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                                                                 Business Registration                                                                         (303) 658-2162
                                                                 City Clerk                                                                                 FAX (303) 706-3924
                                                                 4800 West 92nd Avenue                                                       licensing@cityofwestminster.us
                                                                 Westminster, CO 80031                                                            www.CityofWestminster.us

                                       In order to ensure legibility, please fill in fields using PDF reader. Incomplete registrations will be returned.

                                       1) Legal/True Name of Business (Last, First if Individual). Repeat on Page 2                                   CITY USE ONLY
                                                                                                                                             Acct                           LT
                                       2) Trade Name (DBA) of Business (if any up to 30 characters)
                                                                                                                                             I. Class                       Area
                                       3) Federal Employer ID    4) Colorado Sales Tax Account            5) Other Westminster Accounts

                                       6) Reason for Filing (check only one)                              7) Legal Form (check only one):
                                        New Registration (Including regsitration of new location)         Individual/Sole Proprietor (81) (Verification of Lawful Presence required)
                                        Update Information for Account:___________________                Corporation (Including PC) (83)
                                        Business Purchased or Merged                                      Limited Liability Company (LLC) (84)
                                        Change in Legal Form                                              Partnership (General or Limited) (82)
PART A - Registrant Information        8) Location/Account Type (check only one):                          Limited Liability Partnership (LLP or LLLP) (89)
                                        Commercial (Including retail, office, and industrial locations)   Non-Profit (85)
                                        Home Occupation (additional registration form required)           Trust (87)
                                        Out of City Location(s) (proceed to line 17)                      Government (88)
                                        Catalogue or Internet Sales Account      (proceed to line 17)     Other Entity Type (80):
                                                                                                 Location Information
                                                                             Out of City, Catalogue, and Internet accounts proceed to line 17
                                       9) Location Manager Name                                  10) Location ID             11) Location Phone Number

                                       12) Location Street Address with Suite Number (No PO Boxes)

                                       13) City                                       14) State 15) Zip Code                 16) Economic Development E-mail Address

                                                                             Business Registration and Licensing Information
                                       17) Send Business Licensing Correspondence Care Of                 18) Licensing Phone Number         19) Licensing Fax Number

                                       20) Check the following if the licensing address is:      21) Mailing Address for Business Licensing Correspondence
                                        Same as Location Address (lines 12 - 15 above)
                                                                                                 22) City                                    23) State 24) Zip Code

                                                                                             Tax Compliance Information
                                       25) Send Tax Correspondence Care Of                                26) Tax Phone Number               27) Tax Fax Number

PART B - Address & Contact Information 28) Check one of the following if the tax address is:     29) Mailing Address for Tax Forms, Notices, and Correspondence
                                        Same as Location Address (lines 12 - 15 above)
                                        Same as Licensing Address (lines 21 - 24 above)         30) City                                    31) State 32) Zip Code

                                       33) Check one of the following if the records address is: 34) Address where Tax Records may be Inspected (No PO Boxes)
                                        Same as Location Address (lines 12 - 15 above)
                                        Same as Licensing Address (lines 21 - 24 above)         35) City                                    36) State 37) Zip Code
                                        Same as Tax Address (lines 29 - 32 above)
                                                                                                 Tax Contact E-mail Address
                                                                                                 Primary E-mail Address:                   REQUIRED
                                                                                                 Alternate E-mail Address:

                                       This form has 2 pages. Both pages must be completed. Incomplete registrations will be returned.



