 2018 State Zip Code SCHEDULE OR PARCEL NUMBER(S) PROPERTY ADDRESS OR LEGAL DESCRIPTION OF PROPERTY R7130298 3025 8th Ave. WELD COUNTY COMMISSIONERS Petitioner requests an abatement or refund of the appropriate taxes and states that the taxes assessed against the above property for the property tax year 2016 _ are incorrect for the following reasons: (Briefly describe W -y" the taxes have been levied erroneously or illegally, whether due to erroneous valuation, irregularity in levying, clerical error, or overvaluation. Attach additional sheets if necessary.) Property is overvalued. Please see attached "Appeal of Real Property Valuation". Petitioner's estimate of value; $ 2,400,000.00 ( 2016 Value Year � a ki)3671�.G8 I declare, under penalty of perjury in the second degree, that this petition, together with any accompanying exhibits _ or statements, has been prepared or examined by me, and to the best of my knowledge, information, and belief, is true, correct, and complete. Petitioner's Signature A_i a,s sc, Daytime Phone Number ( _ Email By Daytime Phone Number L 303 ) 368.0500 Agent's Signature' Printed Name: Dariush Bozorgpour Property Tax Advisors, Inc. Email ptadvisor@propertytaxadvisor.net 'Letter of agency must be attached when petition is submitted by an agent If the Board of County Commissioners, pursuant to § 39-10.114(1), C.R S., or the Property Tax Administrator, pursuant to § 39-2-116, C.R.S., denies the petition for refund or abatement of taxes in wto'e or in part. the Petitioner may appeal to the Board of Assessment Appeals pursuant to the provisions of § 39-2-125. C.R.S., within thirty days of the entry of any such decision. § 39-10-114.5(1), C.R.S. Section II: Original Corrected Abate/Refund Assessor's Recommendation (For Assessor's Use Only) Tax Year 9Q'(. Assessed ,1-14b,Dtia nO 1 (Q01) n, 30 aat-} o.0 (0 601 i5VOS 14 1,4l .b d ._Q 1.L),J13Cd-`fig IAssessor recommends approval as outlined above. If the request for abatement is based upon the grounds of overvaluation. no abatement or refund of taxes shall be made if an ob;ection or protest to such valuation has been riled and a Notice of Determination has been mailed to the taxpayer. § 39.10-114(1)(a)(I)(0). C.R.S Tax year: _ Protest? ❑ No El Yes (if a protest was Mod, please attach a copy of the NOD.) ❑ Assessor recommends denial for the following reason(s): 15 -DPI -AR No. 920.66/17 I �-C,, C c° or ra .. lir ja O>IC 2018-1954 J FOR ASSESSORS AND COUNTY COMMISSIONERS USE ONLY (Section III or Section IV must be completed) Every petition for abatement Of refund filed pursuant to § 39-10-114, C.R.S. shall be acted upon pursuant to the provisions of this section by the Board of County Commissioners or the Assessor, as appropria'e, within six months of the date of filing such petition. § 39-1-113(1.7), C.R.S. Section III: Written Mutual Agreement of Assessor and Petitioner (Only for abatements up to S1G,000) The Commissioners of County authorize the Assessor by Resolution No. to review petitions for abatement or refund and to settle by written mutual agreement any such petition for abatement or refund in an amount of $10,000 or less per tract, parcel, or lot of land or per schedule of personal property, in accordance with § 39-1-113(1.5), C.R.S. The Assessor and Petitioner mutually agree to the values and tax abatement/refund of: Tax Year Actual Original Corrected Abate/Refund Assessed T. Note: The tetal tax amount does not include accrued interest, penalties, and fees associated vrtith late and/or delinquent tax payments, if appl.cable. Please contact the County Treasurer for full payment information. Petitioner's Signature Date Assessor's or Deputy Assessor's Signature Date JOS . -_ • _ Section IV: Decision of the County Commissioners (Must be completed if Section III does not apply) WHEREAS, the County Commissioners of County, State of Colorado, at a duty and lawfully called regular meeting held on / / , at which meeting there were present the following members: Month Day Year with notice of such meeting and an opportunity to be present having been given to the Petitioner and the Assessor of said County and Assessor (being present --not present) and Name Petitioner (being present --not present), and WHEREAS, the said Name County Commissioners have carefully considered the within petition, and are fully advised in relation thereto, NOW BE IT RESOLVED that the Board (agrees --does not agree) with the recommendation of the Assessor, and that the petition be (approved --approved in part --denied) with an abatement/refund as follows: Year Assessed Value Taxes Abate/Refund Chairperson of the Board of County Commissioners' Signature County Clerk and Ex -Officio Clerk of the Board of County Commissioners in and for the aforementioned county, do hereby certify that the above and foregoing order is truly copied from the record of the proceedings of the Board of County Commissioners. IN WITNESS WHEREOF, I have hereunto set my hand and affixed the seal of said County this day of Month Year County Clerk's or Deputy County Clerk's Signature Note: Abatements greater than $10,000 per schedule, per year, must be submitted in duplicate to the Property Tax Administrator for review. Section V: Action of the Property Tax Administrator (For all abatements greater than $10,000) lion of the Board of County Com issio rs relati this petition, is hereby proved in t $ to Denied for the following reason(s): -7 7 � 1\ 1 15 -DPI -AR •. 9s% 66/17 02/09/2018 15:44 9703561910 02/09/2018 15:42 30991188579 SELECTSTAY PAGE 03/03 PROPERTY TAX ADVISOR PAGE 03/04 Property Tax Advisors, be. 3090 S. Jamaica Ct, Suite 204 Aurora, Colorado 80014 Property Owner: • County: Weld R.71 0298 Phone (303)368.0500 Fax(303)368-0573 Etataf�: ptadvlsor@propertytaxadvisor.net CONSULTANT - AGENCY AGREEMENT NXo>; ales Lewis D,._LLG Properly Address 3025 8th Ave. a Corporation _ a Partnership "Fns IudivtdttrtIs a Trust The undersigned hereby appoints and authorizes Property Tax Advisors, Inc. as int Agent and CoilsUltant In the preparation and execution of s. real Witte. v$Igetiott appeel(s) on behalf of the undersigned is regard to the chow enumerated propar y(les) for the 2018 tax year and far the prior two years_ The undersigned further authorizes Property Tax Advisors, Ino,,.as Agent of the undersigned, to execute and cause to be filed on behalf of the undersigned, in the name of the undersigned, any and all documents relating to an appeal of the subject praperty'e(ies') valuation($). ',t'f tis aggreement is executed this BY. P fr Eune;_jaal," difirWTitle: q&,e-r .4- 1.42%,try • (If Corporation, your title; (or) Owner, General Partner, Telephone 14o_: '2/. 41.2,—‘76/6 Lessee, Power of Attorney, 'Nuke, etc.) Pax yo.: wtr- q day of fe.S • .Za l X. Rsv. 1116 Agent: PROPERTY TAX ADVISORS, INC. 3090 South Jamaica Court, Suite 204 Aurora, Colorado 80014 TEL: (303)368-0500; FAX: (303)368-0573 Email: ptadvisor@propertytaxadvisor.net Subject: APPEAL OF REAL PROPERTY VALUATION Tax Year: 2016 County: Weld Schedule Number: R7130298 Property Address: 3025 8th Ave. Property Owner: Morales, Lewis D. LLC Mailing Address: 3025 8th Ave. Evans, CO 80620 Inclusions: _. Photograph(s) of Subject Property Correlation and Conclusions Income Approach Market Sales Cost Approach X Salient Facts Report Date: 3/1/18 PETITIONER'S FINAL ESTIMATE OF VALUE: ASSESSOR'S VALUE: Site Size Gross Building Area Land to Bldg. Ratio Use: Motel ** Please see Salient Fact Sheet s.f. YOC Effective Bldg. Age (yrs) s.f. Remaining Econ. Life (yrs) :1 Zoning Construction PTA # 5697 SALIENT FACTS It is request 39% of the actual value be assessed at the residential rate. 2015 Total Revenue 30 -Day Stay Revenue January February March April May June July August September October November December Total $ $ $ $ 95,426 $ 85,058 $ 93,830 $ 88,835 $ 95,707 $ 91,688 $ 94,701 $ 95,902 $ 85,057 $ 93,440 $ 86,516 $ $ 1,006,160 $ 44,990 38,493 49,839 34,813 29,985 19,847 17,950 23,538 19,573 22,207 86,516 387,751 % Revenue from 30 -Day Stays 38.54% Departmental Use Only DR 0100 (08/18/14) COLORADO DEPARTMENT OF REVENUE Denver. CO 80261.0013 WM. TaxCo%orado.com Sned under maly cf p e f my 8 the seoord degree. Colorado Retail Sales Tax Return Signature Date (MMIDDIYY) SSN 1 SSN 2 FEIN Last Name or Business Name SELECT STAY HOTEL First Name Middle initial Address City State Zip 0021-101 Phone 1. Gross Sales and Services for this site/location only (include bad debts previously deducted) • (1.4) 95426 Colorado Account Number Period wry -mum) 01/31/15. 