Home Business Application Packet - City Of Thornton Sales Tax Division Page 2
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4TOTAL NUMBER OF LOCATIONS OPERATED THAT ARE SUBJECT TO CITY SALES OR USE TAX:
If more than one, give preference for filing returns: (check only one):
Separately, each location
Consolidated
ADDITIONAL BUSINESS LOCATIONS / LEASED EQUIPMENT, VENDING MACHINE, OR AMUSEMENT DEVICE LOCATIONS:
Name of Thornton Business Location
Address
No. of machines or pieces of leased
equipment at location
PRIVILEGED AND/OR CONFIDENTIAL COMMERCIAL FINANCIAL INFORMATION
NAMES AND HOME ADDRESSES OF OWNERS, PARTNERS, OFFICERS, OR MEMBERS OF LLC (Must Be Completed)
Name
Date of Birth
Address (street, city, state, zip code)
Phone Number
% owned and title
Bank Name
Bank Account No.
Type of Account
Bank Address
Federal Employer Identification No. (FEIN) or SS#
Colorado State License No.
Drivers License No. (Sole Proprietors Only)
FILING FREQUENCY: If average tax owed is:
$25.00/month or less – Annually
Under $100/month – Quarterly
$100/month or more - Monthly
Wholesale only - Annually
"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 Thornton
tax laws and, to the best of my knowledge and belief, are true, correct and complete."
APPLICANT: (PLEASE PRINT)
APPLICANT'S SIGNATURE:
TITLE:
DATE:
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