Finance Department/sales Tax Division Form - City Of Pueblo
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1
2Office Use Only
Account Number
CITY OF PUEBLO
N U AC NC OC
FINANCE DEPARTMENT/SALES TAX DIVISION
P.O. BOX 1427, PUEBLO, CO 81002
#1 CITY HALL PLACE, PUEBLO, CO 81003
657
PHONE (719) 553-2659 FAX (719) 553-2
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SALES AND USE ($50.00)
USE TAX ($50.00)
EXEMPT (No Fee)
(Charitable, Religious, Governmental Only)
OTHER LICENSES REQUIRED
MAKE CHECK OR MONEY ORDER PAYABLE TO THE “CITY OF PUEBLO”
(A SEPARATE APPLICATION IS REQUIRED FOR EACH LOCATION)
IMPORTANT: PLEASE ANSWER ALL QUESTIONS COMPLETELY – FAILURE TO DO SO MAY DELAY THE
ISSUANCE OF YOUR LICENSE
1. Business Name ______________________________________________ Business Phone
Fax Number
If Corporation, please list corporate name
2. Business Address
Street
City
State
Zip Code
3. Contact Person
Name
Phone Number
4. Where do you want tax returns mailed?
Name
Address
City & State
Zip
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5. Type of Ownership
Sole Proprietor*
Partnership
Corporation
LLC
*Must provide verification of lawful presence in the U.S. via Valid ID
6. Name of all principal owners or officers:
Name
Home Address
City, State & Zip
Date of Birth
Home Phone
Title
A.
B.
C.
D.
If corporation outside the State of Colorado, list registered agent in Colorado, address and phone number:
7. Name of business bank
8. Specify nature of business
ADDITIONAL INFORMATION REQUIRED ON BACK
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