City Of Sterling Sales Tax License Application Charitable Organizations Form

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CITY OF STERLING SALES TAX LICENSE APPLICATION
CHARITABLE ORGANIZATIONS
1.
Type of Organization (Corporation/Limited Liability Co./Trust/Association/Other)
____________________________________________________________________________
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.
Corp. Officer/Assoc. Officer
Title
Social Security #
Telephone #
__________________________________ __________ ________________ ____________
Address
__________________________________________________________ _________________
Corp. Officer/Assoc. Officer
Title
Social Security #
Telephone #
__________________________________ __________ ________________ ____________
Address
__________________________________________________________ _________________
8.
Filing Frequency _____ Monthly _____ Quarterly ______ Semi-Annual _____ Annual
9.
Effective Date of Business ________________________________________________
10.
Colorado Certificate of Exemption or Sales Tax License Number __________________
11.
501(c)(3) Status ___________________________ Fiscal Year End ________________
Applicant’s Signature ________________________________ Date _____________________
FOR DEPARTMENT USE ONLY
City Sales Tax License Number _____________________________ Issued ______________

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