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BUSINESS AND TAX LICENSE APPLICATION
Tax Division (303)235-2820
7500 W. 29th Ave. www.ci.wheatridge.co.us
Wheat Ridge, CO  80033 $20 LICENSE FEE REQUIRED

Please fill in BOTH PAGES using PDF Reader or handwrite carefully. Incomplete/illegible applications will be returned.
1) Legal/True Name of Business (last, First if Individual), Repeat on Page 2 CITY USE ONLY
Account
2) Trade Name (DBA) of Business (if any, up to 30 characters) Area-Geo
Location Code
3) Federal Employer ID 4) CO Sales Tax Account 5) Other Wheat Ridge Accounts Zoning
Building
6) Reason for filing this form (choose one) 7) Legal Form (choose one) Comment
New Application Account Number Individual/Sole Proprietor (Lawful Presence Affidavit Required)
New Address/Moved Corporation (including PC)
Business Purchased or Merged Limited Liability Company (LLC)
Change in Legal Form Partnership (General or Limited)
Part A - Basic Information
8) Location/Account Type (choose all applicable) Limited Liability Partnership (LLP or LLLP)
Commercial/Retail/Office/Industrial Non-Profit Government Trust
Home Occupation (additional form) Festival/Farmers' Market Medical Marijuana 
Out of City Location/Catalog/Internet Mobile Food Sales Kennel
Solicitor/Peddler Massage Parlor Pawn Broker
Location Information
Out of City, internet and catalog sellers please skip to line 17
9) Location Manager Name 10) Location Number 11) Location Phone Number

12) Location Street Address With Suite Number (No PO Boxes) 13) Building Owner and Phone Number

14) City 15) State 16) ZIP Code 17) Website, if any

Business License Information
18) Send Business License Correspondence in Care of 19) Licensing Phone Number 20) Licensing Fax Number

21) Check if the licensing address is 22) Mailing Address for Business Licensing Correspondence
Same as Location Address Given Above
23) City 24) State 25) ZIP Code

Tax Compliance Information
Part B - Contact Information 26) Send Tax Correspondence in Care of 27) Tax Phone Number 28) Tax Email Address

29) Check one of the following if the Tax address is: 30) Mailing Address for Tax Forms, Notices and Correspondence
Same as Location Address
Same as Licensing Address 31) City 32) State 33) ZIP Code

34) Check one of the following if the Records address is: 35) Address Where Tax Records May Be Inspected (No PO Boxes)
Same as Location Address
Same as Licensing Address 36) City 37) State 38) ZIP Code
Same as Tax Address

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BUSINESS AND TAX LICENSE APPLICATION Page 2
39) Legal/True Name of Business (from Line 1)

40) Name of principal officer, owner, partner, member or manager 41) Title

42) Address of principal residence 43) City 44) State 45) ZIP Code

46) Name of other officer, owner, partner, member or manager 47) Title

48) Address of principal residence 49) City 50) State 51) ZIP Code

52) Has any owner or principal ever been convicted of a felony? No Yes
Part C - Ownership Information 53) If yes, what was the convicted charge and year?
Additional officers, owners, partners, members or managers may be included on attachments.
54) Legal Name of Prior Registrant (if purchased or merged) 55) Prior FEIN (if known) 56) Purchase/merge date

57) Start Date in Wheat Ridge Local businesses must file an Initial Use Tax Return by the 20th of the month after the 
license is issued.  The form is included in this packet. 
58) Number of Employees at the Wheat Ridge Location Full time Part time Seasonal
59) Business Activities (choose all applicable)
Auto Repair Food Related Liquor Store Realty/Leasing Retail

Auto Sales/Rent Government Manufacture/Process Food related businesses are subject to 
Business Service Health & Dental Non-profit Jefferson County regulation.              
Construction Liquor Drinks Personal Service Food Safety 303-271-5700
60) General Details of Goods Sold or Services Provided 61) State Massage Therapist License Nbr.

