Sales Tax License And License Renewal Application Form - Town Of Ridgway

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TOWN OF RIDGWAY
SALES TAX LICENSE AND LICENSE RENEWAL APPLICATION
For Town Use Only
License No._____________________
Business Group _________________________
Classification ____________________
SIC Number
_________________________
Please print or type - attach any additional sheets if necessary. Fill in all blanks, if the question does not
pertain to your business, please write N/A (not applicable). Applications will not be processed with incomplete
information.
1.
Complete name under which the business will be conducted:
______________________________________________________________________________________
2.
Business phone number: _______________________________ Fax: ______________________________
3.
Emergency name and phone number (for after hours use by Police Department):
Name: _____________________________________________ Phone: ____________________________
4.
Physical business location (Street address where business is conducted):
_______________________________________________________________________________________
5.
Mailing address:
_______________________________________________________________________________________
6.
Was the business previously licensed by the Town of Ridgway? ( ) Yes
( ) No
Under what name:________________________________________________________________________
Location:______________________________________________ Owned by: ______________________
7.
Nature of the business (types of sales or services): _____________________________________________
8.
Legal name and address of the taxpayer. If this is not the same as the owner of the business, attach a full
explanation.
Name: ______________________________________ Phone number: ___________________________
Mailing Address: ________________________________________________________________________
9.
Name of manager: __________________________________ Phone number: _______________________
10.
Type of taxpayer entity:
( ) Individual
( ) Partnership
( ) Limited Partnership
( ) Corporation
( ) Non-Profit Corporation ( ) Unincorporated Organization ( ) Other:_______________________
Full legal name of partnership or corporation: _________________________________________________

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