Finance Department/sales Tax Division Form - City Of Pueblo Page 2
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29. List other City of Pueblo licenses held
10. Landlord of business address
Name
Address
Phone Number
11. Accountant or Bookkeeper
Name
Address
Phone Number
□
□
12. Location of Records:
Mailing Address
Business Address
□
Other (please specify)
13. Date business began in Pueblo _____________ Date of Change (i.e. address, name)
14. If business purchased, please list date of purchase and former owner
15. Did you purchase any business furniture, equipment or supplies from previous owner, from other individual
or vendors located outside the City of Pueblo, which you did not pay City of Pueblo sales tax?
A. If yes, use tax is due to the City of Pueblo within ten (10) days. Use Tax Return given
B. If leasing, the equipment use tax is due on the monthly tax.
I hereby certify that the statements made herein are true and correct to the best of my knowledge and that I
have read and understand the City of Pueblo ordinances pertaining to the operation of my business.
Signature
Title & Date
SIGNATURES MUST BE OBTAINED FROM THE FOLLOWING DEPARTMENTS BEFORE ISSUANCE OF A LICENSE:
(If business is located outside the city limits of Pueblo, signatures not required.)
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PLANNING & COMMUNITY
________________________________________________
_________________
DEVELOPMENT
Zone
211 E “D” STREET
PUEBLO, CO 81003
________________________________________________
_________________
Signature
Date
MONDAY & FRIDAY (8:00-12:00)
OR WEDNESDAY (1:00-5:00)
*(You must take this form to the Planning & Community Development at the address listed above for a signature)
□
FIRE DEPARTMENT*
________________________________________________
_________________
1551 BONFORTE BLVD
Signature
Date
PUEBLO, CO 81001
(719) 553-2830
*(You must contact the Fire Department at number listed to schedule the inspection)
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