62) Requested Tax Reporting Frequency
Monthly (Average monthly tax over $100) Check here if you will use your own forms.  The City will 
Quarterly (Average monthly tax $20 - $100) not send pre-printed forms.
Part D - Operations and Compliance Information Yearly (Average monthly tax under $20) Check here if you will file sales/use tax online.  The City 
Every business must file at least yearly even if no tax is due͖ ĐŚĞĐŬ ƚŽ ĂĐŬŶŽǁůĞĚŐĞ. will not send pre-printed forms.
 ŚĞĐŬ ƚŚĂƚ ǇŽƵΖǀĞ ƌĞĂĚ͗  All businesses, even those not making taxable sales, will likely have a use tax liability.  ^ĞĞ ŽƵƌ ǁĞďƐŝƚĞ ĨŽƌ ĚĞƚĂŝůƐ͘
Local businesses complete this part.  Home occupations and out of city/internet/catalog businesses do not.
This information is provided to the Wheat Ridge Police Communications Center.  In the event of a police, fire or natural disaster 
emergency a local responsible person will be contacted to file a report and take charge of the premises.
63) Primary After Hours Emergency Contact Name 64) Title 65) After Hours Phone Number

66) Secondary After Hours Emergency Contact Name 67) Title 68) After Hours Phone Number
Part E - Emergency Info
Under penalty of perjury, I declare that I have examined this application and it is true and correct  to the best of my 
knowledge and belief.
Signature of Applicant 
Signature Date
or Authorized Agent

Printed Name Title

Save! Print!

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                                       LAWFUL PRESENCE AFFIDAVIT
                                       Tax Division                                                          (303) 235-2825
                                       7500 W. 29th Ave.                                                 www.ci.wheatridge.co.us
                                       Wheat Ridge, CO  80033

Legal/True Name of Business (last, First if Individual),from Business and Tax License Application            City Use Only
                                                                                                      Account

Colorado state law requires individuals and sole proprietors applying for local public benefits complete both parts below. Submit this 
                  form with your completed and signed Business and Tax License Application.

I,                                                   , swear or affirm under penalty of perjury under the 
laws of the State of Colorado that (check only one):
          I am a United States Citizen.
          I am a Permanent Resident of the United States.
          I am lawfully present in the United States.

I understand that this sworn statement is required by law because I have applied for a public benefit. I understand that state law 
required me to provide proof that I am lawfully present in the United States prior to receipt of this public benefit. I further 
acknowledge that making a false, fictitious, or fraudulent statement or representation in this sworn affidavit is punishable under the 
criminal laws of Colorado as perjury in the second degree under Colorado Revised Statute 18-8-503 and it shall constitute a separate 
criminal offense each time a public benefit is fraudulently received. 

Signature                                                                                         Date

Colorado law also requires the applicant for a public benefit to produce one of the authorized documents listed below in order to 
verify lawful presence in the United States. The applicant may either (a) produce such document in person at the Tax Division office or 
submit this form fully executed and notarized below along with a clear, legible copy of such document.
Check the box which represents the authorized identification you will submit (check only one). 

          A valid Colorado driver's license or identification card.
          A valid United States military identification card or military dependent’s identification card.
          A valid United States Coast Guard Merchant Mariner card.
          A valid Native American tribal document.

          Submitted in person to ____________________________ at the City of Wheat Ridge or; 
          Notarized and mailed or emailed with a clear copy of one of the documents above.

STATE OF COLORADO                                                     )
                                                                       ss.
COUNTY OF _____________________________________                       )
The foregoing instrument was acknowledged before me this __________ day of ____________________,
20_______.
                                                                                                      S E A L
Witness my hand and official seal.

Notary Public

                                                                                                  Done here.  Check then print.