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Business Registration                                                                                                                                                                                   Page 2
38) Legal/True Name of Business (From Part A, Line 1)

                                                                    39) Name of principal officer, owner, partner, member, or manager           40) Title

                                                                    41) Address of principal residence                                42) City                                         43) State 44) Zip Code

                                                                    45) Name of other officer, owner, partner, member, or manager               46) Title

                           PART C - Officers                        47) Address of principal residence                                48) City                                         49) State 50) Zip Code

                                                                                  Additional officers, owners, partners, members, or managers may be included on attachments.
                                                                    51) Legal Name of Prior Registrant (if purchased or merged)                          52) Prior FEIN (if available) 53) Purchase/Merge Date

                                                                    54) Start Date in Westminster       Local businesses must file an Initial Use Tax Return by the 20th of the following month.
                                                                            REQUIRED                    Notify the Sales Tax Division at (303) 658-2065 of changes to this date.
                                                                    55) Hours of Operation (local businesses only)
                                                                                  Monday               Tuesday     Wednesday          Thursday                           Friday      Saturday     Sunday
                                                                      From
                                                                      To
                                                                    56) Internet Address                                     57) Home occupations: Check this box to be        Number of Employees at this Location
                                                                    http://                                                 listed in the City website Business Directory.      58) FT        59) PT
                                                                    60) Primary Business Type (check only one)
                                                                     Retail (10)                                  Manufacturing or Processing (30)                             Financial Institution (45)
                                                                     Wholesale (20)                               Professional or Service  (40)                                Leasing (50)
                                                                     Hospitality or Entertainment (15)            Construction (35)                                            Government/Non-Profit (70)
                                                                    61) Description of Goods Sold or Services Provided (Up to 30 Characters)     62) Check this box if you     63) State Child Care License Number
                                                                                                                                                intend to sell liquor.
                           PART D - Business Inception & Operations 64) Requested Reporting Frequency
                                                                     Monthly (Annual tax liability over $500) (12 89 FM)
                                                                     Quarterly (Annual tax liability from $150 to $500) (04 90 FQ)
                                                                     Annually (Annual tax liability under $150) (01 92)
                                                                    Every business must file at least annually, even if no tax is due.
                                                                    All businesses, including those that do not make taxable sales, will likely have a use tax liability.
                                                                      Local businesses complete this part. Home occupations and out of city businesses need not complete this part.
                                                                    This information is provided to the Westminster Police Communications Center. In case of a police or fire emergency, a 
                                                                    local responsible person will be contacted to file a report and take charge of the premises.
                                                                    67) Primary After Hours Emergency Contact Name                    68) Title                                 69) After Hours Phone Number

                                                                    70) Secondary After Hours Emergency Contact Name                  71) Title                                 72) After Hours Phone Number

                                                                    73) Third After Hours Emergency Contact Name (optional)           74) Title                                 75) After Hours Phone Number
                           PART E - Emergency Contacts

                                                                                         Under penalties of perjury, I declare that I have examined this Business Registration and it is true and correct to the
                                                                                         best of my knowledge & belief.

Signature of
Registrant or 
Authorized Agent                                                                                       Signature                                                                              Date

                                                                                                       Printed Name                                                             Title



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                               Instructions for Business Registration 
                                                                     
General Instructions                                                also required. If the registrant is not a natural person, the title 
                                                                    of the officer or agent completing the form on behalf of the 
Purpose of Form. This form is used for persons engaged in           registrant must also be printed on the form. Forms without a 
                                                                    signature will be returned. 
business in the City of Westminster to register with the City 
                                                                     