2, Deductions (nontaxed sales): a. Sales to other licensed dealers, for resale • (2a.4) 0 Due Date *moony) 02/20/15 Location/Juris Code 028675650000 b. Other deductions (from page 2) • (2b-4) 44990 Mark here if this Is an Amended Return • I. c. Total (add lines 2a & 2b) 44990 County/MTS City/LID , Special District State 3. Net sales: (line 1 minus line 2c) • (3-1) 0 (3.2) 0 (3.3) 0 (3.4) 50436 a. Sates out of taxing area • (3a-1) 0 (3a-2) 0 (3a-3) 0 (3a-4) 0 b. Exemptions (list on page 2). • (3b-1) 0 (3b-2) 0 (3b3) 0 (3b-4) 0 c. Overpayment from previous return • (3c-1) 0 (3c-2) 0 (3c-3) 0 (3c-4) 0 4. Net taxable sales (line 3 minus a,b,& c) 0 0 0 50436 Tax Rate 0 0 0 0.029 5. Amount of sales tax 0 0 0 1463 6. Excess tax collected • (6-1) 0 (6-2) 0 (8.3) 0 (6.4) 0 7. Total (add lines 5 & 6) 0 0 0 1463 8. a. Service fee rate 0 0 0 0.0333 b. Service fee allowed vendor (only it paid on or before due date) • (8-1) 0 (8-2) 0 (8-3) 0 (8-4) 49 9. Sales tax due (line 7 minus line 8b) 0 0 0 1414 10. Tax on $ 0 • (10-1) 0 (10-2) 0 (10.3) 0 (10.4) 0 11. Total tax duo (add lines 9 & 10) • (11-1) 0 (11.2) 0 (114) 0 (11.4) 1414 12. Penalty: • (12-1) 0 (12-2) 0 (12-3) 0 (12-4) 0 13. Monthly interest rate times line 11 .0025 • 03-1) 0 (13.2) 0 (13-3) 0 (134) 0 14. Total each tax (add lines 11, 12, & 13) 0 0 0 1414 11*Slate may comr:rl check to acn§ ens a*dmrdcban4 transactVn. Your b>antaxamt =��74'as' a� tept. . oruncoOd. ,01eDpartmeteld.If}aur isr duet! uacenI d unodiatunds Department of Re+enue may co the pa}menl amount craecty(Tomyour t ecoarntelectmnks /. 15. Total Amount Owed (add all columns on line 14) P Paid by EFT (355) $ 1414 DR 0100 (06118114) COLORADO DEPARTMENT OF REVENUE Denver. CO 60261.0013 rnvw,Taxcoloredo.coni Colorado Retail Sales Tax Return Deductions and Exemptions Schedule: Colorado Account Number Period tru,urtrdautrcri Name Part A —Deductions 2B. Other Deductions must be itemized in the schedule below. Note: sales to other licensed dealers page 1 of form, line 2a. 1. Service sales (Ai -1) 0 2. Sales to governmental agencies, religious or charitable organizations (A2-1) 0 3. Sales of gasoline (A3.1) 0 4. Sales of drugs by prescription and prosthetic devices (A4.1) 0 5. Trade-ins for taxable resale (A5.1) 0 6. Bad debts charged -off, returned goods, trade discounts and allowances where tax was paid (cash discounts are not allowed) (A6.1) 0 7. Cost of utilities, excluding tax (restaurants only (at end of year) using DR 1465 form) (A7-1) 0 8. Sales of agricultural compounds and pesticides (A8.1) 0 9. Other (explanation required) (A9-1) 44990 Total add lines 1 through 9 (enter here and on line 2b of the return) Total 44990 Part B —Exemptions 3B. Enter total State Exemptions and applicable Local Exemption on line 3b. 1. Food, including food sold through vending machines County/MTS City/LID Special District State (i31-1) 0 (B7•z) 0 (81-3) 0 (81.4) 0 2. Machinery (82.1) 0 (B2.2) 0 (82-3) 0 (82.4) 0 3. Electricity (B3.1) 0 (B3.2) 0 (83.3) 0 (B3-4) 0 4. Farm Equipment (B4.1) 0 (84.2) 0 (84-3) 0 (64.4) 0 5. Sales of low -emitting vehicles, etc. (35-1) 0 (85-2) 0 (854) 0 (85.4) 0 6. School related sales (86.1) 0 (86-2) 0 (86-3) 0 (B6.4) 0 7. Cigarettes (87-1) 0 (87-2) 0 (87-3) 0 (67.4) _ 8. Renewable energy components (B8.1) 0 (B8.2) 0 (88-3) 0 (88.4) 0 9. Space Flight Exemption (B9.1) 0 (B9.2) 0 (89.3) 0 (89.4) 0 10. Other (explanation required) (80.1) 0 (80-2) 0 (80-3) 0 (B0-4) 0 11. Total (enter here and on fine 3b of the return) 0 0 0 0 Departmental Use Only DR 0100 (06/18/14) COLORADO DEPARTMENT OF REVENUE Denver, CO 80261-0013 mvwTaxCobrado.com Sgned order penaty d per)uly h the secad degree. Colorado Retail Sales Tax Return Signature Date (mwoolrr) SSN 1 r1'2 FEIN Last Name or Business Name SELECT STAY HOTEL First Name Middle Initial Address City State Zip 0021-101 Phone 1. Gross Sates and Services for this siteflocation only (include bad debts previously deducted) • (1'4) 85058 Colorado Account Number Period(MMMm-mum') 02/28/15 2. Deductions (nontaxed sales): a. Sales to other licensed dealers, for resale • pipit) 0 Due Date woo/Irv) 03/20/15 Location/Juris Code 028675650000 b. Other deductions (from page 2) • (2b-4) 38493 Mark here if this is an Amended Return • c. Total (add lines 2a & 2b) 38493 County/MTS City/LID Special District State 3. Net sales: (line 1 minus line 2c) • (3.1) 0 (3.2) 0 73.3) 0 (3.4) 46565 a. Sales out of taxing area • (3a-1) 0 (3a-2) 0 (3a-3) 0 (3a-4) 0 b. Exemptions (list on page 2). • (36.1) 0 (3b-2) 0 (3b-3) 0 (3b-4) 0 c. Overpayment from previous return • (3c-1) 0 (3c-2) 0 (3c-3) 0 (3c-4) 0 4, Net taxable sales (line 3 minus a,b,& c) 0 0 0 46565 Tax Rate 0 0 0 0.029 5, Amount of sales tax 0 0 0 1350 6. Excess tax collected • (6-1) ' 0 (6.2) 0 (6-3) 0 (6.4) 0 7. Total (add lines 5 & 6) 0 0 0 1350 8. a. Service fee rate 0 0 0 0.0333 b. Service fee allowed vendor (only if paid on or before due dale) • (8-1) 0 (8-2) 0 (8-3) O. (8.4) 45 9. Sales tax due (line 7 minus line 8b) 0 0 0 1305 10. Tax on $ 0 • (10-1) 0 (10.2) 0 (10-3) 0 (10.4) 0 11. Total tax due (add lines 9 & 10) • (11.1) 0 (11.2) 0 (11.3) 0 (11.4) 1305 12. Penalty: • (12-1) 0 (12.2) 0 (12-3) 0 (12-4) 0 13. Monthly Interest rate times line 11 .0025 • (13.1) 0 (13.2) 0 (13.3) 0 (13.4) 0 14. Total each tax (add lines 11. 12, & 13) 0 0 0 1305 The Stale may oomart Air check b a dr• rrra eladra+k banking iransa .on. Your bank ac tma bad �as�fi'asN give rr owszte.H oomaled.y�xrci iwilnotberettaned.ifyourdxckixrexcle6� td oruncoSedded finds, the Department of Resenue may oozed the d9edlyfrcmyour bank account etectrorLbay. 15. Total Amount Owed (add all columns I —i Paid by EFT online 14) (355) $ 1305 DR 0100 (06/18/14) COLORADO DEPARTMENT OF REVENUE Denver, CO 80261.0013 www.TexCoforado.cam Colorado Retail Sales Tax Return . Deductions and Exemptions Schedule: Colorado Account Number Period pae+m•MMmy Name Part A —Deductions 2B. Other Deductions must be itemized in the schedule below. Note: sales to other licensed dealers page 1 of form, line 2a. 1. Service sales (A1.1) 0 2. Sales to governmental agencies, religious or charitable organizations (A2-1) 0 3. Sales of gasoline (A3.1) 0 4. Sales of drugs by prescription and prosthetic devices (A4-1) 0 5. Trade -Ins for taxable resale (Asa) 0 6. Bad debts charged -off, returned goods, trade discounts and allowances where tax was paid (cash discounts are not allowed) (A6.1) 0 7. Cost of utilities, excluding tax (restaurants only (at end of year) using DR 1465 form) (A7 -I) 0 8. Sales of agricultural compounds and pesticides (A8.1) 0 9. Other (explanation required) (A9-1) 38493 Total add lines 1 through 9 (enter here and on line 2b of the return) Total 38493 Part B --Exemptions 3B. Enter total State Exemptions and applicable Local Exemption on line 3b. 1. Food, including food sold through vendin . machines County/MTS City/LID Special District State (B7-1) 0 (B1-2) 0 (613) 0 (B1-4) 0 2. Machinery (82-1) 0 (B2-2) 0 (82.3) 0 (B2-4) 0 3. Electricity (83.1) 0 (83-2) 0 (83.3) 0 (83-4) 0 4. Farm Equipment (84.1) 0 (84.2) 0 (84-3) 0 (B4.4) 0 5. Sales of low -emitting vehicles, etc. (B5-1) 0 (B5-2) 0 (85-3) 0 (85.4) 0 6. School related sales (B6.1) 0 (86.2) 0 (86.3) 0 (86-4) 0 7. Cigarettes (87.1) 0 (BV.2) 0 (873) 0 (87-4) --- 8. Renewable energy components (68-1) 0 (88.2) 0 (88-3) 0 (88.4) 0 9. Space Flight Exemption (89.1) 0 (B9.2) 0 (B9.3) 0 (89.4) 0 10. Other (explanation required) (B0.1) 0 (80.2) 0 (80.3) 0 (80.4) 0 11. Total (enter here and on line 3b of the return) 0 0 0 0 Departmental Use Only DR 0100 (06118114) COLORADO DEPARTMENT OF REVENUE Denver, CO 80261-0013 +n w TexColorado.com Strad under pen* of pe j . ry in the second degee. Colorado Retail Sales Tax Return Signature Date (MMroon() SSN 1 SSN 2 FEIN Last Name or Business Name SELECT STAY HOTEL First Name Middle Initial Address City State Zip 0021-101 Phone 1. Gross Sales and Services for this site/location only (include bad debts previously deducted) • (1-4) 93830 Colorado Account Number Period IM:VYYMAVYY) 03/31/15_ 2. Deductions (nontaxed sales): a. Sales to other licensed dealers, for resale • (2a4) 0 Due Date (mmadonv) 04/20/15 Location/Juris Code 028675650000 b. Other deductions (from page 2) • (2b4) 49839 Mark here if this Is an Amended Return • ,. c. Total Odd lines 2a & 2b} 49839 County/MTS City/LID Special District State 3. Net sales: (line 1 minus line 2c) • (3.1) 0 (3-2) 0 (3-3) 0 (3-4) 43991 a. Sales out of taxing area • (3a-1) 0 (3a-2) 0 (3a-3) 0 (3a-4) 0 b. Exemptions (list on page 2). • (3b-1) 0 (3b-2) 0 (3b-3) 0 (3b4) 0 c. Overpayment from previous return • (3c.4) 0 (3c-2) 0 (3c-3) 0 (3c-4) 0 4. Net taxable sales (l€ne 3 minus a,b,& c) 0 0 0 43991 Tax Rate 0 0 0 0.029 5. Amount of sales tax 0 0 0 1276 6. Excess tax collected • (6-1) 0 (6.2) 0 (83) 0 (64) 0 7. Total (add lines 5 & 6) 0 0 0 1276 8. a. Service fee rate 0 0 0 0.0333 b. Service fee allowed vendor (only if paid on or before due date) • (8-1) 0 (8-2) 0 (8-3) 0 (8-4) 42 9. Sales tax due (line 7 minus line 8b) 0 0 0 1234 10. Tax on $ 0 • (10.1) 0 (10-2) 0 (10-3) 0 (104) 0 11. Total tax due (add lines 9 & 10) • (11-1) 0 (11.2) 0 (11-3) 0 (114) 1234 12. Penalty: • (12-1) 0 (12-2) 0 (12-3) 0 (12.4) 0 13: Monthly interest rate times line 11 .0025 • (13.1) 0 (13.2) 0 (134) 0 (134) 0 14. Total each tax (add lines 11; 12, & 13) 0 0 0 1234 the Slatemayeoincel dredttoaonefineeedronkbant&,gtransect Yar bardsacoounim bed dasesdjasOresomad�ayyroee,�ed tr,eSlaio.0 oonvrrted, adedcw0ratbereturnedOycurdbedcisre' dos toiefeenl or uua adx r� D ,t of Renews may aa: the payment anaunt dredeJlfrorn}our aaanteedmra`j 15.TotalAmountOwed (add all columns Paid by EFT online 14) (355) $ 1234 DR 0100 (08/18/14) COLORADO DEPARTMENT OF REVENUE Denver, CO 80261.0013 vmw.iaxCabrado.com Colorado Retail Sales Tax Return Deductions and Exemptions Schedule: Colorado Account Number Period MIYv MIANY) Name Part A —Deductions 2B. Other Deductions must be itemized in the schedule below. Note: sales to other licensed dealers page 1 of form, line 2a. 1. Service sales (A1-1) 0 2. Sales to governmental agencies, religious or charitable organizations (A2.1) 0 3. Sales of gasoline (A341) 0 4. Sales of drugs by prescription and prosthetic devices (A4.1) 0 5. Trade-ins for taxable resale (A5.1) 0 6. Bad debts charged -off, returned goods, trade discounts and allowances where tax was paid (cash discounts are not allowed) (A6.1) 0 7. Cost of utilities, excluding tax (restaurants only (at end of year) using DR 1465 form) (A7-1) 0 8. Sales of agricultural compounds and pesticides (A8.1) 0 9. Other (explanation required) (A9-1) 49839 Total add lines 1 through 9 (enter here and on line 2b of the return) Total 49839 Part B —Exemptions 3B. Enter total State Exemptions and applicable Local Exemption on line 3b. 1. Food, including food sold through vending machines County/MIS City/LID Special District State (61-1) 0 {81-2) 0 (81.3) 0 (01-4) 0 2. Machinery (B2-1) 0 (32.2) 0 (32-3) 0 (92-4) 0 3. Electricity (63-1) 0 (63.2) 0 (63-3) 0 (63-4) 0 4. Farm Equipment (B4-1) 0 (64-2) 0 (B4.3) 0 (34.4) t) 5. Sales of low -emitting vehicles, etc. (85-1) 0 (B5-2) 0 (95-3) 0 (85-4) 0 6. School related sales (Be -1) 0 (96-2) 0 (88.3) 0 (38.4) 0 7. Cigarettes (87.1) 0 (87.2) 0 (67.3) 0 (BT -4) _- 8. Renewable energy components (38.1) 0 (68-2) 0 (68.3) 0 (98.4) 0 9. Space Flight Exemption (B9.1) 0 (39.2) 0 (39-3) 0 (694) 0 10. Other (explanation required) (80.1) 0 (60.2) 0 (B9.3) 0 (00.4) 0 11. Total (enter here and on line 3b of the return) 0 0 0 0 Departmental Use Only DR 0100 (06118114) COLORADO DEPARTMENT OF REVENUE Denver, CO 80261-0013 www TaxCoforado.com Signed under pen* a perjury in the second degree. Colorado Retail Sales Tax Return Signature Date (MMIDDIYY) SSN 1 SSN 2 FEIN Last Name or Business Name SELECT STAY HOTEL First Name Middle Initial Address City State Zip 0021-101 Phone 1. Gross Sales and Services for this site/location only (include bad debts previously deducted) • (1'4) 88835 Colorado Account Number Period (MP.WYY-MWYY) 04/30/15_ 2. Deductions (nontaxed sates): a. Sales to other licensed dealers, for resale • (2a-4) 0 Due Date (MMIDDIYY) 05/20/15 ocaiion/duris Code 028675650000 b. Other deductions (from page 2) • (2b-4) 34813 Mark here if this is an Amended Return • c. Total (add lines 2a & 2b) 34813 County/MTS City/LID Special District State 3. Net sales: (line 1 minus line 2c) • (3.1) 0 (3.2) 0 (3.3) 0 (3.4) 54022 a. Sales out of taxing area • (3a-1) 0 (3a-2) 0 (3a-3) 0 (3a-4) 0 b. Exemptions (list on page 2). • (3b-1) 0 (3b-2) 0 (3b-3) 0 (3b-4) 0 c. Overpayment from previous return • (3c-1) 0 (3c-2) 0 (3c-3) 0 (3c-4) 0 4. Net taxable sales (tine 3 minus a,b,& c) 0 0 0 54022 Tax Rate 0 0 0 0.029 5. Amount of sales tax 0 0 0 1567 8. Excess tax collected • (8.1) 0 (6.2) 0 (8'3) 0 (6.4) 0 7. Total (add lines 5 & 6) 0 0 0 1567 8. a. Service fee rate 0 0 0 0.0333 b. Service fee allowed vendor (only if paid on or before due date) • (8-1) 0 (8-2) 0 (8-3) 0 (8.4) 52 S. Sales tax due (line 7 minus line Bb) 0 0 0 1515 10. Tax on $ 0 • (10.1) 0 (10-2) 0 (10.3) 0 (10.4) 0 11. Total tax due (add lines 9 & 10) • (11-1) 0 (11-2) 0 (11-3) 0 (114) 1515 12. Penalty: • (12.1) 0 (12-2) 0 (12.3) 0 (12-4) 0 13. Monthly interest fate times line 11 .0025 • (13.1) 0 (13.2) 0 (133) 0 (13.4) 0 14. Total each tax (add lines 11, 12, & 13) 0 0 0 1515 The Stare may m ad your cited b a one Inv elecvonic ban4N tron5adan. Yocr bank accaiM ma to debrI4i gs easy as the sane da reoe j the Slate. 8 ea or s, reo ()apartment dRec3eyruameyealeditbe p a�eats+rorayourb account electronic*. nic*. 15. Total Amount Owed I (add all columns I Paid by EFT on One 14) (355) $ 1515 OR 0100 (06/18/14) COLORADO DEPARTMENT OF REVENUE Denver. CO 80261.0013 www.TexColorado.com Colorado Retail Sales Tax Return Deductions and Exemptions Schedule: Colorado Account Number Period e.i..4m-mt,tpro Name Part A --Deductions 2B. Other Deductions must be itemized in the schedule below. Note: sales to other licensed dealers page 1 of form, line 2a. 1. Service sales (A1-1) 0 2. Sales to governmental agencies, religious or charitable organizations (A2-1) 0 3. Sales of gasoline (A3.1) 0 4. Sales of drugs by prescription and prosthetic devices (M.1} 0 5. Trade-ins for taxable resale (45.1) 0 6. Bad debts charged -off, returned goods, trade discounts and allowances where tax was paid (cash discounts are not allowed) (As -1) 0 7. Cost of utilities, excluding tax (restaurants only (at end of year) using DR 1465 form) (A7.1) 0 8. Sales of agricultural compounds and pesticides (A8.1) 0 9. Other (explanation required) (A9.11 34813 Total add lines 1 through 9 (enter here and on line 2b of the return) Total 34813 Part B —Exemptions 3B. Enter total State Exemptions and applicable Local Exemption on line 3b. 1. Food, including food sold through vending machines County/MIS DE/LID Special District State (81-1) 0 (81.2) 0 (et -3) 0 (81-4) 0 2. Machinery (B2-1) 0 (B2-2) 0 (B23) 0 (B2.4) 0 3. Electricity (83-1) 0 (B3-2) 0 (B33) 0 (83.4) 0 4. Farm Equipment (84.1) 0 (84.2) 0 (84.3) 0 (64.4) 0 5. Sales of low -emitting vehicles, etc. (85.1) 0 (85.2) 0 (853) 0 (B5.4) 0 6. School related sales (B6.1) 0 (86-2) 0 (B83) 0 (86.4) 0 7. Cigarettes (B7-1) 0 (87.2) 0 (B7-3) 0 (87-4) "'r 8. Renewable energy components (88.1) 0 (B8.2) 0 (88-3) 0 (B8.4) 0 9. Space Flight Exemption (09-1) 0 (B9.2) 0 (89.3) 0 (B9.4) 0 10. Other (explanation required) (BO.1) 0 (80-2) 0 (80.3) 0 (60.4) 0 11. Total (enter here and on line 3b of the return) 0 0 0 0 Departmental Use Only DR 0100 (06118114) COLORADO COODEPARTMENTOFREVENUE Colorado Retail Denver, C 80261-0013 vnwl.TaxColorado.com Sales Tax Return S+gned under penaly a pajuly in tte seoond d egree. Signature Date (MMloorrY) SSN 1 SSN 2 FEIN Last Name or Business Name SELECT STAY HOTEL First Name Middle Initial Address City jstate Zip 0021-101 Phone 1. Gross Sales and Services for this site/location only (include bad debts previously deducted) • 11-4) 95707 Colorado Account Number Period (w.uYv ttwvyY) 05/31/15.. 