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Instructions for Business and Tax License Application

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/entities registrant must also be printed on the form. Forms without a
engaged in business in the City of Wheat Ridge to obtain the signature will be returned.
required business and tax license. Other licenses may be
required. Please ask. Keep information updated. The information in this Business
and Tax License Application is used by a variety of City
Every person engaged in business or collecting sales tax in agencies including the Tax Division, Police, Fire, Code
the City must hold the appropriate licenses. Some businesses Enforcement, Planning, Building and Economic Development
are required to register even though they do not maintain a for health, public safety, land use, and other regulatory and
fixed commercial location within the City. informational concerns. It is critical that you report any
changes in this information to the Tax Division as soon as
There is a $20 annual fee for the combined business and tax practicable. Please reference your assigned Wheat Ridge
license. The initial fee is due at the time of application and is account number/City ID on any correspondence.
refunded if the license is not approved. Certain types of
businesses will be required to complete supplemental Wheat Ridge taxes. The Tax Division collects Wheat Ridge
registrations and pay the appropriate fees. taxes. For forms and information, visit the Tax & Licensing
page of the City of Wheat Ridge website,
Submission. Complete all required line items and submit with www.ci.wheatridge.co.us.
the fee or fees to:
Trade name registration. An individual or entity transacting
City of Wheat Ridge business in the state of Colorado under a name other than
Tax Division their legal or true name must register such trade name (also
th
7500 W. 29 Ave. referred to as a “doing business as” or “DBA”) with the
Wheat Ridge, CO 80033 Colorado Secretary of State. Additional information is
available at http://www.sos.state.co.us.

Adobe PDF Fill-In. In order to improve legibility, the City has State tax registration. In addition to licensing with the City of
enabled this form to be completed using the Adobe Reader. Wheat Ridge, businesses must register with the Colorado
This product can be downloaded at no charge from the Adobe Department of Revenue and may be required to register with
website (http://www.adobe.com). other home rule cities. Additional information is available on
the department’s website: http://www.taxcolorado.com or by
Applicants choosing not to complete the form using Adobe contacting the Taxpayer Services Division at (303) 238-7378.
Reader must type or carefully handwrite the form. Illegible The department publishes a directory of home rule
forms and the fee will be returned without processing. municipalities (publication number DR 1002) which is also
available on their website.
Data entered into form fields using Adobe Reader
will not be transmitted to the City and cannot be Business signs. A permit from the City is required for some
saved. Once complete, the registration must be signs. Sign regulations are contained in Chapter 26 of the
printed, signed, and submitted as described Wheat Ridge Code of Laws. Contact the Community
above. Retain a photocopy of the completed Development Department at (303) 235-2846 for additional
registration for your records. information.

Review and approval. License applications are reviewed by County taxes and information. Wheat Ridge is located
a variety of City departments to ensure compliance with within Jefferson County, Colorado. Property taxes are
building, land use, taxation, and other laws and regulations. collected by the county. For information on county resources
This review process may take three to four weeks. It is and property taxes contact:
unlawful for any person to engage in business in the City
without first obtaining the appropriate licenses. Jefferson County: (303) 279-6511

It is important to submit the registration allowing sufficient time Food service businesses. Food service businesses are
for review and approval prior to the start of business. Please required to obtain a permit from the health department. For
review the registration for legibility, errors, and omissions more information contact:
which will delay the time necessary to receive a license.
Jefferson County Food Safety: (303) 231-5700

Additional Reminders & Resources Specific Instructions

This is a legal document. Read all instructions carefully to Line 1 – Legal/True Name of Business. Enter the legal
ensure this registration is accurate and complete. Licenses to name of the individual or entity registering exactly as it
conduct business in the City may be denied, suspended, or appears on the registrant’s social security card, charter,
revoked if the information contained in this registration is articles of organization, or other legal document. This is not
incomplete or contains false, misleading, or fraudulent normally the name of the individual completing this form.
statements. Individuals/Sole Proprietors: Enter your last name
followed by your first name as it appears on your social
Signature required. The person completing the registration security card.
must sign and date the form at the bottom. A printed name is

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Page 2 Instructions for Business and Tax License Application

