Application For Sales/use Tax License Form

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City of La Junta
FOR OFFICE USE ONLY
Sales/Use Tax Department
License # ________ Date Issued _________
Municipal Bldg – PO Box 489
La Junta, CO 81050-0489
Bus Class ________
Location __________
Filing Frequency ______________
Application for Sales/Use Tax License
1.
Business Name ___________________________________________________________________________________
2.
DBA (If Applicable) ________________________________________________________________________________
3.
Web Address ____________________________________________________________________________________
4.
Physical Location _________________________________________________________________________________
________________________________________________________________________________________________
5.
Mailing Address (If different from location) ____________________________________________________________
________________________________________________________________________________________________
6.
Business Phone ______________________________________ Fax _________________________________________
7.
Estimate Monthly Taxable Sales ______________________________________________________________________
8.
Is your business located in:
______ Commercial Establishment
_____Private Residence
_____Other
9.
Date you began or will begin business activity __________________________________________________________
10. Type of business (individual, company, corporation, LLC) _________________________________________________
11. State License # _____________________________________ FEIN OR SS# ___________________________________
12. Nature of Business (what service/product do you sell) ___________________________________________________
13. Contact Person ________________________________________ Title _____________________________________
14. Email ___________________________________________________________________________________________
COMPLETE #15-18 ONLY IF PURCHASING A PRE-EXISTING BUSINESS
************
************
15. Date of business purchase __________________ From whom did you purchase ______________________________
16. Dollar amount allocated to furniture, fixtures, equipment ________________________________________________
17. Total sales/use tax for purchase of equipment/personal property __________________________________________
(Line 16 × 3.00% (.03))
Application will be rejected unless ALL questions are fully answered, please review before signing. This is a
sales/use tax license application ONLY. Submissions of this completed form and issuance of license may be only
one of the steps that you must complete before you are legally authorized to engage in business in the City of La
Junta. It is your responsibility to contact the City of La Junta and/or State of Colorado to assure that you have
complied with all applicable legal requirements prior to engaging in business in the City.
I hereby authorize the Director of the State of Colorado to permit the Finance Director of the City of La Junta or
his/her duly authorized agent to examine any sales tax returns filed by me.
Signed ________________________________
Comments ____________________________
Title
________________________________
_____________________________________
Date ________________________________
____________________________________

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