APPLICATION FOR TIER ONE & TWO SALES TAX REBATE PROGRAM (Municipal Code , copy attached)

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CITY OF GLENWOOD SPRINGS th 101 W. 8 Street P O Box 458 Glenwood Springs, CO 81602 (970) 384-6400 APPLICATION FOR TIER ONE & TWO SALES TAX REBATE PROGRAM (Municipal Code 040.020.170, copy attached) PLEASE PRINT CLEARLY. Name of business applying for rebate program: Mailing address: Business telephone number: Other contact number Address of property for which sales tax rebate will be requested: First day of taxable sales at this location after improvements were completed: What year will you be applying for your first rebate of taxes filed in the previous year? Printed Name Signature Date: Title

Page 1 of 3 040.020.170 - Economic incentives; sales tax rebate. (a) Qualified businesses may apply for a Tier one or Tier two City sales tax rebate for up to five (5) consecutive years provided that: The amount of the annual Tier one rebate shall not exceed twenty (20) percent of their annual City sales tax remittance in any one year; and The amount of the annual Tier two rebate shall not exceed eighty (80) percent of their annual City sales tax remittance in any one year, as further detailed in Subsection (c)(5) below; and The total amount of all rebates received shall not exceed the total amount of fees and costs identified in Paragraph (b) below. (b) The City sales tax rebate may be applied against the following City-imposed fees, costs and tax: Water and sewer system improvement fees may be available for Tier one and Tier two rebates. Fire and emergency services impact fees may be available for Tier one and Tier two rebates. Cost incurred pursuant to the City Electric Department's Line Extension Policy may be available for Tier one and Tier two rebates. (4) Building fees may be available for Tier two rebates only. (5) The costs of City required public improvements at fifty (50) percent of the installation costs to a maximum of two hundred thousand dollars ($200,000.00) may be available for Tier two rebates only. (c) Qualifications for application.

Page 2 of 3 If applicable, the applicant has collected and remitted on time to the City all applicable sales, use or accommodation taxes; and The applicant is not currently in violation of any development permit or building permit conditions; and The applicant is not in default under any agreement with the City; and (4) The applicant has paid all other applicable City-imposed fees including those for which the rebate is being applied; and (5) Tier two applicants shall use either (a) local contractors and suppliers or (b) local contractors, as defined in Subsection 010.050.080(b) of the Municipal Code, for construction of the project. At issuance of the certificate of occupancy the applicant shall provide documentation of the amounts paid to local contractors and suppliers or local contractors as a percentage of the total costs of the project excluding land. Projects using either (a) local contractors and suppliers or (b) local contractors for less than fifty (50) percent but more than twenty-five (25) percent of the total costs of the project, excluding land, will be eligible for a forty (40) percent Tier two rebate. Projects using either (a) local contractors and suppliers or (b) local contractors for fifty (50) percent or more of the total costs of the project, excluding land, will be eligible for an eighty (80) percent Tier two rebate. Tier two applicants must provide detailed calculation documentation upon request by the City. (d) Application for rebate. All businesses which qualify for such City sales tax rebates shall apply for the same by making application to the Director of Finance upon forms to be provided by him/her. All applications for City sales tax rebate shall be made to the Director of Finance on or before July 15 of the year following the year for which the tax rebate is sought. (e) Effective date. This section shall apply to all City-imposed fees after the effective date of Ordinance No. 27, Series of 2005.

Page 3 of 3 (f) Tier two applicants will only be accepted from May 22, 2009, until July 15, 2018. To apply for a Tier two rebate, an applicant must have a building permit issued on or before July 15, 2018. The amendments contained in Ordinance No. 8, Series of 2009, Ordinance No. 11, Series of 2010, Ordinance No. 12, Series of 2011, Ordinance No. 5, Series of 2012, Ordinance No. 14, Series of 2014, and Ordinance No. 11, Series of 2016 shall be repealed, effective July 15, 2018, unless otherwise extended by further action of City Council. (4-04 2; 27-05, 2; 8-09, 2; 11-10 2; 12-11, 2; 5-12, 2; Ord. No. 11-2016, 2(Exh. A), 6-16-2016)