2. Deductions (nontaxed sales): a. Sales to other licensed dealers, for resale • (2a-4) 0 Due Date (MM/Du1YY) 06/22/15 Location/Juris Code 028675650000 b. Other deductions (from page 2) • (2b-4) 29985 Mark here if this is an Amended Return • C. Total (add lines 2a & 2b) 29985 County/MTS City/LID Special District State 3. Net sales: (line 1 minus line 2c) • (3.1) 0 (3-2) 0 -(3-3) 0 (3.4) 65722 a. Sates out of taxing area • (3a-1) 0 (3a.2) 0 (3a-3) 0 (3a-4) 0 b. Exemptions (list on page 2). • (3b-1) 0 (3b-2) 0 (3b-3) 0 (3b-4) 0 c. Overpayment from previous return • (3c-1) 0 (3c-2) 0 (3c-3) 0 (3c-4) 0 4. Net taxable sales (fine 3 minus a,b,& c) 0 0 0 65722 Tax Rate 0 0 0 0.029 ' 5. Amount of sales tax 0 0 0 1906 6. Excess tax collected • (6.1) 0 (6.2) 0 (6.3) 0 (8.4) 0 7. Total (add lines 5 & 6) 0 0 0 1906 8. a. Service fee rate 0 0 0 0.0333 b. Service fee allowed vendor (only If paid on or before due dale) • (8.1) 0 (8-2) 0 (8-3) 0 (8-4) 63 9. Sales tax due (line 7 minus tine 8b) 0 0 0 1843 10. Tax on $ 0 • (10-f) 0 (10.2) 0 (10-3) 0 (10.4) 0 11. Total tax due (add lines 9 & 10) • (11-1) 0 (11-2) 0 (113) 0 (11.4) 1843 12, Penalty: • (12-1) 0 (12-2) 0 (12-3) 0 (12.4) 0 13. Monthly interest rate times line 1.1 .0025 • (13-1) 0 (13.2) 0 (13-3) 0 (134) 0 14. Total each tax (add lines 11, 12. & 13) 0 0 0 1843 The State mayaaneA w check to a tee (are ds 5onk banking transacdx. Your bank mall as bec;t ae early as tfie samened tnae Sala• It aur�tunds. thhrDepaAtrrentof tee a may: the payment mount dsedlyfrom your bank account eiedravwaty. 15, Total Amount Owed _ (add all columns online 14) Paid by EFT (355) $ 1843 DR 0100 (06118/14) COLORADO DEPARTMENT OF REVENUE Denver, CO 80261.0013 mnv.TaxColorado.con1 Colorado Retail Sales Tax Return Deductions and Exemptions Schedule: Colorado Account Number Period (Lcwry.uverr) Name Part A ---Deductions 2B. Other Deductions must be itemized in the schedule below. Note: sales to other licensed dealers page 1 of form, line 2a. 1. Service sales (A1.1) 0 2. Sales to governmental agencies, religious or charitable organizations (A2.1) 0 3. Sales of gasoline (A3•1) 0 4. Sales of drugs by prescription and prosthetic devices (A4.1) 0 5. Trade-ins for taxable resale (AS -1) 0 6. Bad debts charged -off, returned goods, trade discounts and allowances where tax was paid (cash discounts are not allowed) (a)-1) 0 7. Cost of utilities, excluding lax (restaurants only (at end of year) using DR 1465 form) (A7-1) 0 8. Sales of agricultural compounds and pesticides (A8.1) 0 9. Other (explanation required) (A9.1) 29985 Total add lines 1 through 9 (enter here and on line 2b of the return) Total 29985 Part B —Exemptions 3B. Enter total State Exemptions and applicable Local Exemption on line 3b. 1. Food, including food sold through vending machines County/MTS City/LID Special District State (61-1) 0 (s1-2) 0 (813) 0 (B14) 0 2. Machinery (62.1) 0 (82-2) 0 (B23) 0 (B2.4) 0 3. Electricity (B3-1) 0 (63.2) 0 (63.3) 0 (83.4) 0 4. Farm Equipment (84.1) 0 (84-2) 0 (84-3) 0 (84.4) o 5. Sales of low -emitting vehicles, etc. (85-1) 0 (85-2) 0 (853) 0 (B5-4) 0 6. School related sales (B6-1) 0 (86-2) 0 (B63) 0 (864) 0 7. Cigarettes (87-1) 0 (B7-2) 0 (87-3) 0 (B7.4) -_- 8. Renewable energy components (B8-1) 0 (88.2) 0 (88-3) 0 (88.4) 0 9. Space Flight Exemption (89.1) 0 (B9.2) 0 (89.3) 0 (894) 0 10. Other (explanation required) (80-1) 0 (80-2) 0 (BO.3) 0 (80.4) 0 11. Total (enter here and on line 3b of the return) 0 0 0 0 Departmental Use Only DR 0100 (08418114) COLORADO DEPARTMENT OF REVENUE Colorado Retail Denver, CO 80281-0013 wmv TaxCotorado.00m Sales Tax Return Signed under pe al)?ofpeduryhf►esemidegree. Signature Date (MM/oo4YY) SSN 1 SSN 2 FEIN Last Name or Business Name SELECT STAY HOTEL First Name Middle Initial Address City State Zip 0021-101 Phone 1, Gross Sales and Services for this sitellocation only (include bad debts previously deducted) • (1'4) 91688 Colorado Account Number Period sevWY-M►. 06/3115 wY)a. 2. Deductions (nontaxed sales): Sales to other licensed dealers, for resale • (2a-4) 0 Due Date (Mkvon!YY) 07/20/15 Locatlon/Juris Code 028675650000 b. Other deductions (from page 2) • (2b-4) 19847 Mark here if this is an Amended Return • c. Total (add lines 2a & 2b) 19847 County/MTS , City/LID Special District State 3. Net sales: (line 1 minus line 2c) • (3-1) 0 (3.2) 0 (3-3) 0 (3.4) 71841 a. Sales out of taxing area • (3a-1) 0 (3a-2) 0 (3a-3) 0 (3a4) 0 b. Exemptions (list on page 2). • (3b•1) 0 (3b.2) 0 (3b-3) 0 (3b-4) 0 c. Overpayment from previous return • (3c-1) 0 (3c-2) 0 (3c-3) 0 (3c-4) 0 4. Net taxable sales (line 3 minus a,b,& c) 0 0 0 71841 Tax Rate 0 0 0 0.029 5. Amount of sales tax 0 0 0 2083 6. Excess tax collected • (8-1) 0 (6.2) 0 (8-3) 0 (8.4) 0 7. Total (add lines 5 & 6) 0 0 0 2083 8. a. Service fee rate 0 0 0 0.0333 b. Service fee allowed vendor (only it paid on or before due date) • (8-1) 0 (a-2) 0 (8.3) 0 (8.4) 69 9. Sales tax due (line 7 minus line 6b) 0 0 0 2014 10. Tax on $ 0 • (10.1) 0 (10.2) 0 (10.3) 0 (10.4) 0 11. Total tax due (add lines 9 & 10) • (11-1) 0 (11.2) 0 (11-3) 0 (11-4) 2014 12. Penalty: • (12-1) 0 (12-2) 0 (12.3) 0 (12.4) 0 13. Monthly Interest rate times Ilne 11 .0025 • (13-1) 0 (13.2) 0 (13.3) 0 (13.4) 0 14. Total each tax (add lines 11, 12, & 13) 0 0 0 2014 be Stale mayvereertypte dick to a one tine el3ceonb bfece9 Itensacton. Your bank amino a/ be as ea'h` erty amchev,= e a'id oomcrkd, rliedcw3nolbeletwned.Byar kre duebfisu0rent Curbs the punlleieM� ,,,air to,epaymera•„ou,t or your 15. Total Amount Owed (addalle114)by P Paid EFT (355) $ 2014 DR 0100 (06/18/14) COLORADO DEPARTMENT OF REVENUE Denver, Co 80261.0013 w.vw.TaxCoforado. corn Colorado Retail Sales Tax Return Deductions and Exemptions Schedule: Colorado Account Number Period ( .erN JyY Name Part A —Deductions 2B. Other Deductions must be itemized in the schedule below. Note: sales to other licensed dealers page 1 of form, line 2a. 1. Service sales (A1-1) 0 2. Sales to governmental agencies, religious or charitable organizations (A2-1) 0 3. Sales of gasoline (A3.1) 0 4. Sales of drugs by prescription and prosthetic devices (A4.1) 0 5. Trade-ins for taxable resale (A5.1) 0 6. Bad debts charged -off, returned goods, trade discounts and allowances where tax was paid (cash discounts are not allowed) (A5-1) 0 7. Cost of utilities, excluding tax (restaurants only (at end of year) using DR 1465 form) (A7.1) 0 8. Sales of agricultural compounds and pesticides (A8.1) 0 9. Other (explanation required) (A9.1) 19847 Total add lines 1 through 9 (enter here and on line 2b of the return) Total 19847 Part B --Exemptions 3B- Enter total State Exemptions and applicable Local Exemption on line 3b. 1. Food, including food sold through vending machines County/MTS City/LID Special District State (81-1) 0 (81.2) 0 (81-3) 0 (61-a) 0 2. Machinery (B2.1) 0 (82.2) 0 (82.3) 0 (62-4) 0 3. Electricity (83-1) 0 (83-2) 0 (834) 0 (83.4) 0 4. Farm Equipment (B4-1) 0 (84.2) 0 (84-3) 0 (84-4) 0 5. Sales of low -emitting vehicles, etc. (85.1) 0 (85.2) 0 (854) 0 (85.4) 0 6. School related sales (88-1) 0 (88-2) 0 (864) 0 (86.4) 0 7. Cigarettes (87.1) 0 (87.2) 0 (87-3) 0 (87-4) '" 8. Renewable energy components (88.1) 0 (88.2) 0 (B8-3) 0 (88.4) 0 9. Space Flight Exemption (89.1) 0 (69-2) 0 (89.3) 0 (69.4) 0 10. Other (explanation required) (80.1) 0 (80.2) 0 (B0.3) 0 (88.4) 0 11. Total (enter here and on line 3b of the return) 4 0 0 0 Departmental Use Only DR 0100 (06118114) COLORADO DEPARTMENT OF REVENUE Denver, CO 80261-0013 wmv.Taxeolorarfo.com Sired under penalyofp ,ryintieseconddegree. Colorado Retail Sales Tax Return Signature Date (MM.NoorYY) SSN 1 SSN 2 FEIN Last Name or Business Name SELECT STAY HOTEL First Name Middle Initial Address City State Zip 0021-'101 Acne 1. Gross Sales and Services for this site/location only (include bad debts previously deducted) • (1'4) 94701 Colorado Account Number Period (MMIYY-MWYY) 07/31/15. 