City and County of Denver 
                    APPLICATION FOR DENVER SALES, USE, LODGER'S TAX LICENSE AND/OR                                    Treasury Division Wellington 
                                     OCCUPATIONAL TAX REGISTRATION                                                    Webb Bldg. 
                                                                                                                      201 W Colfax Ave., Dept 
                                                                                                                      403 Denver, CO 80202-5329 
                    GO GREEN and register online at www.denvergov.org/ebiztax 
                    or complete this 2-page form below 

IF YOU NEED ASSISTANCE, CALL 720-913-9400, OR VISIT OUR WEBSI TE AT WWW.DENVERGOV.ORG/TREASURY FOR HELPFUL TAX 
INFORMATION. A SEPARATE APPLICATION IS REQUIRED FOR EACH PLACE OF BUSINESS. COMPLETED HARD COPY 
APPLICATIONS CAN BE MAILED TO THE ADDRESS ABOVE. 
1. BUSINESS INFORMATION
TRADE NAME                                                                                     FEIN # 
LEGAL NAME                                                                    STATE SALES TAX # 
WEBSITE                                                                                        NAICS # 
                                                                                                           (N. American Industry Classification System) 
2. OWNERSHIP INFORMATION
CORPORATION            S-CORPORATION          SOLE PROPRIETOR                 PARTNERSHIP                  NON-PROFIT        GOVERNMENT 
LLC (How do you declare with the IRS for Federal Income Tax filing?) Corporation               Partnership            Disregarded Entity 
HAS THIS BUSINESS BEEN LICENSED OR REGISTERED IN DENVER UNDER YOUR OWNERSHIP IN THE PAST?                             YES                 NO 
                                                                                                    ACCOUNT #: 
3. OWNER / OFFICER INFORMATION      (If needed, please list additional Owner / Officer Information on separate sheet.)
NAME                                                                 BUSINESS PHONE #1                                EXT  
TITLE                                                                BUSINESS PHONE #2                                EXT  
ADDRESS                                                              BUSINESS FAX  
               CITY                                                  HOME PHONE  
STATE                               ZIP CODE                                            EMAIL  
NAME                                                                 BUSINESS PHONE #1                                EXT  
TITLE                                                                BUSINESS PHONE #2                                EXT  
ADDRESS                                                              BUSINESS FAX              
               CITY                                                  HOME PHONE                
STATE                               ZIP CODE                                            EMAIL  

4. BUSINESS LOCATION INFORMATION (Do not use P.O. Box.)
ADDRESS                                                              BUSINESS PHONE                                   EXT  
CITY                                                                 BUSINESS FAX  
STATE                               ZIP CODE                                            EMAIL  
5. BUSINESS MAILING INFORMATION (If different from Business Location Address.)
ADDRESS
CITY 
STATE                               ZIP CODE  

6. TYPE OF BUSINESS
RETAIL SALES        WHOLESALE SALES  MANUFACTURING                   CONSTRUCTION              GOVERNMENT    SERVICE ONLY                 OTHER 
DESCRIBE THE NATURE OF BUSINESS 
(PRODUCTS SOLD, SERVICES PROVIDED) 
NUMBER OF EMPLOYEES WORKING IN DENVER                                BUSINESS START DATE IN DENVER                         /              / 
7. BUSINESS START UP INFORMATION (Additional Reference: Denver Tax Guide 69 Sale and Purchase of a Business)
ACQUISITION (the purchase of an existing business's assets). The following information is required: 
Date of Sale:       /         /     Total Purchase Amount: $                            Furniture, Fixtures & Equipment Purchase Price: $ 
RELOCATION (existing business relocating into Denver) City and State  relocating from:                     , 
NEW START UP (new business not pre-existing in Denver) 
OTHER – Please Explain   

OFFICIAL USE BELOW THIS LINE: 
                    Reviewer Notes: 
                                                                                                     Entered Into System By:__________________ 
__________________  Registration from SUTS: _____Yes  _____ No                                       System Entry Date: ____/____/______ 
Account Number 

