HomeMy WebLinkAboutBusiness ans Sales Tax App Paulina.pdf ............______ ,..........,
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TOWN OF AIL COLORADO
TOWN OF VAPPLICATION FSR BUSINESS AND/OR SALES TAS LICENSE
Mai! To:fol
� BUSINESS ACT ! VIT � ES
Town of Vail
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Sales Tax AdministratorMate ail activities conducted under this license}
Sales Tax � Retail Sales �specify): 1
75SouthFrontageRoad . Restaurant / Bar:
Vail , Colorado 81657 : Cadging. _ _ _ _ _ ____ __. . _ _.,____..
Phone: (970) 479-2125 Il I Professional (specify): - — I
Fax: (97U) 479-2248 I Service (specify type): _____ • • _______
E-mail : jrichards@vailgov .com Other: Tedidail ■ � i • � � �� �,
i Website: vailgov .cam [ Product or service sold : l'cidoicri__ __I PLEASE RETAIN A CQPY FQR YOUR RECORDS -- '� 1
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A separate application must be filed for each business location in Vail . Please type or print and fill out completely .
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TYPE OF LICENSE APPLIED FOR : FSR OFFICE USE ONLY
iRETAIL SALES TAX LICENSE (NO CHARG E} , ,� Acct. # _ __ _ _ _ _ __
Is required for any person to engage in the business of selling tangible
Personal property and certain services at retail and for both merchants located within the Town of
Vail and those merchants located outside the town , but who make sales and deliveries of tangible STAX License I
personal property into the Town of Vail by mail , common carrier or their own conveyance.
� BUSINESS LICENSE (SEE FEE SCHEDULE) Business License #
Is required for any person to maintain, operate or engage in any business activity on premises within
the Town of Vail.
Issue Data , Cycle...,
To receive the Sales Tax Newsletter by email , please go to our website f
vailgovcom , Class
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There you can signup for the Sales Tax Newsletter under the
section ESer vices • i District - - . _._,....... i
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Type of Ownership: ' ProprietorSole Partnership Corporation Other . .
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if Corporation, Registered Agent:
Trade Name of Business: w1 (LC V1/4.10104/1 Saud or - _
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Name of Ownership (if other than trade name): �. 1 6 et _... :111At Ci, a
Physical Address: - jowMailing Address: j
, .5CILA#Lew (11>---01 -C-------
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B1L# s -4-
B usiRess Phone #410440 naafi Federal 11) # 8 I !!JC) 1 5-17, 8_ Colorado Sales Tax # S
Local Manager-Representative: gy4o -izo
Nartsc iiirALL. . Horne Phone #
_i_isil61u) pv:4.
.CIL eli 11 _
Home Addy jss City State Zip
Is your Business operated from .your home? No Yes (If yes, Home Occupation Permit is required)
SALES TAX REMITTANCE INFORMATION
Name of person preparing Sales Tax Return _ �14, 'Dean Business Phone # '-1 '4C) Rao
E-Mail Address C(JLCtkl_ Q,.. 40,-iI I . Côv"1 - --
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NAMES & HOME ADDRESSES OF OWNERS QR OFFICERS OF BUSINESS (attach additional schedule if necessary) 1
Name PO4.4.) � t rt ck. •
� Position (A)
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I • � Home Phone �` `�l �'� � -���� �
Home Address / � _ .i, . _ 4 (ki
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0 � � ' � � i City State .�, Zip ��Q.S
E-MaLIAddres5 / , _ hi t .. a. ,.) AfalA . 4 • milimir
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Name
Position � Home Phone #
Home Address ~
City _ State Zip
E-Mail Address
Name Position
�`... _, Home Phone #
Home Address � ,City . _ _ State Zip
E-Mail Address
ENew Business ,Z4,_ Yes � No If es date businessVail : 4546 y began �n _ Name:
Existing Business Yes _ No (if yes, please complete the next line) _
Farmer owner's Name: _ _ Former Name of Business;
Landlord Name & Phone #: j„ii � '� _ (11 6/LIC1 - WsZ. _ N
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Number of square feet (Retail businesses only, selling floor only)
EMERGENCY NOTIFICATION (Required for Business Licenses Only)
First Contact by Police Department: Second Contact by Police Department:
Name: — - ll - - Name: i 0,: idL ; a.. 0 ill
Home Address:313fL1ffLtTV_V_FLIA. 14;T Home Address: f C ,o 1 ' A ■ a dr_ • # 2 !
2OIÔSCity: -- State: � Zip: BO �2 L, City: Q Iiff) - - — State: CO _ Zip _ e t LOZ-C-)
Home Phone # �– Cell Phone # (11� .rJ2-' 1 2---CI Home Phone if 7,6( .SCI O3L1L4 Cell Phone #
rteft'44.--,:�` ALL SIGNS MUST BE APPROVED BY COMMUNITY DEVELOPMENT
. ,'t --. ..- • --4 '.'_ ': ?mi .- . 7_ 40shml.pemii~-44,0101~4mi&-Lw). . 4.i .--,.,a,, , ..ia- v.... ,.. - -. A. • 4C" 4
CORPORATIONS ONLY:
1 In consideration of the issuance of the Sales tax license , I ,_ ... _ _ _ (name) , of
_ _ . (the corporation) , it' s _ (title) , agree to be !
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Individually and personalty [ fable for any sales tax owed . This individual , persona[ liability is in addition to
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ii the liability of � _ __ (the corporation) .
I declare , under penalty of perjury in the second degree , that this application has been examined by me ,
that the statements made hereto are made in good faith pursuant to the Town of Vail ' s Municipal Code ,
1 and to the best of my knowled : e and belief, are true , correct and complete .
/1 1 mi ,
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Signed: i AA
AdeZ �' 18 ......
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(Must ii person legally resp 4Irle for business, i .e. owner, partner, officer etc.
Print Name: _ AITitle: