City of Lone Tree
Sales/Use Tax Division                                                                                                                   Phone:  303.708.1818
9220 Kimmer Dr., Suite 100                                                                                                                  Fax:  303.225.4949
Lone Tree, CO  80124                                                                                                             www.cityoflonetree.com
Combined Retail License Fee - $15.00         BUSINESS LICENSE AND SALES/USE TAX APPLICATION                               SALES/USE TAX:  1.8125%
Business Only License Fee - $10.00                             Please Print Legibly                                     LODGING TAX:  6%,  ADMISSION TAX:  4%
REGISTERED NAME OF COMPANY                                                             DOING BUSINESS AS (DBA) NAME

BUSINESS START DATE IN LONE TREE     FEIN OF SSN                  STATE ID#                        BUSINESS PHONE                           BUSINESS FAX

BUSINESS LOCATION PHYSICAL ADDRESS (No P.O. Box)                                       CITY, STATE                                          ZIP

CORRESPONDENCE CONTACT NAME                  CORRESPONDENCE PHONE CORRESPONDENCE EMAIL

CORRESPONDENCE MAILING ADDRESS                                                         CITY, STATE                                          ZIP

MANAGER OR REGISTERED AGENT                  MANAGER/AGENT PHONE  MANAGER/AGENT EMAIL

MANAGER OR REGISTERED AGENT MAILING ADDRESS                                            CITY, STATE                                          ZIP

TYPE OF REGISTRATION REQUIRED
  BUSINESS LICENSE ONLY (No Taxable Sales)  $10.00 License Fee    COMBINED BUSINESS/RETAIL SALES TAX LICENSE $15.00 LICENSE FEE
 WILL YOU BE MAKING RETAIL SALES OF TANGIBLE PERSONAL PROPERTY?   YES                                                   NO
  BUSINESS LICENSE ONLY FEE:  $10.00   (One Time Fee, No Renewal) COMBINED RETAIL LICENSE FEE:  $15.00  (Biennial License Subject to renewal)
TYPE OF BUSINESS ACTIVITY (PLEASE SELECT ONE)
  ACCOUNTING FIRM                            AUTO SALES           INTERIOR DESIGN                                       RESIDENTIAL BUS.    OTHER:
  CHILD CARE                                 BEAUTY SALON         LEASING COMPANY                                       RESTAURANT
  CONSULTING SERVICES                        CONTRACTOR - GENERAL LIQUOR SALES                                          RETAIL SERVICES
  ENGINEERING SERVICES                       CONTRACTOR - SUB     LODGING                                               SELF STORAGE
  FINANCIAL INSTITUTION                      DISTRIBUTOR          MAINTENANCE                                           SOLICITOR
  INSURANCE COMPANY                          ENTERTAINMENT        MESSAGE THERAPY                                       TELECOMMUNICATIONS
  MARKETING                                  FOOD SERVICES        MEDICAL SERVICES                                      TELEVISION-CABLE/SAT
  REAL ESTATE                                GOVERNMENT           OFFICE SUPPLIES                                       UTILITIES
                                             HEALTH CLUB          RELIGIOUS - EXEMPT                                    WHOLESALE
REQUEST FOR PRE-PRINTED SALES TAX FORMS      REQUESTED TAX REPORTING FREQUENCY?                    NEW BUSINESS OR PURCHASE OF A BUSINESS?
  NO - PREFER TO FILE ONLINE                     MONTHLY (TAX LIABILITY $100/MO OR MORE)                                NEW BUSINESS IN LONE TREE
  NO - FORMS REQUIRED                            QUARTERLY (TAX LIABILITY $11-$99/Month)                                BUSINESS ASSET PURCHASE
  YES - SEND FORMS VIA EMAIL                     ANNUAL (TAX LIABILITY $10/MO OR LESS)                                  OTHER (EX:  STOCK PURCHASE)
  YES - SEND PAPER FORMS BY MAIL                 OCCASIONAL (BUSINESS LICENSE ONLY)
TYPE OF BUSINESS (PLEASE SELECT ONE)                                                               ESTIMATED ANNUAL TAXABLE SALES (IF ANY)
  CORPORATION                                LLC                                       OTHER:      SQ. FOOTAGE OF LONE TREE LOCATION
  PARTNERSHIP                                SUB-S CORPORATION                                     # OF EMPLOYEES AT LONE TREE LOCATION
  SOLE PROPRIETOR                            TRUST
I declare, under penalty of perjury, that the statements made herein are, to the best of my knowledge, true and correct.

