1800 Harlan St. 
                                                                                                       Edgewater, CO  80214 
                                                                                                       www.edgewaterco.com 
                                                                                                              720-763-3003 
                                                                                                       salestax@edgewaterco.com 
 
             SALES AND USE TAX APPLICATION  
                                   (Complete in Full and submit $18.00 fee) 
                                                                                    
Trade Name of Business (doing business as): ___________________________________________________________ 
 
Company Name (if different than dba):_________________________________________________________________ 
 
Business Contact Name:___________________________________________Phone #___________________________ 
 
Business Physical Address:__________________________________________________________________________ 
 
________________________________________________________________________________________________  
 
Describe in detail the nature of your business. ___________________________________________________________ 
 
________________________________________________________________________________________________ 
 
Date Business Will Open:_________________   Estimated Monthly Sales:____________________________ 
 
Reporting Period:           Monthly                     Quarterly                   Quarterly reporting is only allowed if the sales tax 
remittance is less than $300.00/month. No annual reporting is allowed. 
 
Information of Person or Company Preparing Sales and Use Tax Reports   (ALL INFO REQUIRED) 
 
________________________________________________________________________________________ 
NAME                                                                                 PHONE 
________________________________________________________________________________________________
ADDRESS                                                                            
________________________________________________________________________________________________ 
E-MAIL 
 
                                    Oath of Application 
 I declare under penalty of perjury in the second degree that this application is true, correct and 
 complete to the best of my knowledge. I also acknowledge that it is my responsibility and the 
 responsibility of my agents and employees to comply with the provisions of the Edgewater 
 Municipal Code and all Rules and Regulations which govern my Sales tax License. I further 
 acknowledge that it is my responsibility to provide the City with amendments to this application 
 in the event that any information provided herein changes after the date of application. 
  
 ___________________________________________________________________________________ 
 
 Authorized Signature                              Printed Name & Title                                                        Date   
 
Edgewater is a home rule city.  City of Edgewater sales tax reports and collections are mailed to:  
City of Edgewater ● 1800 Harlan St. ● Edgewater, CO  80214       All other taxes go to Colorado 
Department of Revenue.             
 
           City – 3.5%  State – 2.9%  County - .5%    Special District/RTD – 1.1%    = 8% 
 
SUTAAPP2019