APPLICATION FOR SALES TAX LICENSE
                                CITY OF GRAND JUNCTION FINANCE 
         250 NORTH 5TH STREET, GRAND JUNCTION, COLORADO 81501 (970) 244-1521
    A $10 NON-REFUNDABLE APPLICATION FEE MUST BE PAID WITH THE APPLICATION
    NOTE:  Application for License will be rejected unless all questions are fully answered.

1.  BUSINESS OWNER_______________________________________________________________________

2.  TRADE NAME/DOING BUSINESS AS (DBA)___________________________________________________

3.  BUSINESS LOCATION_____________________________________________________________________
                                Street Address                   City         State              Zip

4.  MAILING ADDRESS_______________________________________________________________________
                                P.O. Box or Street Address       City         State              Zip

5.  Business Location PHONE_____________________Accounting PHONE_____________________________

6.  FEDERAL ID #____________________________                   OR  SOC. SEC. #______________________________

7.  STATE OF COLORADO SALES TAX ACCOUNT NUMBER________________________________________

8.  Indicate type of ownership:                                                                  What do you sell?
     INDIVIDUAL__________PARTNERSHIP__________CORPORATION__________OTHER_____

9.  A.  STARTING DATE OF RETAIL SALES IN GRAND JUNCTION:________________________________________
     B.  HAVE YOU HAD PREVIOUS CITY TAXABLE SALES:      YES          NO
     C.  HAVE ALL OUTSTANDING TAXES BEEN FILED AND PAID:    YES        NO
     D. CIRCLE:   HOME BUSINESS     STORE FRONT IN GJ     OUT OF CITY     FARMER'S MARKET

10.  HOW MANY LOCATIONS WILL YOU HAVE IN THE CITY OF GRAND JUNCTION?____________________
Separate Applications May be Required for Multiple Locations.  

11. LIST ANY SALES TAX LICENSES HELD WITH THE CITY OF GRAND JUNCTION CURRENTLY AND 
      IN THE LAST THREE YEARS_______________________________________________________________

12. ESTIMATE YOUR MONTHLY AMOUNT OF CITY TAXABLE SALES   $_____________________________

NAME (please print)________________________________________TITLE_______________________________

SIGNATURE_____________________________________________DATE_______________________________

CONTACT E-MAIL ADDRESS _____________________________________________

                  IF YOUR BUSINESS IS LOCATED INSIDE CITY LIMITS YOU WILL NEED TO 
                  SUBMIT AN INITIAL USE TAX RETURN IN ADDITION TO YOUR APPLICATION

                      ***************************OFFICIAL USE ONLY*******************************
                  FILING STATUS:  MONTHLY_____  QUARTERLY_____  ANNUAL_____

    INITIAL USE                 YES _____ NO ______            WHY___________________________________

FEE REC/DATE
_________________
                                                               ACCOUNT NUMBER____________________________
FORM #GJ1000 (09/2020)