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Business and Sales Tax License Application (con't)
SECTION TWO - All information provided in this section of the application is considered confidential.
18. Filing Frequency: $300 tax/month or more, file monthly
Under $300 tax/month, file quarterly
$300 tax/year or less, file annually
19. List Owner(s) or Corporate Officers: (attach supplemental sheet if necessary)
Name Position Home Phone
Home Address City State Zip code
Name Position Home Phone
Home Address City State Zip code
20. Accountant or CPA or
Local Manager
(person who can provide sales tax information if needed)
Address City State Zip Daytime Phone
21. Former Owner's Name: Former Owner's License
(if applicable) No.
22. Former Name of Date of Purchase: / /
Business
23. Did the purchase price include fixed assets, machinery, or equipment? YES NO Value $
24. State of Colorado Sales Tax License No.: Federal Employer I.D. (FEIN)
I declare, under penalty of perjury in the second degree, that this application has been examined by me, that the statements made herein
are made in good faith pursuant to Colorado and the City of Evans tax laws and regulations, and to the best of my knowledge and belief,
are true, correct, and complete.
Signed: Dated:
Name of Person Completing this Document
Printed Name: Title:
WHERE DO I GO TO GET INFORMATION ON LICENSING FOR THE STATE OF COLORADO?
When opening a new business in the State of Colorado call the Colorado Business Assistance Center, (303) 592-5920 in Denver, or (800) 333-7798 toll-free in
Colorado for information. Taxpayers are still required to remit State and County taxes directly to the State of Colorado.
To obtain a sales tax, wage withholding tax, or other business tax account number, visit the Denver Service Center at 1375 Sherman St., Denver, or at the Fort Collins
Service Center 1121 W Prospect Rd, Bldg D, Fort Collins or any Taxpayer Service Center in Colorado. You may also get the "Colorado Business Registration" Form
(CR 0100) through the Colorado Department of Revenue web site at www.taxcolorado.com, or call the Forms Hotline at (303) 238-FAST (3278).
Please be sure to check with other departments of the City to ensure compliance with all other applicable laws and regulations. Issuance
of the Business and Sales Tax License does not mean conformance with Zoning provisions, and/or other requirements.
Pursuant to Section 3.04.500 (l) of the City of Evans Tax Code "failure to obtain a renewal license by the December 31st expiration date
shall result in payment of an increased renewal feeā¦".
Thank You.
**PLEASE COMPLETE FRONT AND BACK OF APPLICATION**
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