Application For Business, Sales/use Tax, Lodgers Tax Licenses And Occupational Privilege Tax Registration Form (Page 2 of 3) in pdf

Application For Business, Sales/use Tax, Lodgers Tax Licenses And Occupational Privilege Tax Registration Form Page 2

TYPE OF OWNERSHIP. (PLEASE CHOOSE ONE OF THE FOLLOWING):

Individual or Sole Proprietor Please list (Name, Address, Phone Number, Driver's License number and State that issued

driver's license)

Corporation or Sub-S Corporation Name________________________________________________________________

Please list (Names, titles and home addresses of corporate officer(s) or managing member(s)

Limited Liability Company Name_______________________________________________________________________

Please list (Names, titles, and homes addresses of LLC member(s)

_______________________________________________________________________________________________________

Non-Profit Organization Name

State of Colorado tax exempt number

Contact Person_______________________________________Phone Number

Partnerships, Trusts or Association Name________________________________________________________________

Names, titles, and home addresses of partners, trustees, or Association officers

_______________________________________________________________________________________________________

Federal Employer Identification Number (FEIN)____________________________

If no FEIN, Social Security Number of owners, partners, officers or members.________________________________________

If business has mechancial amusement devices (video games, pool tables, jukeboxes, coin operated machines, computers used for

entertainment, or a device testing mental or physical skill) indicate quantity.____________________________

Mailing Addresses:

Mailing Address for Business License if different than business location.

_______________________________________________________________________________________________________

Mailing Address for Sales Tax Returns if different than business location.

_______________________________________________________________________________________________________

Mailing Address for Occupational Privilege Tax Returns if different than business location.

_______________________________________________________________________________________________________

Registered Agent: A registered agent is the contact person for a corporation that is registered with the State. Please include

Name, Complete Address, Phone number, Driver’s License number and State that issued the driver’s license.

_______________________________________________________________________________________________________

Hours of Operation:

Application For Business, Sales/use Tax, Lodgers Tax Licenses And Occupational Privilege Tax Registration Form Page 2