TOWN OF PLATTEVILLE, COLORADO
Business / Sales Tax/ Contractors License Application
Business License Fee $50.00
Sales Tax License Fee $15.00
Contractors License Fee $50.00
If license is not approved, all fees will be returned minus $15.00 for administrative cost.
Mail To: For Town Use Only
Monthly Business License
Town of Platteville Quarterly Sales Tax License
Town Clerk's Office Annual Contractors License
400 Grand Avenue Seasonal Special Permit
Platteville, Colorado 80651
(303) 776-1117 Amount Paid Date Rec’d
(970) 785-2476 Fax Check No. Rec’d By
PLEASE TYPE OR COMPLETE IN BLACK INK PLEASE COMPLETE APPLICATION IN FULL
(Illegible and/or incomplete forms may be rejected)
SECTION ONE – All information provided in this section of the application is considered public information and is required to be
released upon public request.
1 Type of Ownership: Sole Proprietor Partnership Corporation Limited Liability Corp. Other _______
2 Taxpayer Name (Owner, Partners or Corporate Name): ____________________________________________________________________
3 Trade Name (“Doing Business As or DBA”): ____________________________________________________________________
4 Physical Business Address: ___________________________________________________________________________________________
Street Address City State Zip
5 Mailing Address: ____________________________________________________________________________________________
Street/PO Box (If Different than Business Address) City State Zip
6 Phone Number(s): ______________________/_______________________
Business Phone Corporate Phone
7 Web Site Address: ___________________________________ E-Mail Address: _____________________________________
8 Nature of Business (Check all that apply): Wholesale Manufacturing Construction Service Retail
Office Only Oilfield Communications/Telecom Finance/Insurance/Real Estate
9 What is your main product/service? ____________________________________________________________________________________
10 Is this business in a: Private Residence Commercial Building
11 Do you lease or own your building? Lease Own Approximate sq. ft. of business space: ______________
Property Owner/Manager Name Street Address, City, State, Zip Code Area Code and Phone No.
12 Number of Employees (include self): Full Time _________ Part-time __________
#of Employees that live in Platteville (if Oilfield service)
13 Do you have other business locations in Platteville? Yes No Date business opened: _____________________
If “YES”, a separate application must be completed per business location.
14 Owner, Local Manager or Registered Agent (Corporate Officer):
Name Address City State Zip Phone
(Continued on Reverse Side)
SECTION TWO – All information provided in this section of the application is considered confidential.
15 List Owner(s) or Corporate Officers: (attach supplemental sheet if necessary)
Name Position Home Phone
Home Address City State Zip
Name Position Home Phone
Home Address City State Zip
16 Local Manager or ___________________________________________________________________________________________________
Representative: (Contact Person) Name Address City State Zip
17 State of Colorado Sales Tax License No.: _________________________ Federal Employer I.D. (FEIN) ______________________
18 State Assigned NAISC Code (if known): _________________________
SECTION THREE – For Contractor’s License Only
19 Insurance company certificate – need copy and be put on as a certificate holder**
**Insurance Company Name:_______________________________________________________________
**General Liability - $250,000 Min Each Occurrence
**General Liability - $500,00 Min Aggregate
**Workers Comp (If have employees)
**Auto - $250,000 Min Single Limits
**Auto - $500,000 Min Aggregate
20 *Has the applicant ever been denied or had a license revoked to conduct any business?
If yes, attach a notation as to the circumstances: Yes No
I declare, under penalty of perjury in the second degree, that this application has been examined by me, that the statements made herein are made in
good faith pursuant to Colorado and the Town of Platteville tax laws and regulations and to the best of my knowledge and belief, are true, correct, and
Signed: ______________________________________________________________________ Title: ______________________
Must be person that is legally responsible for business (i.e., owner, partner, officer, etc.)
Printed Name: ______________________________________________________________________ Title: ______________________
Please be sure to check with other departments of the Town to ensure compliance with all other applicable laws and regulations.
Issuance of the Sales Tax License does not mean conformance with Zoning provisions, and/or other requirements.
FOR YOU INFORMATION
WHERE DO I GO TO GET INFORMATION ON LICENSING FOR THE STATE OF COLORADO?
When opening a new business in the State of Colorado call the Colorado Business Assistance Center, (303)592-5920 in Denver.
To obtain a sales tax, wage withholding tax, or other business tax account number, visit the Denver Service Center at 1375 Sherman
Street, Denver, or any Taxpayer Service Center in Colorado. You may also get the “Colorado Business Registration” Form (CR 0100)
through the Colorado Department of Revenue web site at www.taxcolorado.com, or call the Forms Hotline at (303)238-FAST (3278).
There are no door to door sales in the Town of Platteville.