SIGNATURE Applicant or Authorized Agent)          PRINT NAME (Applicant or Authorized Agent)               Title                 Date
ONLINE TAX RETURN FILINGS:           FILE REGISTRATION & TAX RETURN FORMS TO:
                                                           City of Lone Tree
  www.XpressBillPay.com                                    PO BOX 17987
                                                  DENVER, CO  80217-0987                                                                           Revised 5/2019

City of Lone Tree
Sales/Use Tax Division                                                                                                  Phone: 303.708.1818
9220 Kimmer Drive, Suite 100                                                                                                     Fax: 303.225.4949
Lone Tree, CO  80124                                                                                               www.cityoflonetree.com/salestax

                             INSTRUCTIONS FOR BUSINESS REGISTRATION AND SALES/USE TAX APPLICATION

1. Please complete the entire form. 
2. The top portion of the form is for the purpose of gathering name, location, and contact information.  Please provide all contact information
   requested to assist in setting up an accurate City business account.
3. Determine the type of license you need.
                     BUSINESS LICENSE ONLY:
                     A business license only account is for registrants that will not make any sales of tangible personal property,  as defined in City
                     Municipal Code Sec. 4-3-110, within the City of Lone Tree.  These are typically service-based industries, such as accounting 
                     and law firms, insurance companies, child care facilities, etc.  Although a business license only account will not be 
                     responsible for the regular filing of sales tax returns these accounts are still required to file & remit consumer use tax.  

                     COMBINED BUSINESS & SALES TAX LICENSE:
                     A combined business and sales tax license is for all retailers that make sales of tangible personal property within the City of
                     Lone Tree as defined under City Municipal Code Sec. 4-3-110.  These accounts are set up to file sales tax return forms on a 
                     regular filing schedule.  These accounts are also responsible for the remittance of consumer use tax due on business use 
                     purchases.  Both the sales and use taxes due for these accounts are filed on the City's combined sales & use tax return form.

   All requests for licenses are reviewed and approved by the City's tax department.  The tax department reserves the right to make final
   determination of the type of license issued based on the information provided on the application form.

4. Select your type of business.  This information is needed to determine the type of license to issue to your business.
5. If you are making retail sales transactions within the City, please estimate the gross annual sales you expect to be making.  This estimate
   is used to determine your filing frequency.
6. If you have a physical location within the City of Lone Tree, please include the square footage of your retail and/or office space and 
   the number of employees employed at that physical location.
7. Select the type of ownership.
8. Request a filing frequency.  All final determinations of filing frequency are made by the City's tax department.
9. DO YOU WANT THE CITY TO PROVIDE YOU WITH PRE-PRINTED SALES TAX RETURN FORMS?  If so, select "Yes".  If you do not wish to 
   receive these pre-printed forms then select "No".  If no selection is made the City will not be sending you pre-printed forms.
10. Is this a new business within Lone Tree or have you purchased an existing business?
11. Sign, print your name, provide your business title, and date this form.
12. Submit a license fee with this form.  Business License Only:  $10.00 (no renewal, no expiration);  Combined Retail License:  $15.00 (2 year license, 
   renewal in even number years).  Checks should be made out to the City of Lone Tree.
13. FOR BUSINESSES PHYSICALLY LOCATED IN LONE TREE: It is required that you complete the Lone Tree Police Department's Business 
   Contact Form.  Failing to submit the LTPD contact form with your business registration form may result in a delay when issuing your license.
14. Mail completed business registration form, license fee, and LTPD business contact form (if applicable) to the following address:

                     City of Lone Tree
                     PO Box 17987
                     Denver, CO  80217-0987

15. The City will review your business registration form and assign you a City license number.  This process can take four to six weeks to complete. 
   You will be mailed a new license packet containing your business license, return forms (if applicable), and additional City information.

