Application For Sales And Use Tax License Form

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CITY OF GREELEY
APPLICATION FOR SALES AND USE TAX LICENSE
CURRENT GREELEY SALES & USE TAX IS 3.46%
PLEASE PRESS FIRMLY AND PRINT CLEARLY WITH BLACK INK OR TYPE
GENERAL INFORMATION
«
If the business or home occupation has a physical location within the City limits of
Greeley, a Sales Tax License/ Zoning Review/ Occupancy Certificate check-off list must be
completed and signed by the Community Development Department and Inspection
th
Department at 1100 10
Street, Greeley, CO 80631, before submitting application to the
Finance Department. YOUR SALES/USE TAX LICENSE WILL NOT BE ISSUED UNTIL ALL
REQUIREMENTS ARE COMPLETED.
«
If the business is a sewer user, the Commercial Sewer User Classification Questionnaire
must be completed.
*
No license fee is required. Sign and return this application, and if applicable, the check-
th
off list and sewer questionnaire to: City of Greeley, Finance Department, 1000 10
Street,
Greeley, CO 80631. If you have any questions, please call (970) 350-9733.
OWNER’S NAME__________________________________________________________________________________________
NAME OF BUSINESS______________________________________________PHONE NO_______________________________
BUSINESS ADDRESS_______________________________________________________________________________________
(Number & Street)
(City)
(State)
(Zip Code)
MAILING ADDRESS_______________________________________________________________________________________
(Number & Street)
(City)
(State)
(Zip Code)
PERSON TO CONTACT___________________________________CONTACT PHONE NO______________________________
E-MAIL ADDRESS_________________________________
NATURE OF BUSINESS:
RETAIL
WHOLESALE
SERVICE
(Circle your selection)
PRODUCT SOLD / SERVICE PROVIDED______________________________________________________________________
TYPE OF OWNERSHIP:
INDIVIDUAL
CO-PARTNER
CORP
CLUB OR ASSOC
OTHER_____________
(Circle your selection)
(Specify)
If an individual is the owner, please provide your Social Security number. All others, please provide Federal Employer Identification
Number (FEIN)__________________________________________________________
NUMBER OF LOCATIONS IN GREELEY_________________
(SUBMIT SEPARATE APPLICATION FOR EACH LOCATION)
RETURNS WILL BE FILED:
MONTHLY
QUARTERLY
ANNUALLY*
* Available to “service only” businesses or
(Circle your selection)
seasonal businesses operating Oct - Dec
DATE BUSINESS BEGAN OR PURCHASED_______________ IF PURCHASED, FORMER OWNER______________________
(Mo/Day/Yr)
SIGNATURE________________________________________________ DATE________________________________________
White - Finance Copy
Yellow - Water & Sewer Copy
Pink - Customer Copy
REV 10/03

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