2. Deductions (nontaxed sales): a. Sales to other licensed dealers, for resale • (2a4) 0 Due Date (M voolYY) 08/20/15 Location/Juns Code 028675650000 b. Other deductions (from page 2) • (2b4) 17950 Mark here If this is an Amended Return • c. Total (add lines 2a & 2b} 17950 County/MTS City/LID Special District State 3. Net sales: (line 1 minus line 2c) • (3.1) 0 (3-2) 0 (3.3) 0 (3.4) 76751 a. Sales out of taxing area • (3a-1) 0 (3a-2) 0 (3a-3) 0 (3a.4) 0 b. Exemptions (list on page 2). • (3b-1) 0 (3b-2) 0 (3b3) 0 (3b-4) 0 c. Overpayment from previous return • (3c-1) 0 (3c-2) 0 (3c-3) 0 (3c-4) 0 4. Net taxable sales (tine 3 minus a,b,& c) 0 0 0 - 76751 Tax Rate 0 0 0 0.029 5. Amount of sales tax 0 0 0 2226 6. Excess tax collected • (8.1) 0 (6-2) 0 (6.3) 0 (8.4) 0 7. Total (add lines 5 & 6) 0 0 0 2226 8. a. Service fee rate 0 0 0 0.0333 b. Service fee allowed vendor (only if paid on or before due dale) • (8-1) 0 (8-2) 0 (8-3) 0 (8.4) 74 9. Sales tax due (line 7 minus line 8b) 0 0 0 2152 10. Tax on $ 0 • (10.1) 0 (10.2) 0 (10.3) 0 (10.4) 0 11. Total tax due (add lines 9 & 10) • (11.1) 0 (11.2) 0 (114) 0 (1i-4) 2152 12. Penalty: • (12.1) 0 (12.2) 0 (12-3) 0 (124) 0 13. Monthly interest rate times line 11 .0025 • (13-1) 0 (13-2) 0 (133) 0 113-4) 0 14. Total each tax (add lines 11, 12, & 13) 0 0 0 2152 The State may Mined your check b e nne Erne a ceonk bardf g trsrsactee. Vow bank accentma/Ibe�deb'edaseaIyadttresortie rece.ed tteSate.IE ounsold,rl d s. the Depart ietumed. ff w are &e b issolrcerd or /a« }z bank mount°asedrs � payment 15. Total Amount Owed (add tnel1o4o)umns Paid by EFT (355) $ 2152 DR 0100 (06/18114) COLORADO DEPARTMENT OF REVENUE Denver, CO 80261.0013 www.TexCoforado.com Colorado Retail Sales Tax Return Deductions and Exemptions Schedule: Colorado Account Number Period wry -mum) Name Part A —Deductions 2B. Other Deductions must be itemized in the schedule below. Note: sales to other licensed dealers page 1 of form, line 2a. 1. Service sales (A1.1) 0 2. Sales to governmental agencies, religious or charitable organizations (A2-1) 0 3. Sales of gasoline (A3.1) 0 4. Sales of drugs by prescription and prosthetic devices (A4.1) 0 5. Trade-ins for taxable resale (A5-1) 0 6. Bad debts charged -off, returned goods, trade discounts and allowances where tax was paid (cash discounts are not allowed) (AB -1) 0 7. Cost of utilities, excluding tax (restaurants only (at end of year) using DR 1465 form) (A7.1) 0 8. Sates of agricultural compounds and pesticides (A8.1) 0 9. Other (explanation required) (A9.1) 17950 Total add lines 1 through 9 (enter here and on line 2b of the return) Total 17950 Part B --Exemptions 3B. Enter total State Exemptions and applicable Local Exemption on line 3b. 1. Food, including food sold through vending machines County/MTS City/LID Special District State (81.1) 0 (81.2) 0 (81-3) 0 (814) 0 2. Machinery (B2-1) 0 (B2.2) 0 (823) 0 (824) 0 3. Electricity (83-1) 0 (83.2) 0 (B33) 0 (83.4) 0 4. Farm Equipment (84.1) 0 (B4-2) 0 (84-3) 0 (84.4) 0 5. Sales of low -emitting vehicles, etc. (85-1) 0 (B5.2) 0 (853) 0 (B5.4) 0 6. School related sales (88-1) 0 (88-2) 0 (88.3) 0 (88-4) 0 7. Cigarettes (B7-1) 0 (B7-2) 0 (87-3) 0 (87-4) '-' 8. Renewable energy components (88.1) 0 (88.2) 0 (88.3) 0 (884) 0 9. Space Flight Exemption (Be -1) 0 (89.2) 0 (89.3) 0 (894) 0 10. Other (explanation required) (80.1) 0 (80.2) 0 (88.3) 0 (804) 0 11. Total (enter here and on line 3b of the return) 0 0 0 0 Departmental Use Only DR 0100 (06118114) COLORADO DEPARTMENT OF REVENUE Denver, CO 80261-0013 www.TerColorado.com Signed under penaly of per)lry in the second degree. Colorado Retail Sales Tax Return SignetUre Date (MAUDDryy) SSN 1 SSN 2 FEIN Last Name or Business Name SELECT STAY HOTEL First Name Middle Initial Address City State Zip 0021-101 Phone 1. Grass Sales and Services for this site/location only (include bad debts previously deducted) • (1.4) 95902 Colorado Account Number Period pawn'-te.uyy) 08/31/15. 2. Deductions (nontaxed sales): a. Sales to other licensed dealers, for resale a (2a-4) 0 Due Date (MAUDDIYY) 09/21/15 Location/Juris Code 028675650000 b. Other deductions (from page 2) • (2b-4) 23538 Mark here if this Is an Amended Return • , c. Total (add lines 2a & 2b) 23538 County/MTS City/LID Special District State 3. Net sales: (line 1 minus line 2c) • (3.1) 0 (3.2) 0 (3-3) 0 (3.4) 72364 a. Sales out of taxing area • (3a-1) 0 (3a-2) 0 (3a-3) 0 (3a-4) 0 b. Exemptions (Ilst on page 2). • (3b-1) 0 (3b-2) 0 (3b-3) 0 (3b.4) 0 c. Overpayment from previous return • (3c.1) 0 (3c-2) 0 (3c-3) 0 (3c-4) 0 4. Net taxable sales (line 3 minus a,b,& c) 0 0 0 72364 Tax Rate 0 0 0 0.029 5. Amount of sales tax 0 0 0 2099 8. Excess tax collected • (6-1) 0 (6.2) 0 (6-3) 0 (6.4) 0 7. Total (add lines 5 & 6) 0 0 0 2099 8. a. Service fee rate 0 0 0 0.0333 b. Service fee allowed vendor (only if paid on or before due date) • (8-1) 0 (8.2) 0 (8-3) 0 (8.4) 70 9. Sales tax due (line 7 minus line 8b) 0 0 0 2029 10. Tax on $ 0 • (10.1) 0 (10-2) 0 (10.3) 0 (10.4) 0 11. Total tax due (add lines 9 & 10) • (11-i) 0 (11-2) 0 (11.3) 0 (11.4) 2029 12. Penalty: • (12.1) 0 (12.2) 0 (12-3) 0 (12.4) 0 13. Monthly interest rate times ilne 11 .0025 • (13.1) 0 (13.2) 0 (13.3) 0 (13-4) 0 14. Total each tax (add lines 11, 12, & 13) 0 0 0 2029 The Stet maycomaal your drede to mane no electronic banking trensecfbn, Your bank soow4ma bodebtedeseartyaseyesamedencZd eyebSte,y orurkWededfo foe oepepar�6rest�ofRevven em fr .thepa bamount rkedyfromtvtrbenkaccconlelectronra"y. 15. Total Amount Owed Ina 1C01Umns 4) Paid by EFT (355) $ 2029 DR 0100 (06118/14) COLORADO DEPARTMENT OF REVENUE Denver, CO 80261.0013 www TaxColorado.com Colorado Retail Sales Tax Return Deductions and Exemptions Schedule: Colorado Account Number III Period pd1my-uwrrl Name Part A —Deductions 2B. Other Deductions must be itemized in the schedule below. Note: sales to other licensed dealers page 1 of form, line 2a. 1. Service sales (Ai -1) 0 2. Sales to governmental agencies, religious or charitable organizations (A2.1) 0 3. Sales of gasoline (A3.1) 0 4. Sales of drugs by prescription and prosthetic devices (A4.1) 0 5. Trade-ins for taxable resale (15.1) 0 6. Bad debts charged -off, returned goods, trade discounts and allowances where tax was paid (cash discounts are not allowed) (A6-1) 0 7. Cost of utilities, excluding tax (restaurants only (at end of year) using DR 1465 form) (A7-1) 0 8. Sales of agricultural compounds and pesticides (A8.1) 0 9. Other (explanation required) (A9-1) 23538 Total add lines 1 through 9 (enter here and on line 2b of the return) Total 23538 Part B —Exemptions 3B. Enter total State Exemptions and applicable Local Exemption on line 3b. 1. Food, including food sold through vending machines County/MTS City/LID Special District State (81.1) 0 (81-2) 0 (81-3) 0 (81-4) 0 2. Machinery (B2-1) 0 (B2-2) 0 (824) 0 (82.4) 0 3. Electricity (63-1) 0 (83.2) 0 (83.3) 0 (B3.4) 0 4. Farm Equipment (84-1) 0 (84.2) 0 (B4-3) 0 (64.4) 0 5. Sales of low -emitting vehicles, etc. (85-1) 0 (85-2) 0 (853) 0 (85.4) 0 6. School related sales (86-1) 0 (66-2) 0 (86.3) 0 (B8.4) 0 7. Cigarettes (87-1) 0 (87-2) 0 (87-3) 0 (87.4) W"" 8. Renewable energy components (88.1) 0 (B8.2) 0 (B8.3) 0 (B8.4) 0 9. Space Flight Exemption (B9-1) 0 (89.2) 0 (893) 0 (89.4) 0 10. Other (explanation required) (80.1) 0 (60.2) 0 (80-3) 0 (60.4) 0 11. Total (enter here and on line 3b of the return) 0 0 0 0 Departmental Use Only DR 0100 (06/18114) COLORADO DEPARTMENT OF REVENUE Denver, CO 80261-0013 wwwTexColorado.com Signed under pcnaly of pew, in tree second degree. Colorado Retail Sales Tax Return Signature Date (MMloD/YY) SSN 1 SSN 2 FEIN Last Name or Business Name SELECT STAY HOTEL First Name Middle Initial Address City State Zip 0021-101 Phone 1. Gross Sales aed Services for this site/location only (include bad debts previously deducted) • (1.4) 85057 Colorado Account Number Period cwri tat,vyy) 09/30/15_a. 2. Deductions (nontaxed sales): Sales to other licensed dealers, for resale • (2a-4) 0 Due Date (mummy) 10/20/15 Location/Juris Code 028675650000 b. Other deductions (from page 2) • (2b.4) 19573 Mark here If this is an Amended Return • c. Total (add lines 2a & 2b) 19573 County/MTS City/LID , Special District State 3, Net sales: (line 1 minus line 2c) • (3.1) 0 (3.2) 0 134) 0 (3.4) 65484 a. Sales out of taxing area • (3a-1) 0 (3a-2) 0 pa -3) 0 (3a-4) 0 b. Exemptions (list on page 2). • (3b-1) 0 (3b-2) 0 (3b-3) 0 (3b-4) 0 c. Overpayment from previous return • (3c-1) 0 (3c-2) 0 (3c-3) 0 (3c-4) 0 4. Net taxable sales (line 3 minus a,b,& c) 0 0 0 65484 Tax Rate 0 0 0 0.029 5. Amount of sales tax 0 0 0 1899 6. Excess tax collected • (6.1) 0 (6-2) 0 (6-3) 0 (6.4) 0 7. Total (add lines 5 & 6) 0 0 0 1899 8. a. Service fee rate 0 0 0 0.0333 b. Service fee allowed vendor (only if paid on or before due date) • (8-1) 0 (e-2) 0 (8-3) 0 (8.4) 63 9. Sales tax due (fine 7 minus line 8b) 0 0 0 1836 10. Tax on $ 0 • (10.1) 0 (10.2) 0 (10.3) 0 (10-4) 0 11. Total tax due (add lines 9 & 10) • (11-1) 0 (11.2) 0 (113) 0 (11.4) 1836 12. Penalty: • (12.1) 0 (12.2) 0 (12-3) 0 (12.4) 0 13. Monthly interest rate times line 11 .0025 • (13.1) 0 (13.2) 0 (13.3) 0 (13-4) 0 14. Total each tax (add lines 11, 12, & 13) 0 0 0 1836 The Ws may cornedpor check b awe fene electron$ banYxng transauvn. Yew balk aaaskt mal be� Ceb;M as