and obtain the appropriate licenses.  
                                                                    Keep information updated. The information in this Business 
Every person engaged in business in the City must hold the          Registration is used by a variety of  City  agencies  including 
appropriate licenses.  Some  businesses  are  required  to          the  City  Clerk, Police, Fire, Code Enforcement, Planning, 
register even though they do not maintain a fixed commercial        Building, Sales Tax  and Economic Development for  health, 
location within the City.                                           public safety, land use, and other regulatory and informational 
                                                                    concerns.  It  is critical that you report any changes in this 
There  is  no  fee for general business licenses, home              information  to  the  office  of  the  City  Clerk  as  soon  as 
occupation  licenses,  and  sales  &  use  tax  licenses.  Certain  practicable.  Please  reference  your  assigned  Westminster 
types  of  businesses  will  be required to complete                account number on any correspondence. 
supplemental registrations and pay the appropriate fees.             
                                                                    Westminster taxes.      The Sales Tax Division collects 
Submission. Complete all required line items and submit to:         Westminster  taxes.  For  forms, Tax Compliance Guide 
                                                                    publications on a variety of topics, and other resources, visit 
 City of Westminster                                                the Tax/License Toolbox  section  of  the City website: 
 City Clerk                                                         http://www.CityofWestminster.us or call (303) 658-2065. 
 4800 W 92 ndAvenue                                                  
 Westminster, CO 80031-6387                                         Trade name registration.    An individual or entity transacting 
                                                                    business  in the state of Colorado under a name other than 
Completed  forms may also be  submitted  via facsimile  or e-       their legal or true name must register such trade name (also 
mail to: (303) 706-3924 or licensing@cityofwestminster.us.          referred  to  as  a “doing business as” or  “DBA”) with the 
                                                                    Colorado  Secretary  of  State.  Additional  information  is 
Adobe PDF Fill-In.  In order to improve legibility, the City has    available at http://www.sos.state.co.us. 
enabled this form to be completed using the Adobe Reader.            
This product can be downloaded at no charge from the Adobe          State tax registration. In addition to registering with the City 
website (http://www.adobe.com).                                     of Westminster, businesses must register with the Colorado 
                                                                    Department of Revenue and may be required to register with 
Registrants choosing not to complete the form using Adobe           other home rule cities. Additional information is available on 
Reader  must  typewrite the form. Illegible forms will  be          the  department’s  website: http://www.taxcolorado.com  or by 
returned without processing.                                        contacting the Taxpayer Services Division at (303) 238-7378. 
                                                                    The  department  publishes  a  directory  of  home  rule 
         Data entered into form fields using Adobe Reader           municipalities (publication  number  DR 1002)  which is also 
         will not be transmitted to the City and cannot be          available on their website. 
         saved. Once complete,  the  registration  must be           
         printed,  signed, and submitted as described               Business signs. Businesses are required to obtain a permit 
         above. Retain a photocopy of  the  completed               from  the  City  before erecting or maintaining a temporary or 
registration for your records.                                      permanent  sign.  Sign  regulations  are  contained  in  Title  XI, 
                                                                    Chapter 11 of the Westminster Municipal Code. Contact the 
Review  and  Approval.    Business  registrations  are  reviewed    Department  of  Community Development at (303) 658-2114 
by  a  variety  of  City  departments  to  ensure  compliance  with for additional information. 
building, land use, taxation, and other laws and regulations.        
This review process takes approximately three to four weeks.        County  taxes  and  information. Westminster  is  located 
It is unlawful for any person to engage in business in the City     within  Jefferson  county  (west of Sheridan Boulevard) and 
without first obtaining the appropriate licenses.                   Adams  county (east of Sheridan Boulevard). Property taxes 
                                                                    are collected by the county in which property is located. For 
It  is  important to submit the registration allowing sufficient    information on county resources and property taxes contact: 
time for review and approval prior to the start of  business.        
Please  review  the registration for legibility, errors, and            Adams County: (303) 659-2120 
omissions  which also may delay the time necessary to                   Jefferson County: (303) 279-6511 
receive a license.                                                   
                                                                    Food service businesses.    Food  service  businesses  are 
                                                                    required to obtain a permit from the health department. For 
Additional Reminders & Resources                                    more information contact: 
                                                                     
This is a legal document.      Read all instructions carefully to       Tri-County Health (Adams): (303) 220-9200 
ensure this registration is accurate and complete. Licenses to          Jefferson County Health: (303) 232-6301 
conduct business in the City may be denied, suspended, or            
revoked if the information contained in this registration  is 
                                                                    Specific Instructions 
incomplete or contains false, misleading,  or  fraudulent 
                                                                     
statements. 
                                                                    Line 1  –  Legal/True  Name of  Business. Enter the legal 
 
                                                                    name of the individual or entity registering  exactly  as  it 
Signature required.  The  person  completing the registration       appears  on  the  registrant’s social security card, charter, 
must sign and date the form at the bottom. A printed name is 



