Biennial Retail Sales Tax License Application Or Business Registration Application - City Of Centennial
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1
2PLEASE COMPLETE APPLICATION IN FULL
Mail completed application and payment to:
City of Centennial
Tax and Licensing Division
Mail Center: P.O. Box 17383
Denver, CO 80217-0383
City of Centennial, CO
BIENNIAL RETAIL SALES TAX LICENSE APPLICATION OR
BUSINESS REGISTRATION APPLICATION
PLEASE PRINT AND COMPLETE IN BLACK INK – Keep a copy for your records.
PO
RETAIL SALES TAX LICENSE BIENNIAL FEE -------------------------------------------------
$25.00
OR
BUSINESS REGISTRATION BIENNIAL FEE ----------------------------------------------------
$25.00
SECTION ONE: All information provided in this section of the application is considered public information and is required to
PLEASE PRINT AND COMPLETE IN BLACK INK
be released upon public request.
Sole Proprietor
Partnership
Corporation
Limited Liability Corp
Type of Ownership:
1
Other
Business Name:
2
Trade Name (“Doing Business As”):
3
Business Physical Address:
4
Street
City
State
Zip
Mailing Address:
5
Street
(If different than Business Address)
City
State
Zip
Business Phone No:
First Day of Business In Centennial:
/
/
6
Web site Address:
E-mail Address:
7
Wholesale
Manufacturing
Construction
Service
Retail
Nature of Business
8
(Check all that apply):
Office Only
Mail Order
Communications/Telecom
Finance/Insurance/Real Estate
Medical Professional/Technical/Scientific
Alcohol Sales
NAICS code (4 digits)
Product or service provided (be specific)
9
__________________________________________________________________________________________________________
Private Residence
Commercial Building
Is this business in a:
or
10
If this application is for a home occupation, the rules and regulations for home occupations are detailed in the Land Development
Code, §11.1.3800.
Lease
Own
Do you lease or own your building?
Approximate sq. ft. of business:
11
sq. ft.
No. of employees (including self):
Full-Time
Part-Time
12
Years in Current Location:
Previous Address:
13
Street Address
State
Zip
Do you have other locations in Centennial? Yes
No
14
If “YES,” a separate application must be completed per business location.
Contact Person:
15
Name/Title
Email Address
Street Address
City
State/Zip
Phone
(Continued on Reverse Side)
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Parent category: Financial