Corporations: Enter the name of the corporation as
it appears in the articles of incorporation or corporate charter. Line 6 – Reason for Filing. Check the box which best
Limited Liability Company: Enter the name of the represents the reason you are submitting this form. Note that
LLC as it appears in the articles of organization. business licenses are generally not transferrable, and that a
Partnerships: Enter the name of the partnership as new registration will be required if the business is sold or
it appears in the partnership agreement. merged into another entity causing a requirement to change
Trusts: Enter the name of the trust as it appears in the FEIN/EIN.
the trust instrument.
Line 7 – Legal Form. Check the box next to the appropriate
Line 2 – Trade Name. Enter the name by which the business legal form.
is known to the public if it is different from the legal name.
Trade names are also referred to as “doing-business-as” or
“DBA” names and must be registered with the Secretary of Pursuant to C.R.S. § 24-76.5-103, individuals
State (see above). If the trade name exceeds 30 characters, and single member sole proprietorships are
abbreviate it appropriately. required to submit a Lawful Presence Affidavit
form in addition to this application. This form is
If the business is known by multiple trade names, enter the available in the Tax & Licensing section of the City website
most common name (i.e. the name which will appear on and is included with the application. Out of City and catalog
business invoices and signage) and attach a sheet listing the and internet only accounts not located in Wheat Ridge do not
additional trade names. need to complete this form.

It is particularly important that local businesses Line 8 – Location/Account Type. Check the box which best
list the name displayed on premise signage so describes the location for which a license is sought.
that police and fire personnel can easily locate
the business in case of an emergency. Commercial locations include all premises within the
City (except residential dwellings) where any kind of trade,
Line 3 – Federal Employer Identification Number. Enter the vocation, occupation, profession, enterprise, establishment, or
business’ nine digit Federal Employer Identification Number other activity or matter, whether or not for profit, is operated,
(EIN). excluding those activities operated from a residential address.
For licensing purposes, commercial locations include licenses
If the applicant is an individual or a single member for businesses operating and maintaining hotels/motels, multi-
disregarded LLC without an EIN, do not enter your social family dwellings, and residential care facilities.
security number (or taxpayer identification number). Leave
this line blank. Home Occupations those commercial or business
activities based in a dwelling unit (residence) in accordance
If the applicant has applied for an EIN, leave this line blank with the City zoning code. Special restrictions apply to in-
and file an update upon receiving the EIN from the Internal home businesses and the Home Occupation Supplement to
Revenue Service. For additional information on applying for the Application form is required to be submitted with this form.
an EIN visit, the IRS website: http://www.irs.gov.
Out of City/Catalog/Internet accounts are for
Line 4 – Colorado Sales Tax Account. If applicable, enter applicants making sales or collecting tax on sales in the City
the retail sales tax or retailers use tax account number issued who do not maintain a fixed premise in the City. Out of city
to the registrant by the Colorado Department of Revenue. If accounts are also for applicants with one or more locations in
the applicant has applied for a state sales tax account, leave the City to report sales of property and services originating
this line blank and file an update upon receiving an account from location outside Wheat Ridge. Sales from multiple
number from the Department of Revenue. For additional locations outside Wheat Ridge may be combined under a
information on registering with the Department of Revenue, single out of city account, however, taxpayers may not report
visit their website: http://www.taxcolorado.com. out of city sales using an existing local account.

Do not list an EIN or state sales tax account Solicitor/Peddler accounts are for short-term sales
number on tax returns, forms, and other or solicitations of sales in the City. Peddlers are limited to
correspondence with the City. Upon approval of selling from a single location only and must obtain the
the registration, the City will issue a unique property owner’s written permission to do so. A $100 site
Wheat Ridge tax account number. cleanup escrow deposit and a $100 tax deposit are required.
Solicitors must bear a valid ID issued by any state and a copy
Line 5 – Other Wheat Ridge Tax Accounts. Each location of the license at all times while working in the City. A $100 tax
within the City requires a separate license. deposit may be required depending on the nature of the
solicited sales.
Sales made from locations outside Wheat Ridge, catalog
sales, and sales over the internet may be reported under a Festival/Farmers’ Market. Applicants include
single account that is separate from accounts for locations in farmers’ market, other festival and Carnation Festival vendors.
the City. Taxpayers must not add these sales to an account The organizer of the event is responsible for site cleanup so
for a location in the City. no escrow is required of individual vendors. A tax deposit is
required from festival and farmer’s market vendors, but the
Provide any other Wheat Ridge business and tax license amount may be reduced based on City sponsorship or other
account numbers this applicant owns. considerations.

