Out Of Town Business License Application Form - City Of Glenwood Springs
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1CITY USE ONLY
CITY OF GLENWOOD SPRINGS
License#_____________________
th
101 W. 8
Street
Location #____________________
P O Box 458
Glenwood Springs, CO 81602-0458
Date Processed________________
Phone: (970) 384-6400
FAX: (970) 945-2597
Out of Town Business License Application
PLEASE PRINT CLEARLY
BUSINESS INFORMATION
Trade Name of Business (D B A):
Taxpayer Name (owner, partner or corporate name):
Location Address of Business:
Mailing Address:_________________________________________________________________________________________
Business Telephone Number:(
)
email address:___________________________________________
First Day of Business in Glenwood Springs:
Person completing the Tax Return:__________________________________ Telephone Number_______________________
Colorado Dept. of Revenue Number:
Federal I D Number:_____________________
OWNERSHIP INFORMATION
Sole Proprietorship
Corporation
Partnership
Limited Liability Co
Other
Non-Profit 501 (C) (3) (Attach copy of IRS letter of exemption.)
____________________________
(1) Owner/Corporate Officer/Partner:
Title:
Social Security #:
_______
Address (Residence or P O Box, Street, City, State, Zip):
_______
Telephone Number:
(
)
Birth Date:
(2) Owner/Corporate Officer/Partner:
Title:
Social Security #:
_______
Address (Residence or P O Box, Street, City, State, Zip):
Telephone Number:
(
)
Birth Date:
If you acquired a business located in Glenwood Springs, in whole or in part, complete the following:
Prior Owner’s Name:
Date of Acquisition:
Prior Owner’s Address:
Purchase Price: $
Price of Personal Property (Fixtures & Equipment):$
CHECK THE TYPE OF LICENSE REQUESTED.
Retail Business License
General Business License
(For Businesses With Taxable Sales in Glenwood Springs)
(Required for All Non-Retail Businesses Located in Town.)
Describe what you sell:
Describe what services you provide:
________________________________________
FILING FREQUENCY (Check One)
Please indicate which filing frequency applies to you :
You will be sent an Annual Use Tax Return.
If sales tax collected is estimated at:
$300 or more per month -Monthly
$0-$15 per month - Annual
$15-$300 per month - Quarterly
DO YOU WANT PRE-PRINTED RETURNS?
Yes
No, we will file our identical, computer-generated returns.
Is this business in any way related to the provision of medical marijuana to patients or caregivers?_____________________________
I declare under penalty of perjury that the statements made in this application are true and complete to the best of my knowledge, and I
authorize the Director of Finance or his duly authorized agent to examine any tax returns filed by me.
Applicant’s Signature:
Title:
Date:
(Must be signed by Owner or Corporate Officer)
LICENCE FEE:
We issue licenses that expire at the end of odd-numbered years. If the date you listed above as the “First Day of
Business in Glenwood Springs” (in the BUSINESS INFORMATION section) is in an even-numbered year, the fee is $50.00. If that date is
in an odd-numbered year, the fee is $25.00.
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Parent category: Business