Retail Sales And Use Tax Application Form
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CITY USE ONLY
BusTrak #
APPROVAL (Initials)
DATE
CITY OF
ENGLEWOOD
ACCOUNT NO.
RETAIL SALES and USE TAX APPLICATION
DATE OF ISSUE
RETURN WITH NON REFUNDABLE PAYMENT OF $25 T0:
Acct- 220
SALES & USE TAX
USE TAX ONLY
REVENUE DIVISION
MONTHLY
QUARTERLY
YEARLY
CITY OF ENGLEWOOD
AR
ST TY
CTY TY
TX
1000 ENGLEWOOD PARKWAY
CY
ENT
EURA
OTHER
ENGLEWOOD, CO 80110
INITIAL TAX DUE
FORMS
PLEASE TYPE OR PRINT
SOLE
PARTNERSHIP
CORPORATION
OTHER
:
TYPE OF OWNERSHIP
PROPRIETOR
NAME OF COMPANY:
DOING BUSINESS AS:
BUSINESS LOCATION:
Street
City
State
Zip
MAILING ADDRESS:
Street
City
State
Zip
EMAIL ADDRESS:___________________________________________________ BUSINESS WEBSITE:___________________________________________
LOCAL BUSINESS PHONE:
HOME OFFICE PHONE:
OWNERS/OFFICERS OF BUSINESS:
NAME
POSITION
HOME ADDRESS
CITY
ST
ZIP
PHONE
Owner, President
or Partner
V. President
or Partner
Secretary/ Treasure
Colo. Registered
Agent **
Local Manager
FED.I.D./SOC SEC NO.
DATE BUSINESS BEGINS IN ENGLEWOOD
mm
dd
yy
FORMER OWNER (N/A IF NONE):
ENGLEWOOD LIC. NO.
ARE YOU CURRENTLY LICENSED IN ENGLEWOOD?
LICENSE NO.
YES
NO
1. NATURE OF BUSINESS (Check all that apply):
RETAIL
WHOLESALE
MANUFACTURING-PROCESSING
CONTRACTOR
SERVICE
OTHER (DESCRIBE)
INCLUDE COPY OF DEALER CERTIFCATE
2.
DESCRIBE: PRODUCTS SOLD
SERVICES PERFORMED
MANUFACTURING (OR PROCESS)
PERFORMED
3. DOES YOUR BUSINESS UTILIZE ANY HAZARDOUS, TOXIC OR FLAMMABLE MATERIALS?
Yes
No
IF SO, DESCRIB
FILING FREQUENCY - PLEASE CHECK APPROPRIATE BOX FOR ESTIMATED TAX DUE:
$100/MONTH OR MORE FILE MONTHLY
$50-$99/MONTH FILE QUARTERLY
UNDER $50/MONTH FILE ANNUALLY
*LICENSE ISSUED ONLY IF ALL APPLICABLE INFORMATION IS COMPLETE
**Corporations doing business in the State of Colorado are required to have a Colorado Registered Agent per C.R.S. 7-105-101.
PLEASE INCLUDE A PHOTO COPY OF THE OWNER’S DRIVER’S LICENSE
I, THE UNDERSIGNED, AM AWARE THAT ALL BUSINESS PROCESSES AND ASSOCIATED STRUCTURAL AND BUILDING CONDITIONS ARE SUBJECT TO INSPECTION BY VARIOUS CITY CODE
ENFORCEMENT DIVISIONS AND THAT STRUCTURAL UPGRADING AND COMPLIANCE WITH CITY ADOPTED CODES MAY BE REQUIRED AS A CONDITION TO OPERATING A BUSINESS WITHIN THE
CITY OF ENGLEWOOD. NONCOMPLIANCE WITH CITY ADOPTED CODES MAY RESULT IN THE CITY PURSUING FORMAL LEGAL ACTION SUCH AS A DISTRAINT WARRANT, A SUMMONS AND
COMPLAINT FILED THROUGH THE MUNICIPAL COURT, A TAX LIEN OR LICENSE REVOCATION.
SIGNED
TITLE
DATE
PLEASE PRINT NAME
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Parent category: Financial