Mailing  Address:  
                                                                                                                                     City  and  County  of  Denver 
                               APPLICATION  FOR  DENVER  SALES,  USE,  LODGER'S  TAX  LICENSE                                        Treasury  Division 
                                                                                                                                     Wellington Webb  Bldg.  
                                            AND/OR  OCCUPATIONAL  TAX  REGISTRATION                                                  201  W  Colfax  Ave.,  Dept  403  
                                                                                                                                     Denver,  CO  80202-5329  

 THIS APPLICATION  MUST  BE  COMPLETED  IN  FULL  (THIS  FORM  HAS 2  SIDES).  INCOMPLETE  APPLICATIONS  WILL  BE  RETURNED.  A 
 SEPARATE  APPLICATION  IS  REQUIRED  FOR  EACH  PLACE  OF  BUSINESS.  IF  YOU  NEED A  SSISTANCE,  CALL  720-913-9400,  OR  VISIT  OUR 
 WEBSITE  AT WWW.DENVERGOV.ORG/TREASURY FOR  HELPFUL  TAX  INFORMATION. 
 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  PROPR TIE OR              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                        ZIPCODE                                              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  (Business purchasers  refer to bulletin TPS037 for important information regarding outstanding taxes due.) 
         ACQUISITION (the  purchase of an existing business' sassets ). 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: _________________  
______________________ 
Account Number 
                                                                                                      System Entry Date:  ______ / ______ / ______ 

8. TAX  TYPE  INFORMATION
a)OCCUPATIONAL PRIVILEGE           TAX   ACCOUNT
  THE CITY AND  COUNTY OF DENVER IMPOSES ANOCCUPATIONALPRIVILEGE TAX ON INDIVIDUALSWHO 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 PERFORMSERVICESWITHIN THE 
  CITY (REQUEST TPS003 FOR MORE       INFORMATION).ANNUAL FILING IS ALLOWED ONLY FOR INDIVIDUALS, SOLE PROPRIETORS, AND PARTNERSHIPS 
  WITHOUT ANY EMPLOYEES.UNQUALIFIED SELECTION OF THIS FILING FREQUENCY MAY RESULT IN THE ASSESSMENT OF LATE FILING PENALTIES AND 
  INTEREST.
    TAX WILL BE FILED BY:             SELF                      FILING FREQUENCY:           MONTHLY (MORE THAN 10 EMPLOYEES  ) 
                                      3RD PARTY                                             QUARTERLY (10 OR FEWER EMPLOYEES) 
                                                                                            ANNUALLY (SEE ABOVE) 
b)CONSUMER USE TAX         ACCOUNT       (No License Fee.)
  IF YOUBUYTANGIBLEPERSONALPROPERTYFOROWNUSEANDTHEVENDORDOESNOT                        COLLECTDENVERSALESTAXONTHE        INVOICE,THETAXDUE              
  TO DENVERMUSTBEREPORTEDANDPAIDTODENVER.               THISINCLUDESPERSONAL            PROPERTY ACQUIRED WITH THEPURCHASEOFA            BUSINESS 
  (REQUEST TPS002 FOR    MORE    INFORMATION). 
    TAX WILLBE  FILEDBY:              SELF                      FILING FREQUENCY:           MONTHLY     ($300 / MONTH OR MORE IS DUE)
                                      3RD PARTY                                             QUARTERLY  (LESS THAN $300 / MONTH IS DUE) 
          TAX LICENSE                                                                       ANNUALLY  (LESS THAN $15 / MONTH IS DUE) 
c)SALES 
  LICENSE IS REQUIRED IF YOU ARE A DENVER VENDOR. THE LICENSE AUTHORIZES YOU TO COLLECT AND REMIT SALES TAX YOU MAY OWE (REQUEST 
  TPS001 FOR MORE INFORMATION). 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 (720-913-2743) 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. 
    TAX WILLBE  FILEDBY:              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,   IFYOU FURNISH     ROOMS OR    ACCOMMODATIONS  IN THE CITY OF DENVER FOR        A PERIOD OF LESS THAN 30CONSECUTIVEDAYS. 
  A FEE IS REQUIRED,   IFTHE APPLICATION IS NOT COMBINEDWITH A SALES TAX APPLICATION. 
    TAX WILL BE FILED BY:             SELF                       FILING FREQUENCY:          MONTHLY ($300 / MONTH OR MORE IS DUE) 
                                      3RD PARTY                                             QUARTERLY  (LESS THAN $300 / MONTH IS DUE) 
f)TOURISM IMPROVEMENT            DISTRICT TAX ACCOUNT        (No License Fee)               ANNUALLY  (LESS THAN $15 / MONTH IS DUE)
  HOTELS WITH 50 OR MORE ROOMS ARE REQUIRED TO COLLECT THE TOURISM IMPROVEMENT DISTRICT TAX  WHICH WILL  BE FILED ON THE SAME RETURN 
  AS LODGERS TAX. IF YOU ARE A HOTEL, PLEASE INDICATE HOW MANY ROOMS YOU HAVE.  
                                      1-49 ROOMS
                                      50 OR MORE ROOMS  NOTE: HOTELS WITH 50 OR MORE ROOMS ARE REQUIRED TO FILE ONLINE. 
9.LICENSE FEE AND RENEWAL           PERIOD
    LICENSES WILL BE ISSUEDFORA       TWO-YEARPERIOD,      RENEWABLE ON   ABIENNIALBASISBYJANUARY1.            ITISTHEDUTYOF   EACHLICENSEEONOR           
    BEFORE JANUARY1OF      EVEN-NUMBERED YEARS FOLLOWING THE YEARINWHICHTHEIRLICENSEIS                  ISSUED,ORRENEWEDTOCOMPLETEA          RENEWAL   
    FORM   IF THEY REMAIN   IN RETAIL BUSINESS.  LICENSE    FEES RECOVER    THE ADMINISTRATIVE COST OF ESTABLISHING AND MAINTAINING TAX ACCOUNTS 
    AND ARE NON-REFUNDABLE. 
10. LICENSE FEE PRORATION  SCHEDULE
    TAX LICENSE TYPES                             PRO-RATED FEES   IF BUSINESS BEGINS                MAKE CHECKS PAYABLE TO        "MANAGER OF FINANCE" 
                              Jan. 1. 2020 to   July 1. 2020 to   Jan. 1. 2021 to   July 1. 2021 to              (see mailing address on 1st page) 
    CIRCLE ONE ONLY                             Dec. 31, 2020     June 30,2021      Dec. 31, 2021                              FEE            
                              June 30, 2020                                                                        LICENSE         REMITTED: 
       SALES  TAX                $50.00          $37.50           $25.00              $12.50  
 SALES   & LODGER'S  TAX         $50.00          $37.50           $25.00              $12.50                 
     LODGER'S  TAX               $50.00          $37.50           $25.00              $12.50            $
  RETAILER'S USE   TAX           $50.00          $37.50           $25.00              $12.50 
11.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  
    BUSINESS  FAX  
        EMAIL 

12. 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 STATEMENTSMADE HEREIN ARE       TO THE  BEST OF MYKNOWLEDGE TRUE, CORRECT AND COMPLETE. 

SIGNATURE OF APPLICANT                                                                TITLE                                        DATE