Sales/use Tax License Application Form - City Of Golden - 2008
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1
2
3City of
City of
Golden
Golden
SaleS/USe Tax licenSe
FINANCE DEPARTMENT
SALES TAX DIVISION
applicaTion
911 10TH ST.
GOLDEN, CO 80401
Fee $20.00
Certificates will not be issued unless this form is filled out entirely.
Questions regarding application
Please mark all that apply.
phone: (303) 384-8024 · Fax: (303) 384-8001
BUSineSS inFormaTion
q New Business
Business Name
q Relocation of Business
Business Address
q New Ownership
City
State
Zip
q Home Business
Business Phone: (
)
Business Fax: (
)
Business Web Address:
iSSUance oF yoUr Tax
Business Email:
licenSe iS dependenT
mailing inFormaTion
on compliance wiTh
Mailing Address
all ciTy deparTmenTS
City
State
Zip
Reporting Frequency:
q Monthly
q *Quarterly
q *Annually
* Please note, you may only file annually if you have no retail sales and are only providing a service, and quarterly if tax is less than $60.00 monthly.
Have you remitted tax to us in the past? If so, please note when:
Taxpayer representative
Name
Phone Number
Location of Records: City
State
Zip
New Business Type of Ownership: (check one)
q Sole Proprietorship
q Partnership
q Corporation
q Non-Profit Corporation (No Fee, Attach Proof)
q Other, Please Explain
owner / oFFicer inFormaTion
Owner/President
Drivers Licence #
(attach copy)
Vice president
Drivers Licence #
(attach copy)
Date you started / Will open business
Description of business (please detail types of service(s) / product(s) and nature of business
Is your business physically located in the City of Golden?
q Yes
q No
If yes, complete page 2.
I declare, under penalty of perjury, that this application has been examined by me and the statements made herein are made in good faith pursuant
to the City of Golden tax laws and ordinances and, to the best of my knowledge and beliefs, are true, correct and complete.
Print or type name
Title
Authorized Signature
Title
Date
For ciTy USe only
Account #
Entered
STF Application 8/08
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