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Instructions for Business and Tax License Application Page 3

Line 19 – Business Licensing Phone Number. Enter the
Mobile Food Sales. Sales of food and non-alcoholic phone number of the individual or department handling
beverages from pushcarts or trucks are permitted subject to business registration and licensing inquiries.
specific rules. The rules are viewable herein or on
www.ci.wheatridge.co.us. You may also obtain a copy from Line 20 – Business Licensing Fax Number. Enter the
the Tax Division or the Zoning Division. facsimile number upon which correspondence regarding
business registration and licensing is received.
Massage Parlor. Massage services by practitioners
not having a Colorado Massage Therapy license, except Line 21 – Duplicate Address. If the address for business
exempt alternative modalities specified by C.R.S. 12-35.5- licensing correspondence is the same as the location address
110, are restricted as to location and subject to additional listed on lines 12 through 15, check the box on this line and
application requirements and regulation. See proceed to line 26. Otherwise, complete lines 22 through 25.
www.ci.wheatridge.co.us or inquire with the Tax Division.
Lines 22 through 25 – Business Licensing Address. Enter
Medical Marijuana. Medical marijuana centers the mailing address of the individual or department to which
(dispensaries), growing operations and infused products correspondence regarding business licensing should be
production are regulated by state and local laws and are directed. Post office boxes are permitted on this line. Enter the
subject to additional application requirements. See city, state, and zip code. Zip+4 entries are permitted.
www.ci.wheatridge.co.us or inquire with the Tax Division.
Lines 26 through 33 – Tax Correspondence and Forms
Kennel. A non-veterinary location that houses more Addresses. Enter the mailing address of the individual or
than three dogs or four cats or that sells, breeds, buys, trains department to which correspondence regarding Wheat Ridge
or trades cats or dogs must obtain the City kennel license in taxes and forms should be directed. Post office boxes are
order to be approved for a business license. The annual fee permitted. Enter the city, state, and zip code. Zip+4 entries are
is $35. Call for an inspection at (303) 235-2220. permitted.

Pawn Broker. Pawn brokers must apply for the The Wheat Ridge Code of Laws requires that
pawn broker’s license, which requires an annual fee of every person engaged in business in the City
$5,000. The application is available from the Police keep and preserve records suitable in content
Department by calling (303) 235-2932. and form to allow the City to determine such
person’s tax liability. Audits are often conducted
Out of City, catalog and internet accounts do not need to at the location where books and records are maintained, but
complete lines 9 through 16. Proceed to line 17. may also be conducted at City offices.

Line 9 – Location Manager Name. Enter the name of the Line 34 – Duplicate Address. If the address where tax
person responsible for the management and supervision of records are maintained is the same as the location address,
activities carried on in the City. the business licensing address, or the tax address, check the
appropriate box on this line 33 and proceed to line 38.
Line 10 – Location Number. Businesses with multiple Otherwise, complete lines 34 through 37.
locations often assign each location a unique identification
number or code. If you refer to this location by such a code, A street address where tax records are maintained is
enter it on this line. required. Do not check a duplicate address box if you entered
a post office box for the business licensing or tax address.
Line 11 – Location Phone Number. Enter the local phone Complete lines 31 through 34.
number, including area code, of the location for which a
license is sought. Lines 35 through 38 – Tax Records Address. Enter the
street address where tax records are maintained. Do not enter
Lines 12 through 16 – Location Address and Building a post office box. Enter the city, state, and zip code. Zip+4
Owner Information. Enter the street address of the location entries are permitted.
for which a license is sought. Include the suite, space, or unit
number if applicable. Do not enter a post office box. Enter the Line 39 – Legal Name of Business. In order to prevent the
city, state, and zip code. Zip+4 entries are permitted. In the second page from being misplaced, enter the legal name of
space allotted, provide the name and phone number of the the registrant as it appears on line 1 of the first page.
landlord for the location if you do not own it.
Lines 40 through 53 – Owner, Officer, Partner, Manager,
Line 17 –Website. Enter your company’s website address, if or Member Information. Enter the name, title, e-mail
one exists. address, home street address, city, state and zip code of each
owner, officer, partner, LLC manager, or principal
Line 18 – Business Licensing Contact. Enter the name of LLC member. Do not enter a post office box. Do
the individual or department to which correspondence not enter the principal office or location address
regarding business registration and licensing should be unless the registrant is a home occupation.
directed. Such correspondence includes without limitation,
licenses, renewal notices, and notices of adverse action. If there are more than two individuals, attach an additional,
typewritten sheet listing the legal name of the business (from
line 1) and containing all of the required information. Use only
white, 8½” x 11” paper. Duplex printing is permitted.

