Form DR 1102 at a glance
What it is: DR 1102, Address or Name Change Form: use this form to notify the Department of Revenue by selecting the appropriate accounts for the address change.
Who signs: Sign under Authorized Signature and enter the Date.
A filled-in Form DR 1102 example: a business changes its mailing address
How to fill out Form DR 1102, box by box
Your account
Enter the Colorado Account Number (8-Digit Number), the FEIN or SSN/ITIN and the Business Name or Last Name, First Name.
A new Federal Employer Identification Number (FEIN) assigned by the IRS or a change in ownership (and you are the new owner) will require a new Colorado Account Number; fill out a Colorado Sales Tax and Withholding Account Application (CR 0100).
Apply address change to account(s)
Under Apply address change to account(s), mark Withholding Tax, Gaming Withholding, Excise, Individual, Corporate, 1099 Withholding, Oil & Gas Withholding, IFTA, Partnership or Other (list account).
Enter the Effective Date of Change (MM/DD/YY). Only for a Location (Site) Address Change: enter the 4 Digit Location (Site) Number to Change and mark Sales Tax and Location (Site) Address Change Only.
To change the address for a specific physical location you operate or sell into, refer to your sales tax license for the 8 digit Colorado Account number followed by a 4 digit location (site) number and indicate in the boxes. Be sure to include the effective date for the address change to avoid incorrect assessments of tax liability. If there are multiple address changes for multiple account types, please list the information on page 2.
If your retail business location changed in the middle of a filing period, you must file a separate sales tax return for the taxes collected at each location.
Change Main Address
Under Change Main Address, mark Mailing Address, Physical Address or Both.
Enter the Previous Address and the Current Address, each with City, County, State, ZIP Code and Phone Number.
Name Change
Under Name Change, enter the Current or Previous Name and the New Name, and mark Legal or DBA.
For business name change, provide a copy of the IRS SS-4 and/or Amended Articles of Incorporation from the Secretary of State. For individual name change, provide either a copy of your state ID or driver's license, social security card, marriage certificate, divorce decree, or court document.
Email or Mail to the Colorado Department of Revenue
Colorado Department of Revenue: Email to: DOR_taxapplications@state.co.us, or Mail to: Colorado Department of Revenue, Taxpayer Service Center, PO Box 17087, Denver, CO 80217-0087.
Common questions about Form DR 1102
Who signs it?
Sign under Authorized Signature and enter the Date.
Sources
[1] Form DR 1102 (07/19/22), Address or Name Change Form, Colorado Department of Revenue (the Official source link on this page).
