Application For Sales Tax - City Of Cortez

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CITY OF CORTEZ
Application for Sales Tax
1. Submit separate application for each place of business.
2. Application must be complete before license can be issued.
3. Mail complete application with $10.00 application fee to City of Cortez,
Sales Tax Division, 210 East Main Street, Cortez, CO 81321.
4. MAKE CHECKS PAYABLE TO THE CITY OF CORTEZ.
5. License will be issued after application is reviewed and approved by the
Zoning Administrator and the City Clerks Office.
You may also be required to apply for a Home Occupation Permit and/or a Sign Permit. Please
Contact the Zoning Administrator in the Public Works Department for information.
1. Type of Ownership: Individual____Partnership____Corporation____Club/Assn____Other____
2. Name of Applicant(s): ___________________________________Phone:
3. Trade Name of Business:
Complete Reverse Side of Form
4. Business Location:
5. Is Business located ( ) in the City of Cortez
( ) out of the City of Cortez
6. Mailing Address:
(Street)
(Box No.)
(City State Zip Code)
7. Describe Products and/or Services:
_
8. Beginning Date of Business: ____________________Business Phone
9. List Other Businesses Operated in Cortez
10. If seasonal, show months in which business activity is conducted:
I hereby authorize the Director of Revenue of the State of Colorado to permit the
Director of Finance of the City of Cortez, or a duly authorized agent, to examine any
State sales tax returns filed by me.
SIGNED:
TITLE:
Zoning Administrator:
City Clerk:
Approved:_________Date:__________
Approved:_______Date:
(Initials)
(Initials)
Denied:___________Date:__________
Denied:_________Date:
Reason for Denial:
Reason for Denial:
Finance Office Use
License Number______________________________
See Reverse Side
Date Issued__________________________________
Filing Status_________________________________
TELEPHONE 970-565-3402
FACSIMILE 970-565-8172

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