Application For Denver Sales, Use, Lodgers Tax License And/or Occupational Tax Registration/affidavit Form - City And County Of Denver Treasury Division
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5Mailing Address:
City and County of Denver
APPLICATION FOR DENVER SALES, USE, LODGERS TAX
Treasury Division,
McNichols Civic Center Bldg.
LICENSE AND/OR OCCUPATIONAL TAX REGISTRATION
Room 100
144 West Colfax Avenue
Denver, CO 80202-5391
THIS APPLICATION MUST BE COMPLETED IN FULL. INCOMPLETE APPLICATIONS WILL BE RETURNED. A
SEPARATE APPLICATION IS REQUIRED FOR EACH PLACE OF BUSINESS. IF YOU NEED ASSISTANCE, CALL
720-865-7075, OR VISIT OUR WEBSITE AT
FOR HELPFUL TAX INFORMATION.
1. BUSINESS INFORMATION
TRADE NAME_______________________________________________________________________________________________________________
LEGAL NAME_______________________________________________________________________________________________________________
FEIN #:____________________________________________________ STATE SALES TAX NUMBER:_______________________________________
NAICS (North American Industry Classification) Number: _____________________________________________________________________________
2. OWNERSHIP INFORMATION – IF YOU ARE A SOLE PROPRIETOR, YOU ARE SUBJECT TO COLORADO IMMIGRATION LAW
AND MUST COMPLETE THE ATTACHED AFFIDAVIT. THE APPLICANT SHALL VERIFY HIS OR HER LEGAL STATUS IN THE
UNITED STATES BY PRODUCTION OF ACCEPTABLE DOCUMENTATION AND EXECUTION OF THE ATTACHED AFFIDAVIT.
CORPORATION
S-CORPORATION
SOLE PROPRIETOR
PARTNERSHIP
NON PROFIT
GOVERNMENT
OTHER______________
O
O
O
O
O
O
O
HAS THIS BUSINESS BEEN LICENSED OR REGISTERED IN DENVER UNDER YOUR OWNERSHIP IN THE PAST?
O
YES
O
NO
ACCOUNT #_____________________________
3. OWNER / OFFICER INFORMATION (If needed, please list additional Owner / Officer Information on separate sheet.)
NAME
BUSINESS PHONE #1
TITLE
BUSINESS PHONE #2
ADDRESS
BUSINESS FAX
HOME PHONE
CITY
STATE
ZIP CODE
EMAIL ADDRESS
NAME
BUSINESS PHONE #1
TITLE
BUSINESS PHONE #2
ADDRESS
BUSINESS FAX
HOME PHONE
CITY
STATE
ZIP CODE
EMAIL ADDRESS
4. BUSINESS LOCATION INFORMATION (Do Not Use P.O. Box.)
ADDRESS _________________________________________________________________________________________________________________
CITY ________________________________________________________________ STATE ___________ ZIP CODE___________________________
BUSINESS PHONE ___________________ BUSINESS FAX ___________________ EMAIL ADDRESS______________________________________
5. TYPE OF BUSINESS
RETAIL SALES
WHOLESALE SALES
MANUFACTURING
CONSTRUCTION
GOVERNMENT
SERVICE ONLY
OTHER
O
O
O
O
O
O
O
DESCRIBE NATURE OF BUSINESS (PRODUCTS SOLD, SERVICES PROVIDED)_______________________________________________________
__________________________________________________________________________________________________________________________
NUMBER OF EMPLOYEES WORKING IN DENVER __________________ BUSINESS START DATE IN DENVER _____________________________
6. BUSINESS START UP INFORMATION (Business purchasers refer to bulletin TPS037 for important information regarding outstanding taxes due.)
O
NEW START UP - Brand new business; not pre-existing.
O
BUSINESS ACQUISITION - The purchase of an existing business. NOTE: THE FOLLOWING INFORMATION IS REQUIRED:
Date of Sale: ______/______/______
Total Purchase Amount: $___________________________
Furniture, Fixtures & Equipment Purchase Price: $______________________
O
RELOCATION /EXPANSION - An existing business relocating or expanding into Denver.
O
OTHER - Please Explain: ___________________________________________________________________________________________________
FOR OFFICAL USE ONLY:
Prepared By: ___________________ Date:_____/_____/_____
NBUT: ____/____/____ By: ______
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