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Page 2                                                                           Instructions for Business Registration 
 
articles of organization, or other legal document. This is not             the City. Taxpayers cannot add these sales to an account for 
normally the name of the individual completing this form.                  a location in the City. 
 Individuals/Sole Proprietors: Enter your last name                         
followed  by  your  first name as it appears on your social                Provide any account numbers under which  this registrant is 
security card.                                                             registered with the City. In general, the first five digits of the 
 Corporations: Enter the name of the corporation as                        new  account  number  will  remain  the  same  with  a  unique 
it appears in the articles of incorporation or corporate charter.          number assigned for the last two digits.  Do not list account 
 Limited Liability Company:  Enter the name of the                         numbers  assigned  to  other  individuals or entities related to 
LLC as it appears in the articles of organization.                         the registrant even though they may share  the  same  trade 
 Partnerships:        Enter the name of the partnership as                 name. 
it appears in the partnership agreement.                                    
 Trusts:         Enter the name of the trust as it appears in              Line 6  –  Reason  for  Filing. Check  the  box  which  best 
the trust instrument.                                                      represents  the  reason you are submitting this registration. 
                                                                           Note  that  business licenses are generally not transferrable, 
Line 2 – Trade Name. Enter the name by which the registrant                and that a new registration will be required if the business is 
is  known  to  the  public  if  it  is  different  than  the  legal  name. sold or merged into another entity.  
Trade names are also referred to as “doing-business-as” or                  
“DBA”  names  and  must  be  registered  with  the  Secretary  of          Line 7 – Legal Form. Check the box next to the appropriate 
State (see above). If the trade name exceeds 30 characters,                legal form. If the registrant’s legal form is not listed, check the 
abbreviate it appropriately.                                               “other entity type” box and provide a description  of  the 
                                                                           organization’s legal form. 
If the registrant is known by multiple trade names, enter the               
most common name (i.e. the name  which  will  appear  on                          Pursuant to C.R.S. § 24-76.5-103, individuals 
business invoices and signage) and attach a sheet listing the                     and sole proprietorships are required to submit a 
additional trade names.                                                           Verification of Lawful Presence form in addition 
                                                                                  to this business registration. This  form  is 
       It  is  particularly  important  that  local  businesses                   available in the Tax/License Toolbox section of 
       list  the  name  displayed on premise signage so                    the  City website under Licenses.  Out of City and catalogue 
       that  police and fire personnel can easily locate                   and Internet only accounts do not need to complete this form. 
       the business in case of an emergency.                                
                                                                           Line 8 – Location/Account Type. Check the box which best 
Line 3  –  Federal  Employer Identification Number. Enter                  describes the location for which a license is sought. 
the  registrant’s  nine  digit  Federal  Employer  Identification                 
Number (EIN).                                                                    Commercial        locations include all  premises  within 
                                                                           the City (except residential dwellings) where any kind of trade, 
If  the  registrant  is an individual or a single member                   vocation,  occupation,  profession, enterprise, establishment, 
disregarded LLC without an EIN,  do  not enter your social                 or other activity or matter, whether or not for  profit,  is 
security number  (or taxpayer identification number). Leave                operated, excluding those activities operated from  a 
this line blank.                                                           residential address. For licensing  purposes,  commercial 
                                                                           locations include  licenses  for  businesses  operating  and 
If the registrant has applied for an EIN, leave this line blank            maintaining  hotels/motels,  multi-family  dwellings,  and 
and  file  an  update  upon receiving the EIN from the Internal            residential care facilities.  
Revenue  Service.  For  additional  information on applying for                  Home Occupations          include    those      activities 
an EIN visit, the IRS website: http://www.irs.gov.                         operated in connection with the occupation of a dwelling unit 
                                                                           (residence) in accordance with the City zoning code. Special 
Line 4 – Colorado Sales Tax Account.     If applicable, enter              restrictions apply to residential locations and a supplemental 
the retail sales tax or retailers use tax account number issued            Home Occupation Registration      form is required to be 
to the registrant by the Colorado Department of Revenue. If                submitted with this business registration. 
the registrant has applied for a state sales tax account, leave                  Out of City       accounts are for registrants engaged in 
this line blank and file an update upon receiving an account               business in the City who do not maintain a fixed premise in 
number  from  the  Department  of  Revenue.  For  additional               the City. Out of city accounts are also for registrants with one 
information on registering with the  Department  of  Revenue,              or more locations in the City to report sales of property and 
visit their website: http://www.taxcolorado.com.                           services originating from location outside Westminster. Sales 
                                                                           from  multiple  locations  outside Westminster may be 
       Do  not list  an  EIN or state sales tax account                    combined  under  a  single  out  of  city  account,  however, 
       number on tax returns, forms, and other                             taxpayers may not report out of city sales using an existing 
       correspondence with the City. Upon approval of                      commercial account. 
       the  registration,  the  City  will  issue  a  unique                     Catalogue and Internet    accounts are similar to out 
       seven digit Westminster tax account number.                         of city accounts. They  are  used  for  registrants  who  are 
                                                                           required or desire, for the convenience of their customers, to 
Line 5 – Other Westminster Tax Accounts.         Each location             collect  tax  on  sales  made  through  catalogues  or  via  the 
within the City requires a separate license.                               Internet.  Such sales may not be reported  using  an  existing 
                                                                           commercial account, however, businesses in the City with an 
Sales  made  from  locations  outside  Westminster,  catalogue             account for out of City locations need not establish a separate 
sales,  and  sales  over  the  internet  can  be  reported  under  a       catalogue  and  Internet  account. Home occupations are  not 
single account that is separate from accounts for locations in             required to establish separate accounts for Internet sales. 
                                                                            



