Town Of Winter Park Tax Form
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1Town of Winter Park
THIS SECTION FOR TOWN USE ONLY
Town Clerk
Date Received: ___________________________
50 Vasquez Road/PO Box 3327
Winter Park, CO 80482
Check Number: ___________________________
P) 970.726.8081 F) 970.726.8084
Initials: __________
Issue Date: __________ Account No: _________
Annual Fee: $60 - Payable to the Town of Winter Park
License Holder:
Trade Name (dba):
Physical Location of Business:
Mailing Address of Business:
Business Phone:
Business Fax:
Contact Name and Title:
Contact Phone:
Contact Email:
Type of Ownership:
Sole Proprietorship*
Association or Club
Partnership
Nonprofit
State/Exemption #:
Corporation
Other
Please Explain:
*Sole Proprietors must also submit and complete a Lawful Presence Affidavit
Owner/Officer:
Title:
Image Field
Phone:
Owner/Officer:
Title:
Phone:
Owner/Officer:
Title:
Phone:
Type of Sales/Business:
Retail
Service
Restaurant/Bar
Lodging
Other
Nature of Business:
Winter Park Tax Reporting Basis:
Tax Preparer:
Monthly
Annually
Mailing Address:
Quarterly
N/A
Phone:
Email:
FEIN #:
State Tax ID #:
I declare under penalty of perjury that this application has been examined by me and that the statements made herein are
made in good faith pursuant to the Town of Winter Park's occupation and tax regulations and, to the best of my knowledge
and belief are true, correct, and complete.
Signature: _________________________________________________
Date: _________________________
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