Tax License Application - City Of Greenwood Village
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2Tax License Application
CITY OF GREENWOOD VILLAGE
6060 South Quebec Street
Greenwood Village, Colorado 80111
303-773-0252
General Information
Business Name: ____________________________________________________________________________
Trade Name (DBA): ________________________________________________________________________
Business Physical Address: __________________________________ _____________ ______ ____________
Street (Include Suite Number)
City
State
Zip Code
Mailing Address: __________________________________________ ___________ ________ ____________
Street (if different than Business Address)
City
State
Zip Code
Business (Local) Phone Number: _________________ First Day of Business in Greenwood Village: ________
Contact Information for Tax Related Matters:
__________________________________________ ____________________________________ ____________________________________________
Name
Telephone Number
E-mail Address
_________________________________________ _____________________________________ ____________________________________________
Name
Telephone Number
E-mail Address
Type of Ownership:
___ Sole Proprietor ___ Partnership ___ Corporation ___ LLC ___ Other (All exempt organizations must
include copy of 501(c) (3) form)
List Owner(s) or Corporate Officer(s):
(attach supplemental sheet, if necessary)
_______________________________________________ ________________________________________________ ____________________________
Name
Address
Telephone Number
_______________________________________________ ________________________________________________ ____________________________
Name
Address
Telephone Number
_______________________________________________ ________________________________________________ ____________________________
Name
Address
Telephone Number
Federal Employer I.D. (FEIN): ________________________________________________________________
State of Colorado Sales Tax Account Number: ____________________________________________________
Nature of Business: _________________________________________________________________________
(Description of Goods Sold or Services Provided. Food Establishments Must Supply a Copy of Approved Tri-County Health License)
Emergency Contact: ________________________ ________________ _______________________________
Name
Telephone
E-mail Address
This information will be shared with the Greenwood Village Police for the sole purpose of contact in case of police or
fire emergency. For this reason, please provide a local contact name. Attach supplemental sheet, if necessary.
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Parent category: Business