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Instructions for Business Registration                                                                        Page 3 
 
Out of City, catalogue, and Internet accounts do not need        Line 28  –  Duplicate Address.   If  the  address  for  tax 
to complete lines 9 through 16. Proceed to line 17.              correspondence is the same as the location address or the 
                                                                 business licensing address, check the appropriate box on this 
Line  9  –  Location  Manager  Name. Enter  the  name  of  the   line 28 and proceed to line 34. Otherwise, complete lines 29 
person  responsible  for the management and supervision of       through 32. 
activities carried on in the City.                                
                                                                 Lines 29 through 32 – Tax Compliance Address. Enter the 
Line 10 – Location Identification.  Businesses with multiple     mailing address of the individual or department  to  which 
locations often assign each  location a unique  identification   correspondence regarding Westminster taxes should  be 
number or code. If you refer to this location by such a code,    directed.  Post  office  boxes  are  permitted  on  this  line.  Enter 
enter it on this line 10.                                        the city, state, and zip code. Zip+4 entries are permitted. 
                                                                  
Line 11 – Location Phone Number.     Enter the local phone                   The  Westminster  Municipal  Code requires that 
number,  including  area code, of the location for which a                   every  person engaged in business in the City 
license is sought.                                                           keep  and  preserve  records  suitable  in  content 
                                                                             and form to allow the City  to  determine  such 
Lines 12 through 15 – Location Address.        Enter the street              person’s tax liability. Audits are often conducted 
address of the location for which a license is sought. Include   at the location where books and records are maintained, but 
the suite, space, or unit number if applicable. Do not enter a   may also be conducted at City offices. 
post  office  box.  Enter the city, state, and zip code. Zip+4    
entries are permitted.                                           Line  33  –  Duplicate  Address. If the address where tax 
                                                                 records are maintained is the same as the location address, 
Line 16 – Economic Development E-mail Address. Enter a           the business licensing address, or the tax address, check the 
valid  e-mail address to receive important news and              appropriate box on this line 33 and proceed to line  38. 
information on City programs and events from the City’s          Otherwise, complete lines 34 through 37. 
Economic Development office.                                      
                                                                             A  street  address  where  tax  records  are 
Line 17 – Business Licensing Contact. Enter the name of                      maintained is required. Do not check a duplicate 
the  individual  or  department  to  which  correspondence                   address box if you entered a post office box for 
regarding business  registration  and  licensing  should  be                 the business licensing or tax address. Complete 
directed.  Such  correspondence  includes  without  limitation,              lines 31 through 34. 
licenses, renewal notices, and notices of adverse action.         
                                                                 Lines 34 through 37  –  Tax Records Address.          Enter the 
Line 18  –  Business Licensing Phone Number.     Enter the       street  address  where  tax  records are maintained. Do not 
phone  number  of  the  individual  or  department  handling     enter a post office box. Enter the  city,  state,  and  zip  code. 
business registration and licensing inquiries.                   Zip+4 entries are permitted. 
                                                                  
