City Sales Tax License Application  −Sterling, Colorado

                                                                                                                                        Organization Type (choose):
                                              Name of the Organization
                                                                                                                                         Sole Proprietorship

                                     Principal Place of Business:  Physical Address, City, State, Zip                                    Partnership

                                                                                                                                         Corporation
Name of Contact Person                                                                    Email Address
                                                                                                                                         L. L. C.

                                     Organization Name for Billing / Mailing  (if different from above)                                  Limited Partnership

                                                                                                                                         Other  _______________
                                     Mailing Address of Business (if different from above)
                                                                                                                                        _____________________
(         )              -             (         )              -                         (         )              -
Main Business Phone Number           Secondary Phone Number (if any)                                    FAX Phone Number

                                                                         Business Website (if any)

                                              Main Product or Service Provided by the Business

                                     Name of Owner / Partner / Corporate Officer                                                                 Title

                                              Home Address, City, State, Zip of Owner / Partner / Officer

                                     Name of Other Owner / Partner / Corporate Officer                                                           Title

                                     Home Address, City, State, Zip of Other Owner / Partner / Officer

Desired Tax Return Filing Frequency:  Monthly                             Quarterly        Yearly                    Seasonal :
If your monthly tax amount is:        greater than $40                    less than $40    less than $10                       Months of Your Season

Business Start Date in Sterling                        Colorado State Tax ID Number                                            Federal ID Number

     Signature of Applicant                                                                             Title                           Application Date

                                              For Finance Department Use Only

City Sales Tax Number                Business Type (S. I. C.) Code                                            Location Code             Date Processed and Issued

                           If In Sterling, Zoning Authorization Given By                                                    Processed By