CITY OF LAMAR
BUSINESS / SALES TAX LICENSE APPLICATION
2022 LICENSE FEE - $10.00
PLEASE TYPE OR PRINT CLEARLY
_____ NEW _____ RENEWAL _____ CHANGE IN OWNERSHIP ______ NAME/ADDRESS CHANGE
BUSINESS NAME ________________________________________________________________________
TYPE OF BUSINESS ________________________________________________________________________
WHAT YOU SELL/SERVICE ________________________________________________________________________
BUSINESS ADDRESS ________________________________________________________________________
MAILING ADDRESS ________________________________________________________________________
FEIN ________________STATE OF CO ID# _____________________EMAIL ADDRESS________________________
BUSINESS PHONE ____________________________________ BUSINESS FAX __________________________
NAME OF OWNER ________________________________________________________________________
HOME ADDRESS ________________________________________________________________________
SOCIAL SECURITY # ___________________ D L # & STATE ___________________ HOME PHONE __________
IF A THIRD PARTY PREPARES YOUR SALES TAX RETURN, PLEASE PROVIDE THEIR INFORMATION HERE
CONTACT NAME ____________________________________________________________
EMAIL ADDRESS ______________________________________________
TELEPHONE ________________________ FAX ________________________
RETURN FILING FREQUENCY: MONTHLY ____ QUARTERLY ____ SEMI-ANNUAL ____ ANNUAL____
FIRST DAY OF BUSINESS IN LAMAR ________________________________________________________________
APPLICANTS SIGNATURE _________________________________________________________________________
MAKE CHECK OR MONEY ORDER PAYABLE TO: CITY OF LAMAR
MAIL APPLICATION TO: City of Lamar, Attn: Licensing Department, 102 E Parmenter St., Lamar, CO 81052
CONTACT THE CITY OF LAMAR LICENSING DEPARTMENT AT 719-336-4376/missy.mason@ci.lamar.co.us
CITY OF LAMAR BUSINESS LICENSE REQUIRED FOR ALL CITY BIDS
_____________________________________
DO NOT WRITE BELOW THIS LINE – OFFICE USE ONLY
THIS APPLICATION MUST BE APPROVED BY THE FOLLOWING DEPARTMENTS BEFORE BEING ISSUED:
(ONE WEEK WAITING PERIOD)
BUILDING & CODES _________________ FIRE __________________
VENDOR NUMBER __________
Document checksum: 1719612601
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