Business Registration And Retail Sales Tax Application For: 2017 - City Of Glendale
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4CITY OF GLENDALE
CITY USE ONLY
950 South Birch Street
Sales Tax Account No. __________
New ____ Renewal ____
Glendale, CO 80246
Business License No. ___________
New ____ Renewal ____
(303) 639-4706
(303) 639-4707 FAX
Date Received ________________OPT Yes_______No________
Date Registration Issued ______________Use Tax No._________
Fees Rec’d.
Business $_________ Sales Tax $_________
BUSINESS REGISTRATION AND RETAIL SALES TAX APPLICATION FOR: 2017
A separate application must be filed for each business location in Glendale.
This registration must be updated if
ownership changes. Registrations are valid from January 1st through December 31st of every calendar year. Complete
ENTIRE Application. (Failure to do so may result in a delay in issuing your license.) Please type or print legibly
The fee for each license is:
Business Registration (REQUIRED by ALL):
$ 10.00
Do you have Retail Sales/or will you be remitting sales/use tax? YES ___ NO ___If yes, add:
15.00
Total Enclosed:
$ ________
__________________________________________________________________________________________
BUSINESS INFORMATION
Trade Name “Doing Business As” _______________________________________________________________________________
Glendale Address (if applicable)_________________________________________________________________________________
Name of Corp. LLC, Partnership or other (if applicable)_______________________________________________________________
Home Office Address__________________________________________________________________________________________
City_________________________________________________ State___________________ Zip Code________________________
Contact Person_______________________________________________________________________________________________
Phone Number (______)_____________________________ Home Office Phone Number (______)___________________________
Fax Number (______)____________________________ E-Mail Address________________________________________________
____________________________________________________________________________________________________________
MAILING ADDRESS
Mail To_____________________________________________________________________________________________________
Mailing Address ______________________________________________________________________________________________
City _______________________________________________ State _____________________ Zip Code ______________________
Contact Person_______________________________________________ Phone Number (______)____________________________
____________________________________________________________________________________________________________
Date You Started/Will Start Doing Business In Glendale (MM-DD-YYYY) ______________________________________________
Is Your Business Physically Located in Glendale?
_____ Yes
_____ No
Is Your Business Located in a:
____ Commercial/Retail Complex
____ Office Complex
____ Private Residence
Did You Purchase an Existing Business?
____ Yes
____ No
____________________________________________________________________________________________________________
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