Sales/use Tax Application Form - City Of Arvada

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CITY USE ONLY
__________
CYCLE (Circle One)
M Q Y
Account #
Date Issued
Date to Zoning
SALES/USE TAX APPLICATION
CITY OF ARVADA
8101 RALSTON ROAD
ARVADA, CO 80002
TELEPHONE: (720-898-7100)
FAX: (720-898-7110)
A separate application must be filed for each business location in Arvada. Please type or print legibly.
BUSINESS INFORMATION
Trade Name “Doing Business As”_______________________________________________________________________________
Name of Corp. LLC, Partnership or other (if applicable)_____________________________________________________________
Business Address __________________________________________________________ Unit # __________________________
City___________________________________________________________ State__________ Zip Code__________-__________
Phone Number (_____) __________________________Home Office Phone Number (_____) ______________________________
Contact Person ____________________________________________ E-Mail Address ____________________________________
MAILING ADDRESS
Mail To ____________________________Contact Person _________________________Phone Number (______) _______________
Mailing Addresss___________________________________________________________Unit #______________________________
City__________________________________________________________ State___________ Zip Code__________-__________
NAMES & HOME ADDRESSES OF OWNERS, MEMBERS OR OFFICERS OF BUSINESS (attach schedule if needed)
Name____________________________________ Position_______________________ Home Phone # (_____)___________________
Home Address ______________________________________City __________________State ________Zip Code_________-_____
Driver’s License # /State _____________________________SS# _______-_______-_______Date Of Birth _______-_______-_______
…………………………………………………………………………………………………………………………………………….
Name____________________________________ Position_______________________ Home Phone # (_____)___________________
Home Address ______________________________________City __________________State ________Zip Code_________-_____
Driver’s License # /State _____________________________SS# _______-_______-_______Date Of Birth _______-_______-_______
…………………………………………………………………………………………………………………………………………….
Name____________________________________ Position_______________________ Home Phone # (_____)___________________
Home Address ______________________________________City __________________State ________Zip Code_________-_____
Driver’s License # /State _____________________________SS# _______-_______-_______Date Of Birth _______-_______-_______
…………………………………………………………………………………………………………………………………………….
Name____________________________________ Position_______________________ Home Phone # (_____)___________________
Home Address ______________________________________City __________________State ________Zip Code_________-_____
Driver’s License # /State _____________________________SS# _______-_______-_______Date Of Birth _______-_______-_______
PLEASE COMPLETE BOTH SIDES OF APPLICATION – (Failure to do so may result in a delay in issuing your license)
Revised 12/00

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