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2. 
3. Business License Application
5. Any business physically located within the Town of Cedaredge, including online or home based businesses, is required to have a business license. The fee is $25 annually, due by January 31 of each year; a $10 late fee applies if not paid by that time. PLEASE NOTE: Your application is NOT complete until you pay the $25 fee. You can mail a check to PO Box 398, Cedaredge, CO 81413; make a payment in person at 235 W Main St., Cedaredge; or make a payment over the phone by calling 970-856-3123 ext. 111.
7. Business Name*
9. Owner/Manager First Name*
10. Owner/Manager Last Name*
12. Physical Address*
14. City*
15. State*
16. Zip*
18. Mailing Address (if different)
20. City
21. State
22. Zip
24. Phone Number*
25. Secondary Phone Number
26. Fax Number
28. Website Address*
30. Email Address*
32. Is your business physically located within Cedaredge municipal limits?*
    -- Select One --YesNoUnsure
33. Business Organizational Model *
    -- Select One --Sole ProprietorshipPartnershipLimited Liability CorporationCorporationCooperativeNonprofit or Not For ProfitOther
34. If "Other" please explain:
36. Colorado Sales Tax Number*
37. Colorado State Identification Number*
38. Federal Identification Number*
40. Please describe your business and the type of services/products offered.*
42. Electronic Signature Agreement*
    By checking the "I agree" box below, you agree and acknowledge that 1) This form/application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
44. I Agree*

    1. Yes
Leave This Blank:


46. 1. Receive an email copy of this form.
47. Email address

    This field is not part of the form submission.

48. Submit

* indicates a required field