Business And Tax License For Private Security Service Application Form - City Of Evans, Colorado
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3City of Evans, Colorado
Business and Tax License for Private Security Service Application
PLEASE TYPE OR COMPLETE IN BLACK INK IN FULL
(Illegible and/or incomplete forms may be rejected)
City of Evans
BUSINESS AND SALES TAX OFFICE
th
1100 37
Street
Evans, CO 80620
(970)475-1109 FAX: (970)330-3472
salestax@evanscolorado.gov
Important: Please keep a copy of this application for your records
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New Application
Renewal Application
Business and Tax License Fee: $25.00
Total Fee: $75.00
Private Security License Fee: $50.00
Annual Renewal due NO LATER THAN December 31
Total Fee: $75.00
after Expiration Date, Renewal Fees Increase to $100.00
SECTION ONE – All information provided in this section of the application is considered public information and is required to be released upon public request.
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1.
Type of Ownership:
Sole Proprietor
Partnership
Corporation
Limited Liability Corporation
Other _________________
2.
Taxpayer Name (Owner, Partners or Corporate Name): ______________________________________________________________________________
3.
Trade Name (“Doing Business As”): ______________________________________________________________________________________________
4.
Business Address: ____________________________________________________________________________________________________________
Street
City
State
Zip
5.
Mailing Address: _____________________________________________________________________________________________________________
Street
City
State
Zip_
6.
Business Phone Number: (_____)______-___________
First Day of Business in Evans: _____/________/_____________________
7.
Website Address: ______________________________
Email Address (required): _____________________@_________________
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8.
Nature of business (check all that apply):
Wholesale
Manufacturing
Construction
Service
Retail
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Office Only
Mail Order
Communications
Finance/Insurance/Real Estate
9.
What is your main product/service? ________________________________________________________________________________________________
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10. Do you sell, distribute, deliver, or grow Medical Marijuana?
Yes
No
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11. Is this business a:
Commercial Building
Private Residence
(if private residence, fill our Home Occupation Certificate form)
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12. If a private residence, do your customers come to your home?
Yes
No
13. If located in Evans, what are your hours of operation? ____________________________ Approximate sq. ft. of business: _______
14. If located in Evans, number of employees (including self): Full-time: _______________ Part-time: _________________________
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15. Do you have other locations in Evans?
Yes
No
(if “YES”, a separate application must be completed for business location)
16. Contact Person: __________________________________________________________ Email (required): _____________________@_________________
__________________________________________________________________________________________(______)_______-_____________________
Address
City
State
Zip
Phone
**PLEASE COMPLETE ALL SIDES OF APPLICATION**
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