Form Dr 0589 - Vendor Special Event License Application With Instructions Page 3
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5DR 0589 (03/99)
COLORADO DEPARTMENT OF REVENUE
19
Denver CO 80261-0013
(303) 232-2416
SALES TAX SPECIAL EVENT APPLICATION
AND
TRADE NAME REGISTRATION
DO NOT WRITE IN THIS SPACE
REGISTRATION OF A TRADE NAME WITH THIS DEPARTMENT DOES NOT ESTABLISH EXCLUSIVE RIGHTS TO THAT NAME.
Who must register:
Every person, general partnership, or other business organization doing business under any name other than the personal name of its
owner or owners must register with the Department of Revenue. (Corporations, limited liability companies and limited partnerships register
trade names with the Secretary of State.)
If trade name registration with the Department of Revenue is required, the information marked with a star will become public record.
REASON FOR FILING THIS APPLICATION
2.
1.
A
Individual
Corporation
Do you have a sales tax account in Colorado?
Incorporation Date: _______
Limited Partnership
Limited Liability Company
Yes
No
General Partnership
Other
IF YES, Registration Account # _____________________________
Association
1. Taxpayer Name (owner, partners or other business organization) (last, first, middle)
2. Trade Name/Doing Business As (if applicable)
3a. City in which your event is being held
State
ZIP
B
3b. County
Telephone
(
)
4. Mailing Address (residence address, include unit #)
City
State
ZIP
County
Telephone
Federal Employer I.D. # (if unavailable, S.S.#)
(
)
5. Brief Description of Business/What do you sell?
(1) Owner/Partner Name (last, first, middle) If Corporation, give Corporation name
Social Security # (Fed. Emp. # if applicable)
1a.
Address (residence or P.O. Box, street, city, state, ZIP)
Telephone
(
)
1b.
C
(2) Owner/Partner Name (last, first, middle) If Corporation, give Corporation name
Social Security # (Fed. Emp. # if applicable)
2a.
Address (residence or P.O. Box, street, city, state, ZIP)
Telephone
(
)
2b.
If there are other partners, list on separate sheet using the same format.
1. Do you rent items for 30 days or less?
PERIOD COVERED
Yes
No
FEES
D
FROM
TO
2. Indicate which applies
Period Covered
Trade Name
to you
(MO/DAY/YR) _________________________
Registration
$
Single Event
Event Location _________________________
E
(999)
0280-750
Multiple Event
Single Event
REGISTRATION/ACCOUNT NUMBER
$
License
(999)
0120-750
Multiple Event
$
License
I Declare under penalty of perjury in the second degree that the statements
F
(999)
0140-750
made in this application are true and complete to the best of my knowledge.
Make check payable to the
$
TOTAL
(Signature required below)
Colorado Department of Revenue
Signature of Owner, Partner or Corporate Officer
Title
Date
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