Application For Sales And Use Tax Business License - City Of Thornton Sales Tax Division

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FOR CITY USE ONLY
Reporting Frequency
1
4
12
A
Q
M
CITY OF THORNTON
Business Start Date
Sales Tax Division
Geo-Code
9500 Civic Center Drive
NAIC
Thornton, CO 80229-4326
Bus. Nature
Phone (303) 538-7400
Account Number
APPLICATION FOR SALES AND
USE TAX BUSINESS LICENSE
PLEASE TYPE OR PRINT NEATLY
Trade Name – DBA
Business Phone No.
(
)
Taxpayer Name (Owner, Partners, Corporate, or LLC) (Last, First, Middle)
Business Address
City
State
Zip + 4
Mailing Address (if different)
City
State
Zip + 4
Contact Person/Registered Agent
Phone No.
Title
(
)
Email
REASON FOR FILING APPLICATION:
Original Application/New Ownership
Change in Ownership Structure – Describe: __________________________________________
Other______________________________________________________
_________________________________________________________________________
TYPE OF OWNERSHIP: (check only one)
Individual
Corporation
Partnership
Other (Specify) ______________________________________________________________________
Check business location type:
Commercial Establishment
Private Residence
No Thornton Location (vending-in)
Location of records: (check only one)
Same as business location address
Same as mailing address
Other
TYPE OF BUSINESS:
Wholesaler
Retail – Sales
Consumer – Use
Single Event – Period Covered
Total No. of Employees __________________________
Multiple Event
(MO/DAY/YR) _________________________________
in Thornton
Event Location ________________________________________________________
Type of Service Provided/Type of Merchandise Sold (be specific):
Date business was purchased or date that business began operating in Thornton:
of previous owner or business at present location:
Name
Check here if your company creates its own tax returns and does not need the City to supply them
.
If Seasonal, mark each
Jan
Feb
Mar
April
May
June
July
Aug
Sept
Oct
Nov
Dec
business month.
(Complete Reverse Side of this Page)
C:\Documents and Settings\pnealall\Local Settings\Temporary Internet Files\OLK80\LicApp.doc

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