Business License Application Form - City Of Arvada, Co 2011 Page 2
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4Select only one and complete the appropriate section below
Individual/Sole Proprietorship
Partnership (including General, LP, LLP, LLLP, LPA)
Corporation/Sub S Corporation
Limited Liability Company (LLC)
Non-Profit 501(c)3 Organization (attach Colorado Exemption Certificate)
Name of Owner
Contact Address
Street
Unit #
City
St
Zip
Contact Phone #
(
)
Name of Corporation/Sub S Corporation, Limited Liability Company, or Partnership
Contact Name
Title / Position
Contact Phone #
(
)
Contact Address
Street
Unit #
City
St
Zip
Contact Name
Title / Position
Contact Phone #
(
)
Contact Address
Street
Unit #
City
St
Zip
Contact Name
Title / Position
Contact Phone #
(
)
Contact Address
Street
Unit #
City
St
Zip
Registered Agent - The Individual or Business Responsible for Accepting Service of Process for an Entity.
Name
Phone #
(
)
Address
Street
Unit #
City
St
Zip
Name of Organization
Exemption #
98-____________
Contact Name
Title / Position
Phone #
(
)
Address
Street
Unit #
City
St
Zip
Name of Owner
Contact Address
Street
Unit #
City
St
Zip
Contact telephone #
After hours contact telephone #
(
)
(
)
Revised 12/11
Page 2 of 4
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