eery as the same da recei ededv Uw 5<ate. ' ceweded,Yocr dadcaif not fro re(umed. ireurd c is r ed due n amount o mccfe runde, ux Depsk eni of Rerewe ne/ the payment an,ouui dreae«nyeurbbankamounte nia 15. Total Amount Owed (add alt columns �� Paid by EFT online 14) (355) $ 1836 DR 0100 (06/18/14) COLORADO DEPARTMENT OF REVENUE Denver, CO 80261.0013 w.vw.TaxCororado.com Colorado Retail Sales Tax Return Deductions and Exemptions Schedule: Colorado Account Number Period pn eme,vYY) Name Part A —Deductions 2B..Other Deductions must be itemized in the schedule below. Note: sales to other licensed dealers page 1 of form, line 2a. 1. Service sales (A1.1) 0 2. Sales to governmental agencies, religious or charitable organizations (A2.1) 0 3. Sales of gasoline (A3.1) 0 4. Sales of drugs by prescription and prosthetic devices (A4•1) 0 5. Trade-ins for taxable resale (A5.1) 0 6. Bad debts charged -off, returned goods, trade discounts and allowances where tax was paid (cash discounts are not allowed) (A6-1) 0 7. Cost of utilities, excluding tax (restaurants only (at end of year) using DR 1465 form) (A7.1) 0 8. Sales of agricultural compounds and pesticides (A8.1) 0 9. Other (explanation required) (A9.1) 19573 Total add lines 1 through 9 (enter here and on line 2b of the return) Total 19573 Part B —Exemptions 38. Enter total State Exemptions and app 'cable Local Exemption on line 3b. 1. Food, including food sold through vending machines County/MTS City/LID Special District State (81.1) 0 (B1.2) 0 (813) 0 (814) 0 2. Machinery (B2-1) 0 (82-2) 0 (824) 0 (82-4) 0 3. Electricity (B3.1) 0 (83-2) 0 (B33) 0 (B3.4) 0 4. Farm Equipment (84,1) 0 (B4-2) 0 (84.3) 0 (84.4) 0 5. Sales of low -emitting vehicles, etc. (85-1) 0 (85.2) 0 (854) 0 (85-4) 0 6. School related sales (B6-1) 0 (B6-2) 0 (86.3) 0 (B8.4) 0 7. Cigarettes (87-1) 0 (37.2) 0 (B7-3) 0 (37-4) "- 8. Renewable energy components (88-1) 0 (88.2) 0 (88-3) 0 (88-4) 0 9. Space Flight Exemption (69.1) 0 (89.2) 0 (B9.3) 0 (B9-4) 0 10. Other (explanation required) (80.1) 0 (80-2) 0 (80.3) 0 (60.4) 0 11. Total (enter here and on line 3b of the return) p 0 0 0 Departmental Use Only DR 0100 (06/18/14) COLORADO DEPARTMENT OF REVENUE Colorado Retail Denver, CO 80261-0013 www..TaxColorado.corn Sales Tax Return Signed under perrutyof perjury h the seoord degree. Signature Date (suvoorvv) SSN 1 SSN 2 FEIN Last Name or Business Name SELECT STAY HOTEL First Name Middle initial Address City State Zip 0021-101 Phone 1. Gross Sales and Services for this site/location only (include bad debts previously deducted) • (1-4) 93440 Colorado Account Number Period OtANv.MWVY) 10/31/15. 2. Deductions (nontaxed sales): a. Sales to other licensed dealers, for resale • (2a-4) 0 Due Date warm) 11/20/15 Location/Juris Code 028675650000 b. Other deductions (from page 2) • (2b-4) 22207 Mark here if this is an Amended Return • C. Total (add lines 2a & 2b) 22207 County/MTS City/LID Special District State 3. Net sales: (line 1 minus line 2c) • (3-1) 0 (3.2) 0 (3-3) 0 (34) 71233 a. Sales out of taxing area • (3a -t) 0 (3a•2) 0 (3a-3) 0 (3a-4) 0 b. Exemptions (list on page 2). • (3b-1) 0 (3b-2) 0 (3b-3) 0 (3b-4) 0 c. Overpayment from previous return • (3c-1) 0 (3c-2) 0 (3c-3) 0 (3c.4) 0 4. Net taxable sales (line 3 minus a,b,& c) 0 0 0 71233 Tax Rate 0 0 0 0.029 5. Amount of sales tax 0 0 0 2066 6. Excess tax collected • (6.1) 0 (6.2) 0 (6-3) 0 (6-4) 0 7. Total (add lines 5 & 6) 0 0 0 2066 8. a. Service fee rate 0 0 0 0.0333 b. Service fee allowed vendor (only if paid on or before clue dale) • (8-1) 0 (a-2) 0 (8.3) 0 (8-4) 69 9. Sates tax due (line 7 minus line 8b) 0 0 0 1997 10. Tax on 5 0 • (10-1) 0 (10.2) 0 (10.3) 0 (104) 0 11. Total tax due (add lines 9 & 10) • (11.1) 0 (11.2) 0 (11.3) 0 (11.4) 1997 12. Penalty: • (12.1) 0 (12.2) 0 (12-3) 0 (12.4) 0 13. Monthly interest rate times line 11 .0025 • (13.1) 0 (13-2) 0 (13-3) 0 (134) 0 14. Total each tax (add lines 11. 12, & 13) 0 0 0 1997 The Stare may meet jyyr the.* to a one fine eled,onic beteeng harsAbn. Your bank acemni maI be ad b ed as easy as tt,e same dad�yy r cret ed tte Sate. tf aomwW, ntrdxdcwitnotbejetumed.Ifyrourdredcisr' duebt nt orunw2— ed!uncle,iheDepartmentoft� inuemay cot' the payment amount (Tesatyfromyour bards account &ec1enrcay. 15. Total Amount Owed r 1 (add all columns I i Paid by EFT Oil line 14) (355) $ 1997 DR 0100 (06/18/14) COLORADO DEPARTMENT OF REVENUE Denver, CO 80261-0013 wwe' TaxColorado.corn Colorado Retail Sales Tax Return Deductions and Exemptions Schedule: Colorado Account Number Period v wpm-mwrr► Name Part A —Deductions 28. Other Deductions must be itemized in the schedule below. Note: sales to other licensed dealers page 1 of form, line 2a. 1. Service sales (A1.1) 0 2. Sales to governmental agencies, religious or charitable organizations (A2-1) 0 3. Sales of gasoline (A34) 0 4. Sales of drugs by prescription and prosthetic devices (A4.1) 0 5. Trade-ins for taxable resale (AS•1) 0 6. Bad debts charged -off, returned goods, trade discounts and allowances where tax was paid (cash discounts are not allowed) (A6.1) 0 7. Cost of utilities, excluding tax (restaurants only (at end of year) using DR 1465 form) (AT -1) 0 8. Sales of agricultural compounds and pesticides (A8-1) 0 9. Other (explanation required) (A9.1) 22207 Total add lines 1 through 9 (enter here and on line 2b of the return) Total 22207 Part B —Exemptions 3B. Enter total State Exemptions and app Icable Local Exemption on line 3b. 1. Food, including food sold through vending machines County/MTS City/LID Special District State (81-1) 0 (81.2) 0 (B13) 0 (81-4) 0 2. Machinery (82-1) 0 (82-2) 0 (82.3) 0 (82.4) 0 3. Electricity (83.1) 0 (83-2) 0 (B3-3) 0 (83.4) 0 4. Farm Equipment (B4.1) 0 (84.2) 0 (84-3) 0 (84.4) 0 5. Sales of low -emitting vehicles, etc. (86.1) 0 (85-2) 0 (853) 0 (85.4) 0 6. School related sales (86-1) 0 (B8-2) 0 (86.3) 0 (86-4) 0 7. Cigarettes (87-1) 0 (B7-2) 0 (8T-3) 0 (87.4) --- 8. Renewable energy components (88.1) 0 (88.2) 0 (88.3) 0 (88.4) 0 9. Space Flight Exemption (89.1) 0 (B9.2) 0 (B9-3) 0 (89-4) 0 10. Other (explanation required) (BD -1) 0 (80.2) 0 (80.3) 0 (80.4) 0 11. Total (enter here and on line 3b of the return) 0 0 0 0 DR 0100 (09105!13) COLORADO DEPARTMENT OF REVENUE Denver. Co 80261.0013 nww.TaxColorado.com Signed mkt pena%y of perjury In thesecond degree. Colorado Retail Sales Tax Return Departmental Use Only Signature Date IAttvDp1YY) 12/08/15 (It6;I lgIMlOlFt SSN 1 SSN 2 FEIN 20-8480142 0 9 9 11 Last Name or Business Name Lewis D Morales, LLC DBA Select Stay Hotel First Name Middle initial Address 3025 8th Avenue City Evans State CO Zip 80620 0021-100 Phone (970) 356-2180 1. Gross Sales and Services for this site/location only (include bad debts previously deducted) • (14) 86 , 516 00 Colorado Account Number 02867565-0000 Period (Mvrry.M 1YY) 11/15 —11/15 2. Deductions (nontaxed sales): a. Sales to other licensed dealers, for resale • (2a4) 00 Due Date (Mtvoorvy) 12/20/15 Location/Juris Code 03.0041 b. Other deductions (from page 2) • (2b.$) 25,620 00 Mark here If this is an Amended Return • c. Total (add lines 2a & 2b) 25 , 620 00 CountylMTS City/LID Special District State 3. Netsates: (line 1 minus line 2c) • (3.1) 00 (3-2) 00 (3-3) • 00 134) 60 896 00 a. Sales out of taxing area • (3a-1) 00 (3a-2) 00 (3a4) 00 , (3a.4) 00 b. Exemptions (list on page 2). • (3b.1) 00 (3b.2) 00 (3b4) 00 (3b.4) 0 00 c. Overpayment from previous return • (30.1) 00 (30.2) 00 (304) 00 (3c-4) 00 4. Net taxable sales (line 3 minus a,b.& c) 00 00 00 60 , 896 00 Tax Rate 0.0290 5. Amount of sales tax 00 00 00 1, 766 00 8. Excess tax collected • (8.1) 00 (8.2) 00 (6.3) 00 (84) 00 7. Total (add lines 5 & 6) 00 00 00 1,766 00 O 8. a. Service fee rate 0.0333 b. Service fee allowed vendor (only If patd on or before due date) • (8.1) 00 (8.2) 00 (8.3) 00 (8.4) 59 00 9. Sales tax due (line 7 minus line 8b) 00 00 00 1, 707 00 10. Tax on $ • (10.1) 00 (10-2) 00 (104) 00 (104) 00 11. Total tax due (add lines 8 & 10) • (11.1) 00 (11.2) 00 (11-3) (11-4) 00 1, 707 00 12. Penalty: • (12.1) 00 (12.2) 00 (12.3) (12.4) 00 00 13. Monthly Interest rate times (13.1) line 11 .0025 • (13.2) 00 (13-3) 00 (134) 00 00 14. Total each tax (addlines11, 12, & 13) 00 00 00 1, 707 00 fm� YYarbadeoo maaibyedeb9edasearasPiesarsd11reoefe dbyyr Sta`ll'liwnve<1edYour`fsdcwnnctbere{eaed.syou a**13re�Ycteddud toInsWrueraaun ,- —fads. the DepaMranto[Reeenuemaycoredthe payment amount dred)ltan ya0bank soccat&tiiord*. I� 15. Total Amount Owed I ^ I Paid by EFT (add all columns on tine 14) (355) 1,707.00 DR 0100 (09/05113) COLORADO DEPARTMENT OF REVENUE Denver, CO 60261-0013 svrmu TexCotorado.corn liqmprowinqu Colorado Retail Sales Tax Return Deductions and Exemptions Schedule: Gatorade Account Number 02867565-0000 Period (kumruawr) 11/15 - 11/15] Name Lewis D Morales, LLC DBA Select Stay Hotel Part A --Deductions 2B. Other Deductions must be itemized in the schedule below. 