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Page 4 Instructions for Business and Tax License Application

Lines 54 through 56 – Prior Registrant. If this application Use of Self-Provided Forms. Check this box if your
was caused by the purchase of an existing business, a business plans to file on substitute forms in accordance with
merger, or a change in legal form, enter the name and tax regulations. Unless indicated, the City will print and send
Federal Employer Identification Number (if known) of the tax forms for you to use.
previous registrant. Enter the effective date of the purchase,
merger, or change on line 57. The account of the previous Online Filing. Check this box if your business plans
registrant will be closed and a final tax return will be required. to file sales and use tax returns online using the City’s online
filing portal via the City website or www.salestaxonline.com.
In certain circumstances, a new owner may be Unless indicated, the City will print and send tax forms for
liable for taxes owed by a previous owner. For your use.
more information, see Section 22-38 of the Wheat
Ridge Code of Laws at www.municode.com. Lines 63 through 68 – Emergency Contact Information.
Local businesses, enter the name, title, and after hours phone
Line 57 – Start Date in Wheat Ridge. Enter the date number of two local emergency contacts. This information is
business commenced or will commence in Wheat Ridge. All used by the Wheat Ridge Police Communications Center in
registrants must enter a date in the form mm/dd/yyyy. If you case of a police or fire emergency.
are unsure of the exact date, enter a date which best
represents your anticipated start date. The persons on this list must be able to report to the business,
make police reports, take charge of and/or secure the
This date may be in the past if the registrant has been premises. Given the critical nature of this information, it is
operating without a license. Prior period tax returns may be important that it is kept current. Report any changes
required. immediately to the Tax Division.

New businesses in the City should list the opening Signature – After reviewing the registration and any
date excluding prior construction and setup time. An initial use supplements required for accuracy and completeness, sign
th
tax return is due on the 20 of the month following this date. them where indicated and provide a clear printed version of
Out of City businesses should list the date of the your name as well.
first sale or contact within the City.

Line 58 – Employees. Local businesses enter the number of
employees working at the location for which a license is
sought. Out of City businesses should skip this line.

Line 59– Business Activities. Check the boxes which best
describe the main business activities to be conducted under
the license being sought.

Line 61 – General Details of Goods Sold or Services
Provided. Enter a brief description of the goods to be sold
and/or services to be provided.

Along with the main business activities, this description will be
used to evaluate the proposed use for public safety and land
use compliance. This description will also aid the Tax Division
in assigning a class code for analytical purposes. Be as
specific as possible in the space provided.

Line 62 – Requested Reporting Frequency. Every
person/entity engaged in business in the City must file a tax
return at least annually even if no tax is due. Even service
businesses that do not make taxable sales will likely have a
use tax liability. For additional information on use tax, refer to
the Tax & Licensing page of the City website or call the Tax
Division at (303) 235-2820.

Professional services and home occupations will usually be
assigned an annual frequency. Depending upon the nature of
the business and the average tax liability, some businesses
will be required to file more frequently. Check the box
representing your requested filing frequency.

If your business is occasional, making only one or
two sales in the City per year in excess of $1,000,
select an annual filing frequency to avoid filing
zero liability returns monthly.

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