PDF document
- 1 -
                                              Tax License Application 

                                              CITY OF GREENWOOD VILLAGE 
                                              6060 South Quebec Street 
                                              Greenwood Village, Colorado 80111 
                                                                        303-773-0252 

General Information 

Business Name: ____________________________________________________________________________ 

Trade Name (DBA): ________________________________________________________________________ 

Business Physical Address: __________________________________ _____________ ______ ____________ 
                                   Street (Include Suite Number)                                                 City  State      Zip Code 

Mailing Address: __________________________________________ ___________ ________ ____________ 
                                  Street (if different than Business Address)                                   City   State       Zip Code 

Business (Local) Phone Number: _________________ First Day of Business in Greenwood Village: ________ 

Contact Information for Tax Related Matters:  

__________________________________________ ____________________________________ ____________________________________________ 
Name                                     Telephone Number                                                              E-mail Address

_________________________________________ _____________________________________ ____________________________________________ 
Name                                     Telephone Number                                                              E-mail Address

Type of Ownership: ___ Sole Proprietor ___ Partnership ___ Corporation ___ LLC ___ Other (All exempt organizations must 
include copy of 501(c) (3) form) 

List Owner(s) or Corporate Officer(s): (attach supplemental sheet, if necessary)
_______________________________________________ ________________________________________________ ____________________________ 
Name                                                            Address                                                  Telephone Number 
_______________________________________________ ________________________________________________ ____________________________ 
Name                                                            Address                                                  Telephone Number 
_______________________________________________ ________________________________________________ ____________________________ 
Name                                                            Address                                                  Telephone Number 

Federal Employer I.D. (FEIN): ________________________________________________________________ 

State of Colorado Sales Tax Account Number: ____________________________________________________ 

Nature of Business: _________________________________________________________________________ 
        (Description of Goods Sold or Services Provided.  Food Establishments Must Supply a Copy of Approved Tri-County Health License) 

Emergency Contact:  ________________________ ________________ _______________________________ 
                    Name                                                                           Telephone           E-mail Address
                   This information will be shared with the  Greenwood Village Police for  the sole purpose of contact in case of police or 
                   fire emergency.  For this reason, please provide a local contact name. Attach supplemental sheet, if necessary. 



- 2 -
Occupational Privilege Tax:                                                                                              $___________
                  (License Fee) 
All businesses located in the Village, as well as those with employees working in our community must obtain an 
Occupational Privilege Tax License.  The tax consists of two portions, the employee portion and the employer 
portion.  Both portions are $2.00 per month ($4.00 combined) and both apply when an employee earns $250.00 or 
more in a calendar month.  The employer is responsible for reporting and remitting both portions of the tax.  A one-
time application fee of $10.00 is required at the time of licensing. 
 
___ Monthly                                    ___ Quarterly (Available if 10 or fewer employees) 
  
___ Annual (Available if 2 or fewer employees) 
 
Sales and Use Tax:                                                                                                       $___________
                         (License Fee) 
If your firm conducts sales of tangible personal property at retail, a Sales and Use Tax License is required. The 3.0 
percent municipal tax must be charged, collected and remitted directly to the Village for sales that take place in our 
city.   
 
Virtually every business located in the Village will have a use tax liability. Use tax eliminates any sales tax 
advantage that out-of-Village retailers may have.   If a retail vendor fails to collect and remit the correct sales tax, 
the purchaser may owe a “use tax” to the Village.  
 
 A one-time application fee of $10.00 is required at the time of licensing.  
 
___ Monthly                                    ___ Quarterly (Only if tax due is $180 or less) 
 
Lodging Tax:  
            
The 3.0 percent Greenwood Village Lodging Tax applies to all lodging services furnished within the Village.  This 
is in addition to the 3.0 percent Greenwood Village Sales Tax.  Every furnisher of lodging services is required to 
collect this tax and remit it to the Village on a monthly basis. No application fee is required. 
 
___ Monthly   
 
This Section Applies Only to Businesses Located in Greenwood Village: 
 
Approximate Square Footage of Business: _____________           
 
Number of Employees at this Location: _________  Number of Vending Machines on Site: ________________ 
 
Did you Purchase this Business? _______________ if yes, please provide date of acquisition: _____________ 
 
Prior GV Tax License Number or Name of Former Business: ________________________________________  
 
Purchase Price of Business: ___________________________________________________________________ 
 
Price of Tangible Personal Property (i.e. Furniture, Fixtures, Computer Hardware and Software): ___________________________ 
 
_______________________________ __________________________________ ________________________ 
Applicant’s Name/Title                             Signature                                                    Telephone Number
    
Section Completed by City Staff: 
 
Account Number:                                Date Entered:   
OPT Filing Frequency:                          Lodging Filing Frequency:                   Sales/Use Filing Frequency:                                           
 
Mail Form and Payment to: City of Greenwood Village 
                                    6060 South Quebec Street 
                                           Greenwood Village, Colorado 80111     






PDF file checksum: 918472196

(Plugin #1/9.12/13.0)