Line 19  –  Business Licensing Fax Number.       Enter the       Line 38 – Legal Name of Registrant.    In order to prevent the 
facsimile number upon which  correspondence  regarding           second page from being misplaced, enter the legal name of 
business registration and licensing is received.                 the registrant as it appears on line 1 of the first page. 
                                                                  
Line  20  –  Duplicate Address.     If the address  for business Lines 39 through 50 – Owner, Officer, Partner, Manager, 
registration and licensing correspondence is the same as the     or Member Information.       Enter  the  name,  title,  e-mail 
location address listed on lines 12 through 15, check the box    address, home street address, city, state  and  zip  code  of 
on this line 20 and proceed to line 25. Otherwise, complete      each owner, officer, partner, LLC manager, or principle LLC 
lines 21 through 24.                                             member. Do not enter a post office box.  Do  not  enter  the 
                                                                 principle office or location address unless the registrant is a 
Lines 21 through 24 – Business Licensing Address.   Enter        home occupation.  
the mailing address of the individual or department to which      
correspondence regarding business registration and licensing     If  there  are  more  than  two  individuals,  attach  an  additional, 
should be directed. Post office boxes are permitted on this      typewritten sheet listing the legal name of the registrant (from 
line.  Enter  the  city, state, and zip code. Zip+4 entries are  line 1) and containing all of the required information. Use only 
permitted.                                                       white, 8½” x 11” paper. Duplex printing is permitted. 
                                                                  
Line 25 – Tax Compliance Contact.    Enter the name of the       Lines 51 through 53 – Prior Registrant.   If this registration 
individual or department to which correspondence regarding       was  caused  by the purchase of an existing business, a 
Westminster taxes should be directed. Such correspondence        merger, or a change in legal form, enter the name and 
includes without limitation,  tax  returns,  forms,  notices  of Federal  Employer Identification Number (if known) of the 
assessment, and audit notices.                                   previous registrant. Enter the effective date of the purchase, 
                                                                 merger,  or  change  on  line  53.  The  account  of  the  previous 
Line 26 – Tax Compliance Phone Number. Enter the phone           registrant will be closed and a final tax return will be required.  
number of the individual or department handling tax inquiries.    
                                                                             In  certain  circumstances, a new owner may be 
Line 27 – Tax Compliance Fax Number. Enter the facsimile                     liable for taxes owed by a previous  owner.  For 
number upon which correspondence regarding taxes  is                         more  information,  see  Tax  Compliance  Guide 
received.                                                                    topic 357 regarding business purchases. 



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Page 4                                                                    Instructions for Business Registration 
 
