Application For Business / Sales Tax License Form - City Of Woodland Park

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APPLICATION FOR BUSINESS / SALES TAX LICENSE
CITY OF WOODLAND PARK
P.O. BOX 9045
WOODLAND PARK, COLORADO 80866-9045
(719) 687-9246
FAX (719) 686-1010
PLEASE CHOOSE ONE AND COMPLETE AS REQUESTED
SIGNATURE IS REQUIRED AND INCOMPLETE APPLICATIONS WILL BE RETURNED
NEW APPLICATION - Complete all questions and sign below
RENEWAL- NO CHANGES - CURRENT WOODLAND PARK BUSINESS ID # _______________________
Complete only question # 1 and sign below
RENEWAL – WITH CHANGES – CURRENT WOODLAND PARK BUSINESS ID # ____________________
Complete questions where information has changed and sign below
1. Company Name: ______________________________________________ Phone ____________________
2. D.B.A. if Applicable: ____________________________________________ Fax _____________________
3. Mailing Address: _______________________________City ______________ State______Zip____________
4. Physical Address: _____________________________City ______________ State ______Zip____________
5. E-Mail Address: __________________________________________________________________________
6. Description of Business: ___________________________________________________________________
7. Date business activity first conducted in Woodland Park :_________________________________________
8. Business locations inside Woodland Park City limits: _____________________________________________
_______________________________________________________________________________________
9. Type of Ownership: ________Individual
Social Security # _____________
D.O.B._______________
_____Partnership
________Corporation/LLC
Federal Tax ID #
______________________________
Partnerships & Corporations: attach list of names of Officers and Titles.
10. Name of Local Manager: _______________________________________ Phone #_____________________
11. Woodland Park Tax Liability:
________Sales Tax
________Use Tax
_________Both
Select tax return filing frequency
______ Monthly _____Quarterly _____ Semi-Annually ______ Annually
______ Tax Liability Not Applicable-PLEASE EXPLAIN___________________________________________
I, declare, under penalty of perjury, that this application has been examined by me; all statements made are in good faith and
to the best of my knowledge and belief, are true, correct and complete.
Signature of Owner/Officer: __________________________________ Title:
____________________
Printed Name:
__________________________________ Phone #:
____________________
Date:
____________________
ST
COST: $50 ANNUALLY – EXPIRATION DECEMBER 31
- Call for prorated and penalty information
TO BE COMPLETED BY THE CITY OF WOODLAND PARK FINANCE DEPARTMENT
Batch # __________
Approval/Denial ____________________________________________________
Check # __________
Comments: _______________________________________________________
Amount __________
_________________________________________________________________

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