Sales Tax License And License Renewal Application - City Of Montrose Page 2
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3Sales Tax License Application
8. Legal name and address of the taxpayer. If this is not the same as the owner of the business, attach a full
explanation. This question must be completed, do not write N/A .
Name: __________________________________________Phone number: ______________________
Address: ____________________________________________________________________________
Number Street name City State Zip Code
9. Name of Manager:___________________________________ Phone number: _________________
10. Type of taxpayer entity:
{ } Individual(s)
{ } Limited Liability Company
{ } Non-Profit Corporation
{ } Partnership
{ } Corporation
{ } Joint Venture
{ } Limited Partnership
{ } Limited Liability Corporation
{ } Unincorporated Organization
{ } Other: ___________________________________________
Full legal name of partnership or corporation: ______________________________________________
11. For individually owned businesses, please indicate the name and address of any owner not included in number 8.
____________________________________________________________________________________
Name Address Phone
____________________________________________________________________________________
Name Address Phone
12. For partnerships or limited partnerships, list the name and address of each general partner:
___________________________________________________________________________________
Name Address Phone
___________________________________________________________________________________
Name Address Phone
___________________________________________________________________________________
Name Address Phone
13. For corporations and non-profit corporations, list the name and address of each officer of the corporation and for
corporations other than publicly held corporations indicate the name and address of each shareholder with more than a
20% interest in the corporation other than the officers already listed:
___________________________________________________________________________________
Office/Shareholder Name Address
___________________________________________________________________________________
Office/Shareholder Name Address
___________________________________________________________________________________
Office/Shareholder Name Address
14. If the taxpayer is doing business under other business names, indicate the name and address of each business:
____________________________________________________________________________________
Business name Address
____________________________________________________________________________________
Business name Address
file:///W|/CityHall/InetPub/wwwroot/city/Online/SalestaxLic.htm (2 of 3)1/12/2005 3:30:20 AM
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