Retail Sales Tax License Application Form 2009 Page 2
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1
2Retail Sales Tax License Application (con't)
SECTION TWO - All information provided in this section of the application is considered confidential.
16 Filing Frequency:
$300 tax/month or more, file monthly
-
Seasonal
Month Start
Month End
$100 tax/year or less, file annually
Under $300 tax/month, file quarterly
17 List Owner(s) or Corporate Officers: (attach supplemental sheet if necessary)
Name & Social Security Number
Position
Home Phone
Home Address
City
State
Zip code
Name & Social Security Number
Position
Home Phone
Home Address
City
State
Zip code
Local Manager or
18
Representative:
(Contact Person) Name
Address
City
State
Zip
Daytime Phone
Former Owner's
Former Owner's
19
License No.
Name:
Former Name of
Date of Purchase:
20
/
/
Business
21 Did the purchase price include fixed assets, machinery, or equipment?
Yes
No
Value $
22 State of Colorado Sales Tax License No.:
Federal Employer I.D. (FEIN)
I declare, under penalty of perjury in the second degree, that this application has been examined by me, that the statements
made herein are made in good faith pursuant to Colorado and the Town of Windsor tax laws and regulations, and to the best
of my knowledge and belief, are true, correct, and complete.
Signed:
Title:
Must be person that is legally responsible for business (i.e., owner, partner, officer, etc.)
Printed Name:
Title:
WHERE DO I GO TO GET INFORMATION ON LICENSING FOR THE STATE OF COLORADO?
When opening a new business in the State of Colorado call the Colorado Business Assistance Center, (303) 592-5920 in Denver, or (800) 333-7798 toll-
free in Colorado for information.
To obtain a sales tax, wage withholding tax, or other business tax account number, visit the Denver Service Center at 1375 Sherman St., Denver, or any
Taxpayer Service Center in Colorado. You may also get the "Colorado Business Registration" Form (CR 0100) through the Colorado Department of
Revenue web site at , or call the Forms Hotline at (303) 238-FAST (3278).
Please be sure to check with other departments of the Town to ensure compliance with all other applicable laws and
regulations. Issuance of the Sales Tax License does not mean conformance with Zoning provisions, and/or other
requirements.
Pursuant to Section 4.03.380 (i) of the Town of Windsor Tax Code "failure to obtain a renewal license by the
December 31st expiration date shall result in payment of an increased renewal fee…".
Thank You.
Windsor Sales Tax License Appl, 2/27/2009
Page 2 of 2
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