Business Registration And Retail Sales Tax Application For: 2009

Business Registration And Retail Sales Tax Application For: 2009 - City Of Glendale Page 3

____________________________________________________________________________________________________________

FILING FREQUENCY

Tax Returns will be filed:

_____

Monthly (Vendors who exceed a $60.00 tax liability per month)

_____

Quarterly (Vendors with less than $100.00 tax liability per quarter)

_____

Annually (Approved at City’s discretion)

NOTE: Reporting Frequency is subject to change by the City.

____________________________________________________________________________________________________________

I declare, under penalty of perjury, that this application has been examined by me and the statements made herein are

made in good faith pursuant to the City of Glendale tax laws and regulations, and to the best of my knowledge and belief,

are true, correct and complete. In addition, I hereby authorize the Director of Revenue of the State of Colorado to permit

the City Manager of the City of Glendale, Colorado or his/her duly authorized agent to examine any state return filed by

me.

Date:______________________________________

Signed______________________________________________

____________________________________________________

Please Print

Title________________________________________________

Phone Number (_______) ______________________________

This application, accompanied by the proper fees should be returned to:

City of Glendale

Tax Department

950 South Birch Street

Glendale, CO 80246

If you have any questions, please call (303) 759-1513, extension 4706.

Page 3 of 4

Business Registration And Retail Sales Tax Application For: 2009 - City Of Glendale Page 3