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A. C. Assessment at 3 e d x. 03 Note MONTHLY SUBMISSION OF THIS REPORT IS MANDATORY PER THE LEASE. This report is due on or before the twentieth 20th day of the succeeding month. Please send this form along with a copy of your sales tax return and assessment payment to The The Village at Copper Association Inc. P O Box 3053 Copper Mountain CO 80443 Liz Ryan New Fax 970 968-2187 P O Box 3004 Susan Byers REPORTS ARE DUE EVEN IF GROSS SALES ARE ZERO. CNL Income Copper LP Monthly Gross Sales Report Month /Year End Merchant Name Copper Location Building Name and Unit Number Gross Sales a Less Non Taxable Sales b Less Sales out of Tax Area c Village at Copper Taxable Sales d a - b - c should equal line 4 on your DR0100 Colorado State Sales Tax Return V. A. C. Assessment at 3 e d x. 03 Note MONTHLY SUBMISSION OF THIS REPORT IS MANDATORY PER THE LEASE* This report is due on or before the twentieth 20th day of the succeeding month. Please send this form along with a copy of your sales tax return and assessment payment to The The Village at Copper Association Inc* P O Box 3053 Copper Mountain CO 80443 Liz Ryan New Fax 970 968-2187 P O Box 3004 Susan Byers REPORTS ARE DUE EVEN IF GROSS SALES ARE ZERO. CNL Income Copper LP Monthly Gross Sales Report Month /Year End Merchant Name Copper Location Building Name and Unit Number Gross Sales a Less Non Taxable Sales b Less Sales out of Tax Area c Village at Copper Taxable Sales d a - b - c should equal line 4 on your DR0100 Colorado State Sales Tax Return V. A. C. Assessment at 3 e d x. 03 Note MONTHLY SUBMISSION OF THIS REPORT IS MANDATORY PER THE LEASE* This report is due on or before the twentieth 20th day of the succeeding month.

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