1. Service sales (A1-i) 0 00 2. Sales to governmental agencies, religious or charitable organizations (A2-1) 0 00 3. Sales of gasoline (A3.11 00 4. Sales of drugs by prescription and prosthetic devices (A4.1) 00 5. Trade -Ins for taxable resale (A6-i) 00 6. Bad debts charged -off, returned goods, trade discounts and allowances where tax was paid (cash discounts are not allowed) {A8'i) 00 7. Cost of utilities, excluding tax (AT -1) 00 8. Sales of agricultural compounds and pesticides (A8.1) 00 9. Other (explain) Rooms rented more than 30 days and misc non-taxable (A9.1) 25 , 620 00 Total add lines 1 through 9 (enter here and on line 2b of the return) Total 25 , 620 00 Part B —Exemptions 3B. Enter total State Exemptions and applicable Local Exemption on line 3b. 1. Food, including food sold through vending machines County/MTS City/LID Special District State (81.1) 00 (01.2) 00 (81.3) 00 (01-4) 00 2. Machinery (02A) 00 (B2-2) 00 (02.3) 00 (82.4) 00 3. Electricity (83-1) 00 (03-2) 00 (03.3) 00 (043,4) 00 4. Farm Equipment (B4.1) 00 (84.2) 00 (B4-3) 00 (84.4) 00 5. Sales of low -emitting vehicles, etc. (Be -1) 00 (86.2) 00 (86.3) 00 (B64) 00 6. School related sales (Be -1) 00 (06.2) 00 (B6.3) 00 (B6-4) 00 7. Cigarettes (B7-1) 00 (87-2) 00 (ST -3) 00 (BM) - N/A - 00 8. Renewable energy components (08.1) 00 (B8.2) 00 (88-3) 00 (88.4) 00 9. Other (explain) (09.1) 00 (89.2) 00 (89.3) 00 (B9.4) 0 00 10. Total (enter here and on me 213 of the return) 00 00 00 0 00 Lori Lovato From: Sent: To: Subject: Attachments: Lori, Christine Rouch <cerouch@propertytaxadvisor.net> Tuesday, April 24, 2018 9:39 AM Lori Lovato Petitions for Abatement R7130298 2017.pdf; R7130298 2016.pdf Attached are the petitions for abatement for R7130298 with the years broke out on separate applications per your request. Please let me know if you need anything else. Thank you. Christine Rouch Office Manager Tel. 303.368.0500 Fax. 303.368.0573 3094 S. Jamaica Court, Suite #204, Aurora, Colorado 80014 1 5/31(2018 Property Report Weld County PROPERTY PORTAL Property Information (970) 400-3650 Technical Support (970) 400-4357 Account: R7130298 May 31, 2018 Account Information Account Parcel S► Type Account Tax Year Buildings Actual Value Assessed Value R7130298 096120208021 Commercial 2018 1 3,050,000 884,500 Legal EVS SG L13-14 AMENDED SOUTHGATE SUB L Subdivision Block Lot Land Economic Area SOUTHGATE SUB AM PLAT 13 -L EVANS OLD TOWN Property Address Property City Zip Section Township Range 3025 8TH AVE 20 05 65 EVANS Owner(s) Account Owner Name Address R7130298 MORALES LLC LEWIS D 3025 8 806201203 THAVE EVANS, CO Document History https://propertyreport.co.weld.co.us/?account=R7130298 1/5 5/31/2018 Property Report Reception Rec Date 1 pe Grantor Grantee Doc Fee Sale Date Sale price 1756158 SUB SUBDIVISION 1 SOUTHGATE AMD I 0.00 0 2845962 05-04-2001 WD T SIGNATURE HOSPITALITY RESOURCES INC YOO INVESTMENT INC JAMES 225.00 04-26-2000 2,250,000 3162106 03-16-2004 WO YOO INVESTMENT INC JAMES INVESTMENTS INC 230.00 03-12-2004 2,300,000 3403206 07-14-2006 WD INVESTMENTS INC KIMS MORALES D & 320.00 07-13-2006 3,200,000 LEWIS 3550385 04-28-2008 AFFD MORALES LEWIS D & MORALES D 0.00 04-25-2008 0 LEWIS 3690226 04-30-2010 QCN MORALES D MORALES LEWIS D LLC 0.00 04-22-2010 0 LEWIS Building Information Building 1 AccountNo Building ID Occupancy R7130298 1 Hospitality ID Type NBHD Occupancy % Complete Bedrooms Baths Rooms 1 Commercial 6925 Hospitality 100 0 0 61 ID Exterior Roo Cover Interior HVAC per Units Unit Type Make Gable Individual Heat Pump Unit 652 0 https://propertyreport.co.weld.co.us/?account=R7130298 2/5 5/31/2018 Property Report ID Square Ft Condo SF Total Basement SF Finished Basement SF Garage SF Carport SF Balcony SF Porch SF 1 25,182 0 0 0 0 0 0 0 Built As Details for Buildinca 1 ID Built As Square Ft Year Built Stories Length Width 1 00 Motel 25,182 1995 2 0 0 Additional Details for Buildin4 1 ID Detail Type Description Units 1 Add On Asphalt Fair 24,450 1 Add On Concrete Slab Average 544 1 Add On Concrete Slab Fair 3,169 1 Add On Swimming Pool 500 Valuation Information Type Code Description Actual Value Assessed Value Acres Land SqFt Improvement 2215 LODGING - IMPROVEMENTS 2,854,200 827,720 0 000 0 LandLAN 2112 MERCHANDISING- 195,800 56,780 1 800 78,320 Totals - - 3,050,000 884,500 1 800 78,320 Tax Authorities https //propertyreport co weld co usPaccount=R7130298 3/5 5/31/2018 Property Report Tax Area ID District District Name Current Mill Levy 0650 0700 AIMS JUNIOR COLLEGE 6.317 0650 0405 EVANS CITY 3.536 0650 0534 EVANS FIRE 15.500 0650 1050 HIGH PLAINS LIBRARY 3.256 0301 NORTHERN (NCW) COLORADO WATER 1.000 0650 I 0206 SCHOOL DIST #6-GREELEY 45.628 0650 0100 WELD COUNTY 15.800 Total - - 91.037 Photo Sketch https://propertyreport.co.weid.co.us/?account=R7130298 4/5 5/31/2018 Property Report 1 st Floor 12,842 sq ft 3) 1s" x le: BAYS (1) 1 V X 23' BM - 11 0' Vat Mal awl Vat Vet sea aa.sa flea Vsow t 4.0' 3.4' 152 _0' • • • Pr Vat Hot Tub U Conc. Slab 39780 sq. 1t. Total Rooms 86.0' 1 1 '6 x I Si E.�. ' S Sketch tt'5i *ex RI Sea J • S. • ea 18 i7 24111 Express Hote Bit 1995 Class 0 SILK co 1+' At; tttu-W31 heati ooi 2r_; 01 HAY 16.x' d4 Cr 16'.0' 7.01 11 .0' ne 105.0' t • anopy 544 0 sq. ft. Building 1 Page 1 Vat u Vat vest O)1'61' ,'{ ; 8' t a, Copyright © 2018 Weld County, Colorado. All rights reserved. Privacy Policy & Disclaimer I Accessibility Information https://propertyreport.co.weld.co.us/?account=R7130298 5/5 35`##D8 ¢0`+U5 31100 001 ).� r1 . x• : > u �. awrr .; 0 0 , a • vMrr.rrrMr #L.? 'twa 1 ? 006 "� ..- ter 3001533073006 1107 #L5141,07.. �. s . p 1,, ;p , , , �. 07 #A2 3t)06.,�A 3 �_�� .. �� 1107 4.. �'-`;-��3011'4` 07�U�l 0— 30:1 _ s , i� 30' 4 ?01Ft 10? #D6 .j n 3911 c 3 >, 1127ii'1 1 „y`� .�t . 02:3�.3023:�M`z�— ``��:•�{� e:-.. " • i----7— 25'' 3011Yr. • ,, .:4019,'02 1200 t1�,'6''1z1,ZQy:;x).1,7 3018:E30,?G; ict �= E 30 4 ~ ,� , n -3 3020--_,% d; ka02!i .3021 a * i.-;i - . ._. "_ :t a - ac„- *30 Ito zn ; t;Q& - 301-,� 3027,1 ,& 23:3026 tr,j,t, - , a 302jet• r 102Lk 3 0 3 .) � . Ulf) :-u15 30 z x30`30 122;1 . . -,ter p _ r,.,. ass, I. - i aL t 301 .. .3027 :' , 1213 3C 26.x03 �' �,, e 30�i2 '11217 1205:303;# u n `.u33� .°I; 2°3035 I. a. at . t ll 303.E "'. u U aVJ�� .- .�" 3039 1220121412,0 304 0 30;1'13038 Fr, ��' �_'em:�r � � � � E= 0313 - _ 4325 31 STREET L N - 31 STLSL 31ST ST This map is a user generated static output from an Internet mapping site and is for reference only. Data layers that appear on this map may or may not be accurate, current, or otherwise reliable. THIS MAP IS NOT TO BE USED FOR NAVIGATION This map is a user generated static output from an Internet mapping site and is for reference only. Data layers that appear on this map may or may not be accurate, current, or otherwise reliable. THIS MAP IS NOT TO BE USED FOR NAVIGATION SE!' c ou l� June 4, 2018 MORALES, LEWIS D., LLC 3025 8TH AVENUE EVANS, CO 80620 RE: SCHEDULE NUMBER R7130298 - 2016 TAX YEAR Dear Property Owner: CLERK TO THE BOARD PHONE: (970) 400-4225 FAX: (970) 336-7233 1150O STREET P.O. BOX 758 GREELEY, COLORADO 80632 This is to advise you that the Weld County Board of Commissioners will hear your petition for abatement or refund of taxes on the property described as: 3025 8th Avenue, Evans, Colorado 80620. The meeting is scheduled for Wednesday, June 20, 2018, at 9:00 a.m., in the Chambers of the Board of County Commissioners of Weld County, Colorado, Weld County Administration Building, 1150 O Street, Assembly Room, Greeley, Colorado 80631. The Assessor is recommending that the Board approve your petition. You are not required to be present at this hearing; however, this is your opportunity to have your position heard, particularly if your position is opposed to the Assessor's recommendation. If you intend to submit any