City Of Sterling Sales Tax License Application Form
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1CITY OF STERLING SALES TAX LICENSE APPLICATION
1.
Type of Organization (Sole Proprietorship/Partnership/Corporation/Limited Liability Co.)
____________________________________________________________________________
2.
Taxpayer Name (owner, partners or corporate name) (last, first, middle)
____________________________________________________________________________
3.
Business Name
____________________________________________________________________________
4.
Address of Principal Place of Business
Telephone
__________________________________________________________ _________________
5.
Mailing Address of Business (if different from above)
____________________________________________________________________________
6.
What products and/or services do you provide?
____________________________________________________________________________
7.
Owner/Partner/Corp. Officer
Title
Social Security #
Date of Birth
__________________________________ __________ ________________ ____________
Address
Telephone
__________________________________________________________ _________________
Owner/Partner/Corp. Officer
Title
Social Security #
Date of Birth
__________________________________ __________ ________________ ____________
Address
Telephone
__________________________________________________________ _________________
8.
If you acquired the business in whole or in part, complete the following:
Prior Taxpayer Name
Date of Acquisition
Prior Taxpayer UI Tax No.
__________________________________ ________________ _______________________
Address
____________________________________________________________________________
9.
Filing Frequency _____ Monthly _____ Quarterly _____ Seasonal _____ Annual
10.
Effective Date of Business ________________________________________________
11.
State Sales Tax Number __________________________________________________
Applicant’s Signature ________________________________ Date ____________________
FOR DEPARTMENT USE ONLY
City Sales Tax License Number _____________________________ Issued ______________
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Parent category: Business