Line 54  –  Start Date  in Westminster.        Enter the date        American  Industry  Classification  System  (NAICS).  Be  as 
business commenced or will commence  in  the  City.  All             specific as possible in 30 characters.  
registrants must enter a date. If you are unsure of the exact         
date, enter a date which best represents your anticipated start      Line 62 – Liquor Sales.   Check the box on this line 62 if the 
date and contact the Sales Tax Division at (303) 658-2065 if         registrant proposes to sell liquor now or in the future. This line 
this date changes.                                                   will  aid  the  Planning Division in evaluating the location for 
                                                                     zoning and land use restrictions. Contact the  City  Clerk  for 
This  date  may  be  in  the past if the registrant has been         additional information on liquor licensing. 
operating without a license. Prior period tax returns may be          
required.                                                            Line 63  –  State Child Care License Number.       Child care 
                                                                     providers are required to obtain a license from the Colorado 
        New businesses in the City        should list the opening    Department of Human Services (CDHS) prior to registering 
date  excluding  prior construction and setup time. An initial       with  the  City.  If the registrant will be providing child care 
use tax return is due on the 20  ofththe month following this        services, enter the State license number on this line 63. For 
date.                                                                more information, contact CDHS at (303) 866-5958. 
        Out of City businesses should list the date of the            
first sale or contact within the City.                               Line 64  –  Requested Reporting Frequency.         Every person 
                                                                     engaged in business in the City must file a tax return annually 
Line 55 – Hours of Operation.      Certain types of businesses       even if no tax is due. Even  service  businesses  that  do  not 
are  allowed  to  operate  only  during specific times. Enter the    make taxable sales will likely have a use  tax  liability.  For 
proposed hours of operation for your business for each day of        additional information on use tax, refer to Tax Compliance 
the  week. If your business will not operate on certain days,        Guide topic 313. 
enter “CLOSED” in the top “From” field  under  those  days.           
Refer to Title V of the  Westminster  Municipal Code  for            Professional  services  and  home  occupations  will  usually  be 
additional information.                                              assigned an annual frequency. Depending upon the nature of 
                                                                     the business and the average tax liability, some businesses 
Line 56 – Internet Address.    Commercial businesses within          will be required to file more  frequently.  Check  the  box 
the City are listed in the business directory on the City            representing your requested filing frequency.  
website. The Internet address on this line 56 will be included        
in this listing if provided. Registrants need not list the “http://”             If your business is occasional, making only one 
portion  of  the  address,  but  must  include  the  “www”  if                   or two sales in the City per year  in  excess  of 
applicable.                                                                      $1,000, select an annual filing frequency to avoid 
                                                                                 filing zero liability returns monthly. 
Line  57  –  Home  Occupation  Business  Directory  Listing.                      
Home occupations must opt-in to be included in the business          Lines 65 through 66 – Information is no longer required. 
directory on the City website. Check the box on this line 57 to       
opt in. Note that your home address will be included on the          Lines 67 through 75  –  Emergency  Contact  Information. 
listing for your business. If you listed an Internet address on      Local businesses, enter the name, title,  and  after  hours 
line 56, it will also be included.                                   phone number of up to three local emergency contacts. This 
                                                                     information  is     used  by      the   Westminster       Police
Line 58 – Full Time Employees.       Local businesses enter the      Communications Center in case of a police or fire emergency.  
number of employees working 32 or more hours per week at              
the location listed on lines 12  through 15.  Out  of  City          The persons on this list must be able to  report  to  the 
businesses should skip this line.                                    business, make police reports, take charge of and/or secure 
                                                                     the premises. Given the critical nature of this information, it is 
Line 59 – Part Time Employees. Local businesses enter the            important that it is kept current. Report any changes 
number of employees working fewer than 32 hours per week             immediately to the City Clerk. 
at  the  location  listed  on lines 12 through 15. Out of City        
businesses should skip this line.                                    Signature – After reviewing the registration for accuracy and 
                                                                     completeness, sign the form on the lower  portion  of  the 
Line 60 – Primary Business Type. Check the box which best            second  page. Print the name and title of the  person  who 
describes the primary type of business to be conducted under         completed the return and the date it was completed.  
this  license.  The  type  selected  will  be  displayed  in  the 
business directory on the City website. If multiple types are 
applicable,  choose  the  type  which,  in  your  opinion, best 
represents the primary business type. Check only one box. 
 
Line 61  –  Description of Goods Sold or  Services 
Provided.   Enter a brief  (up to 30 characters including 
spaces)  description of the goods sold and/or services 
provided.  This description  will  appear  in  the  business 
directory on the City website. 
 
Along with the primary business type, this description will be 
used  to  evaluate  this  registrant’s  proposed  use  for  public 
safety and land use compliance. This description will also aid 
the  City  Clerk  in  assigning  a  class  code  from  the  North 






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