Applications, Permits, and Licensing

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Town of Telluride New Vendor Input Form

  1. Section 1: Vendor Information
  2. (Owner SS# required for sole proprietorship, DBA's, & individuals)

  3. (Federal TIN used to file federal tax return)

  4. (as shown on your tax return)

  5. (If different from above - include DBAs here)

  6. Section 2: Vendor Tax Acknowledgement
  7. 14. Does your business provide a physical service within the Town of Telluride?*

    (Check all that apply)

  8. Attach Certificate of Liability Insurance OR Completed Independent Contractor Status Form

  9. Attach Certificate of Liability Insurance AND Proof of Workers' Compensation Insurance 

  10. 16. Is your business Incorporated?*
  11. 17. Is your business filed as an LLC (Limited Liability Company)?
  12. 17a. What is your LLC formed as?
  13. - Sole Proprietorship: Enter Owner's Name
    - Operated as a "DBA:" Enter Business Name
    - Partnership: Enter name used on tax return

  14. Telluride Business License Requirement

    If you have an office or perform a service in the Town of Telluride you must have an active Town of Telluride Business License. 

    If you do not have an active business license or yours recently expired, please visit bit.ly/totbusinesslicense to complete a Business License Application. 

    NOTE: It is unlawful for any person to operate any business in the Town of Telluride without a valid business license.

    PAYMENTS TO YOU MAY BE WITHHELD UNTIL DELINQUENT BUSINESS LICENSE FEES ARE RESOLVED.

  15. 20. Do you have an office in the Town of Telluride?*
  16. 21. Do you perform a service in the Town of Telluride?*
  17. 22. Business license fees have been paid to the Town of Telluride and the certificate is not expired.
  18. Section 3: Mailing and Payment Addresses
  19. Section 4: Signature & Vendor Acknowledgement

    Under penalties of perjury, I herby certify the payee's above TIN is correct, the payee is not subject to backup withholding.

  20. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your 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. 

  21. Leave This Blank:

  22. This field is not part of the form submission.