8. TAX TYPE INFORMATION
a) OCCUPATIONAL PRIVILEGE TAX ACCOUNT
   THE CITY AND COUNTY OF DENVER IMPOSES AN OCCUPATIONAL PRIVILEGE TAX ON INDIVIDUALS WHO WORK WITHIN THE CITY LIMITS OF DENVER. THE 
   EMPLOYEE NEED NOT LIVE IN DENVER AND THE BUSINESS NEED NOT BE BASED IN DENVER, THE PERSON NEED ONLY PERFORM SERVICES WITHIN THE 
   CITY. (ADDITIONAL REFERENCE: DENVER TAX GUIDE 61 OCCUPATIONAL PRIVILEGE TAX)
    TAX WILL BE FILED BY:       SELF                   FILING FREQUENCY:         MONTHLY (MORE THAN 10 EMPLOYEES) 
                                3RD PARTY                                        QUARTERLY (10 OR FEWER EMPLOYEES) 
                                                                                 ANNUAL (LIMITED QUALIFICATIONS, SEE TAX GUIDE)
b) CONSUMER USE TAX ACCOUNT
   IF YOU BUY TANGIBLE PERSONAL PROPERTY FOR OWN USE AND THE VENDOR DOES NOT COLLECT DENVER SALES TAX ON THE INVOICE, THE TAX DUE TO 
   DENVER MUST BE REPORTED AND PAID TO DENVER. THIS INCLUDES PERSONAL PROPERTY ACQUIRED WITH THE PURCHASE OF A BUSINESS. (ADDITIONAL 
   REFERENCE: DENVER TAX GUIDE 83 USE TAX)
    TAX WILL BE FILED BY:       SELF                   FILING FREQUENCY:         MONTHLY ($300 / MONTH OR MORE IS DUE) 
                                3RD PARTY                                        QUARTERLY (LESS THAN $300 / MONTH IS DUE) 
                                                                                 ANNUALLY (LESS THAN $15 / MONTH IS DUE) 
c) SALES TAX LICENSE
   LICENSE IS REQUIRED IF YOU ARE A DENVER VENDOR. THE LICENSE AUTHORIZES YOU TO COLLECT AND REMIT SALES TAX YOU MAY OWE 
   (ADDITIONAL REFERENCE: DENVER TAX GUIDE 70 SALES TAX). A TAX LICENSE IS NOT A LICENSE TO DO BUSINESS. ADDITIONAL BUSINESS LICENSES 
   OR PERMITS MAY BE REQUIRED BY OTHER CITY DEPARTMENTS, EXCISE AND LICENSES DEPARTMENT (licenses@denvergov.org) CAN PROVIDE 
   INFORMATION FOR BUSINESS LICENSES. 
     TAX WILL BE FILED BY:      SELF                     FILING FREQUENCY:       MONTHLY ($300 / MONTH OR MORE IS DUE) 
                                3RD PARTY                                        QUARTERLY (LESS THAN $300 / MONTH IS DUE) 
                                                                                 ANNUALLY (LESS THAN $15 / MONTH IS DUE) 
d) RETAILER'S USE TAX LICENSE
   BUSINESSES LOCATED OUTSIDE OF DENVER MAY BE REQUIRED TO COLLECT RETAILER'S USE TAX (TAX ON DELIVERIES INTO DENVER AT THE 
   SALES TAX RATE). IF REQUIRED TO COLLECT THE TAX, YOU MUST APPLY FOR A LICENSE. (ADDITIONAL REFERENCE: DENVER TAX GUIDE 83 USE 
   TAX) 
     TAX WILL BE FILED BY:      SELF                   FILING FREQUENCY:         MONTHLY ($300 / MONTH OR MORE IS DUE) 
                                3RD PARTY                                        QUARTERLY (LESS THAN $300 / MONTH IS DUE) 
e) LODGER'S TAX LICENSE                                                          ANNUALLY (LESS THAN $15 / MONTH IS DUE) 
   LICENSE IS REQUIRED, IF YOU FURNISH ROOMS OR ACCOMMODATIONS IN THE CITY OF DENVER FOR A PERIOD OF LESS THAN 30 CONSECUTIVE DAYS. 
   (ADDITIONAL REFERENCE: DENVER TAX GUIDE 52 LODGER’S TAX) 

     TAX WILL BE FILED BY:          SELF                FILING FREQUENCY:        MONTHLY ($300 / MONTH OR MORE IS DUE) 
                                3RD PARTY                                        QUARTERLY (LESS THAN $300 / MONTH IS DUE) 
                                                                                 ANNUALLY (LESS THAN $15 / MONTH IS DUE)

f) TOURISM IMPROVEMENT DISTRICT TAX ACCOUNT
   HOTELS WITH 50 OR MORE ROOMS ARE REQUIRED TO COLLECT THE TOURISM IMPROVEMENT DISTRICT TAX WHICH WILL BE FILED ON THE SAME RETURN
   TAX. IF YOU ARE A HOTEL, PLEASE INDICATE HOW MANY ROOMS YOU HAVE. (ADDITIONAL REFERENCE: DENVER TAX GUIDE 52 (LODGER'S TAX)
                                1 - 49 ROOMS 
                                50 OR MORE ROOMS (REQUIRED TO FILE MONTHLY TAX RETURNS ONLINE) 

9. LICENSE AND RENEWAL PERIOD
LICENSES WILL BE ISSUED FOR A TWO-YEAR PERIOD, RENEWABLE ON A BIENNIAL BASIS BY JANUARY. IT IS THE DUTY OF EACH LICENSEE ON OR BEFORE JANUARY 1 
OF EVEN-NUMBERED YEARS FOLLOWING THE YEAR IN WHICH THEIR LICENSE IS ISSUED OR RENEWED TO VERIFY THEIR CONTACT INFORMATION WITH TREASURY TO 
ENSURE THE LICENSE IS ACCURATE. THIRD-PARTY COLLECTORS LICENSES MUST BE RENEWED ANNUALLY. IF YOU CLOSE YOUR BUSINESS IN DENVER YOU MUST 
NOTIFY TREASURY TO ENSURE NO DELIQUENCY. 

10. CONTACTS (If different from Main Business Contact.)
    TAX TYPE     OCCUPATIONAL PRIVILEGE TAX            CONSUMER USE TAX          SALES / RETAILER'S USE TAX       LODGER'S TAX 
CONTACT PERSON 
        TITLE 
BUSINESS PHONE                           EXT                    EXT                            EXT                             EXT 
        EMAIL 

11. MAILING ADDRESSES (If different from Main Business Mailing Address.)
    TAX TYPE     OCCUPATIONAL PRIVILEGE TAX            CONSUMER USE TAX          SALES / RETAILER'S USE TAX       LODGER'S TAX 

MAILING ADDRESS 

        CITY 
      STATE                     ZIP                         ZIP                  ZIP                                   ZIP 

I HEREBY CERTIFY UNDER PENALTY OF PERJURY, THAT THE STATEMENTS MADE HEREIN ARE TO THE BEST OF MY KNOWLEDGE TRUE, CORRECT AND COMPLETE.           

SIGNATURE OF APPLICANT                                                     TITLE                               DATE