Application For Business And/or Sales Tax License Form - Town Of Vail, Colorado Page 2
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2NAMES & HOME ADDRESSES OF OWNERS OR OFFICERS OF BUSINESS
(attach additional schedule if necessary)
Name ________________________________________________ Position _________________________________ Home Phone #
Home Address______________________________________________________City _________________________________ State ______ Zip
Social Security #_______________________________________________ Drivers License #
State
Name ________________________________________________ Position _________________________________ Home Phone #
Home Address______________________________________________________City _________________________________ State ______ Zip
Social Security # ______________________________________________ Drivers License #
State
Name ________________________________________________ Position _________________________________ Home Phone #
Home Address______________________________________________________City _________________________________ State ______ Zip
Social Security # ______________________________________________ Drivers License #
State
New Business ____ Yes ____ No
If yes, date business began in Vail: ______________
Building Name:
Existing Business ____ Yes ____ No (if yes, please complete the next line)
Former Owner’s Name: ____________________________ Former Name of Business: ______________________________________
Landlord Name & Phone #: ______________________________________________________________________________________
Number of square feet
(Retail businesses only, selling floor only) __________________
EMERGENCY NOTIFICATION
(Required for Business Licenses Only)
First Contact by Police Department:
Second Contact by Police Department:
Name:
Name:
Home Address:
Home Address:
City: ___________________________ State: _____ Zip:
City: _____________________________ State: _____ Zip
Home Phone # __________________ Cell Phone #
Home Phone # __________________ Cell Phone #
ALL SIGNS MUST BE APPROVED BY COMMUNITY DEVELOPMENT
CORPORATIONS ONLY:
________________________
In consideration of the issuance of the Sales tax license, I,
of
(name),
___________________________
_______________
, it’s
, agree to be
(the corporation)
(title)
.
Individually and personally liable for any sales tax owed
This individual, personal liability is in addition to
_____________________________
the liability of
.
(the corporation)
I declare, under penalty of perjury in the second degree, that this application has been examined by me,
that the statements made herein are made in good faith pursuant to the Town of Vail’s Municipal Code,
and to the best of my knowledge and belief, are true, correct and complete.
Signed: __________________________________________________
Date:
(Must be person legally responsible for business, i.e. owner, partner, officer etc.)
Print Name: _______________________________________________
Title:
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Parent category: Financial