                       LONE TREE POLICE DEPARTMENT 
                                               BUSINESS CONTACT FORM 
               DEAR VALUED MERCHANT, 
                     TO IMPROVE OUR SERVICE & BETTER PROTECT YOUR BUSINESS,  PLEASE COMPLETE THIS FORM 
              IN ITS ENTIRETY AND PROMPTLY RETURN IT TO THE POLICE DEPARTMENT AT: 9220 KIMMER DR., 
              #120,  LONE TREE, CO. 80124. IF YOU HAVE ANY QUESTIONS, PLEASE CONTACT THE COMMUNITY 
              PARTNERSHIP UNIT AT (303)339-8150.  THANK YOU FOR YOUR ASSISTANCE AND COOPERATION.       
BUSINESS NAME:                              ADDRESS IN LONE TREE, INCLUDING APPLICABLE SUITE OR UNIT  #s: 

BUSINESS OWNER NAME:                        OWNER’S TELEPHONE NUMBERS: 

                                            H:                              W:           C: 
BUSINESS  PHONE:                             BUSINESS FAX:

EMAIL ADDRESS                              Business Watch Members receive e-mails on safety information, criminal 
                                           activity and trends, tips to protect you business from loss, and schedules 
                                           of upcoming business watch classes.   
                                            MAKE SURE YOU PROVIDE US WITH AN E-MAIL ADDRESS 

                                            MY BUSINESS WOULD LIKE TO BE 
                                             A MEMBER OF THE LONE TREE 
                                             BUSINESS WATCH PROGRAM.    
HOURS OF OPERATION:  

WHAT TYPE OF BUSINESS DO YOU OPERATE? (PLEASE GENERALLY DESCRIBE PRODUCTS/SERVICES, TO INCLUDE PRESENCE OR 
USE OF HAZARDOUS MATERIALS.) 

IS YOUR BUSINESS PREMISE EQUIPPED WITH ANY OF THE FOLLOWING? (PLEASE CHECK ALL THAT APPLY) 
_____ MONEY SAFE     _____MOTION-ACTIVATED EXTERIOR LIGHTING      _____SECURITY CAMERA(S); INTERIOR, EXTERIOR, BOTH 
TYPE OF ALARM    ___ AUDIBLE    ___ SILENT     CLASS OF ALARM    ___ INTRUSION    ___ PANIC    ___ HOLDUP    ___ MEDICAL    

NAME OF ALARM COMPANY:                     ADDRESS OF ALARM COMPANY:              PHONE NUMBER OF ALARM COMPANY: 

____PRIVATE SECURITY OR JANITORIAL PERSONNEL; IF SO, LIST COMPANY NAME(S), CONTACT #, DAYS/HOURS PRESENT 

IN THE EVENT OF AN EMERGENCY, THE POLICE DEPARTMENT WILL CONTACT THE FOLLOWING KEYHOLDING    EMPLOYEES IN 
THE LISTED PREFERENCE ORDER: 
#1 NAME                TITLE                              ADDRESS                 PHONE NUMBER:

#2 NAME                TITLE                              ADDRESS                 PHONE NUMBER

#3 NAME                TITLE                              ADDRESS                 PHONE NUMBER

FOR OFFICE USE ONLY: 

______ ORIGINAL   ______ UPDATED   ______ SENT TO DISPATCH   DATE:_________________________