documentation in support of your position for this hearing, all such documentation must be submitted to the Office of the Clerk to the Board and to the Weld County Assessor's Office at least seven calendar days prior to the meeting date in order for it to be considered at the scheduled hearing. If you have any questions concerning this matter, please do not hesitate to contact me at (970) 400-4213. Sincerely, etC)fiatz, aormick-cd Chloe A. Rempel Deputy Clerk to the Board cc: Assessor Property Tax Advisors, Inc. Chloe Rempel From: Sent. To: Subject- Attachments: Good morning, Chloe Rempel Monday, June 4, 2018 8 51 AM 'ptadvisor@propertytaxadvisor net' Petition for Abatement or Refund of Taxes - Notice of Hearing Scheduled for R7130298 (2016 Tax Year) Tax Abatement Notice of Hearing - R7130298 pdf This is to advise you that the Weld County Board of Commissioners will hear your petition for abatement or refund of taxes, for the 2016 tax year, on the property described as 3025 8th Avenue, Evans, Colorado 80620 The meeting is scheduled for Wednesday, June 20, 2018, at 9 00 a m , in the Chambers of the Board of County Commissioners of Weld County, Colorado, Weld County Administration Building, 1150 O Street, Assembly Room, Greeley, Colorado 80631 Please see the attached letter for further information If you have any questions or concerns, please do not hesitate to contact me Sincere regards, Chloe A. Rempel Deputy Clerk to the Board Weld County 1150 O Street Greeley, CO 80631 tel 970-400-4213 Confidentiality Notice This electronic transmission and any attached documents or other writings are intended only for the person or entity to which it is addressed and may contain information that is privileged, confidential or otherwise protected from disclosure If you have received this communication in error, please immediately notify sender by return e-mail and destroy the communication Any disclosure, copying, distribution or the taking of any action concerning the contents of this communication or any attachments by anyone other than the named recipient is strictly prohibited 1 WELD COUNTY PETITION FOR ABATEMENT OR REFUND OF TAXES CERTIFICATE OF MAILING COMPANY POSTAL CODE STATE ADDRESS 1 CITY LAST NAME FIRST NAME Morales, LLC Lewis D., 3025 8th Avenue Evans CO 80620 Dariush Bozorgpour ptadvisor@propertyt axadvisor.net Property Advisors, Tax Inc. I hereby certify that I have sent a notification of hearing date letter in accordance with the notification requirements of Weld County in the United States Mail, postage prepaid First Class Mail by letter as addressed on the attached list this 4th day of June, 2018. W V W CC O .v < i cn _ O 4 O c!) W E 8 I 0 t 0 U m U ors U a) es i '- > a m 0 t O E a C m 2 �i - o V V '5 ''C� 1 U a a m m m o e M c m [t =m in cn i E I - t 7 ct cc • O < < w❑❑❑❑❑ 07 Mi 0 CL u. C co 0) G. 0 596E 9E6L 0000 OSLO 9TOZ Chloe A. Rempel Deputy Clerk to the Board 0 to do a) ot 0) 1 c 0 O O Qr O • co z a)"N.8 a 'a' Qs ao C > a) 13 a5 w m O 17 co O 't' co ti 1 o a ti a) to �a N o E tv o ui coPcr; O'= M coo �E L tr, N 'D r it ati E a U '2 L a. >., cts r ++ E cn _co o o OflcoQo ■ ■ ■ U J J Q co 3 J (n 0 ca I- _oc _o o EEa, Imoa) tD ti o -D :; tit i O CD a) a) r .2 2O CD cn= :; : ; a) a cc cco,�awtotr DOD a) W t≥ U Q U y 9 U pc aa - -© H & C c2 g'a'm W D '0 a) a) O O <<0000. cri❑❑'❑❑❑I 9590 9402 1714 6053 4713 79 m N CI 0 II O N Domestic Return Receipt July 2, 2018 CLERK TO THE BOARD PHONE: (970) 400-4225 FAX: (970) 336-7233 1150 O STREET P.O. BOX 758 GREELEY, COLORADO 80632 STATE OF COLORADO DIVISION OF PROPERTY TAXATION 1313 SHERMAN STREET, ROOM 419 DENVER, CO 80203 RE: PETITION FOR ABATEMENT OR REFUND OF TAXES - MORALES, LEWIS D., LLC To Whom It May Concern: Please review the attached documents, which include the original petition, a copy of the petition, two copies of the resolution approved by the Weld County Board of Commissioners, and a copy of the back-up documentation supporting the petition. Tax Years: 2016 Parcel Number: 096120208021 Account Number: R7130298 If you have any questions concerning this matter, please do not hesitate to contact me at (970) 400-4213. Sincerely, 0_a(204, - ReAse.„(v-e- Chloe A. Rempel Deputy Clerk to the Board 6/29/2018 FedEx Ship Manager - Print Your Label(s) OM Z610 9211 c) O N Co c rno z w doC:ti lnr so - nHl = m J181118012601uv 552J2/93DFCCA5 0 z 0 0 CO —*n0 z70 u,m2x gm orr-0 momm OCmz m� -i0 p -�0 m -r G� Q)� -,2� co73 w m J2aN3S 1118 no co c Non CP" m L,,,O N) zW C Z r CO After printing this label: 1. Use the 'Print' button on this page to print your label to your laser or inkjet printer. 2. Fold the printed page along the horizontal line. 3. Place label in shipping pouch and affix it to your shipment so that the barcode portion of the label can be read and scanned. Warning: Use only the printed original label for shipping. Using a photocopy of this label for shipping purposes is fraudulent and could result in additional billing charges, along with the cancellation of your FedEx account number. Use of this system constitutes your agreement to the service conditions in the current FedEx Service Guide, available on fedex.com.FedEx will not be responsible for any claim in excess of $100 per package, whether the result of loss, damage, delay, non-delivery,misdelivery,or misinformation, unless you declare a higher value, pay an additional charge, document your actual loss and file a timely claim.Limitations found in the current FedEx Service Guide apply. Your right to recover from FedEx for any loss, including intrinsic value of the package, loss of sales, income interest, profit, attorney's fees, costs, and other forms of damage whether direct, incidental,consequential, or special is limited to the greater of $100 or the authorized declared value. Recovery cannot exceed actual documented loss.Maximum for items of extraordinary value is $1,000, e.g. jewelry, precious metals, negotiable instruments and other items listed in our ServiceGuide. Written claims must be filed within strict time limits, see current FedEx Service Guide. https://www.fedex.com/shipping/shipmentConfirmationAction.handle?method=doContinue 1/2 6/29/2018 FedEx Ship Manager - Print Your Label(s) Shipment Receipt Address Information Ship to: DIVISION OF PROPERTY TAXATION STATE OF COLORADO 1313 SHERMAN STREET ROOM 419 DENVER, CO 80203 US 3038647777 Ship from: CHLOE REMPEL WELD COUNTY 1150 O STREET RM 166 GREELEY, CO 80631 US 9704004225 Shipment Information: Tracking no.: 772607923450 Ship date: 07/02/2018 Estimated shipping charges: 5.69 USD Package Information Pricing option: FedEx Standard Rate Service type: FedEx 2Day Package type: FedEx Envelope Number of packages: 1 Total weight: 1 LBS Declared Value: 0.00 USD Special Services: Pickup/Drop-off: Drop off package at FedEx location Billing Information: Bill transportation to: COUNTYOFWELD-483 DEPARTMENT NAME: CLERK TO THE BOARD SENDER NAME: CHLOE A. REMPEL ADDITIONAL INFO: CTB DEPARTMENT FUND: 10400 Thank you for shipping online with FedEx ShipManager at fedex.com. Please Note FedEx will not be responsible for any claim in excess of $100 per package, whether the result of loss, damage, delay, non -delivery, misdelivery, or misinformation, unless you declare a higher value, pay an additional charge, document your actual loss and file a timely claim. Limitations found in the current FedEx Service Guide apply. Your right to recover from FedEx for any loss, including intrinsic value of the package, loss of sales, income interest, profit, attorney's fees, costs, and other forms of damage whether direct, incidental, consequential, or special is limited to the greater of $100 or the authorized declared value. Recovery cannot exceed actual documented loss. Maximum for items of extraordinary value is $1000, e.g., jewelry, precious metals, negotiable instruments and other items listed in our Service Guide. Written claims must be filed within strict time limits; Consult the applicable FedEx Service Guide for details. The estimated shipping charge may be different than the actual charges for your shipment. Differences may occur based on actual weight, dimensions, and other factors. Consult the applicable FedEx Service Guide or the FedEx Rate Sheets for details on how shipping charges are calculated. https://www.fedex.com/shipping/shipmentConfirmationAction.handle?method=doContinue 2/2 Hello