Financial Services
Sales Tax Division
215 North Mason Street
PO Box 580
Fort Collins, CO 80522-0580
970.221.6780
970.221-6782 - fax
fcgov.com/salestax
2016 SOLID WASTE COLLECTOR LICENSE APPLICATION
Please complete this application and return it by November 30, 2015 with the specified fee and certificate of insurance to
obtain your company’s 2016 license for solid waste and/or recyclables collection (Article XV, Chapter 15 of the Code of the City of Fort
st
Collins). The new license will expire on the 31 day of December, 2016.
List all vehicles used directly in the collection of solid waste and/or recyclables. The license fee is $100.00 per vehicle per
calendar year.
Company Name:
Phone:
Contact Name:
Fax:
Business Address:
Email:
Mailing Address (if different):
Colorado License
Plate #
Vehicle Year/Make/Color/Gross
Vehicle Weight
Cubic Yard
Capacity
Empty Tare
Weight
CO Dept. of Transportation
Commercial Vehicle ID #
Please list additional vehicles on separate pages and attach to this form.
Total number of vehicles ______________x $100 each = amount due: _______________
Signature of Applicant: ________________________________________________
NOTE: The Financial Officer may deny any application if it is reasonably determined that any requirements of this Article will not be met by the
operation proposed by the applicant, or if the applicant is ineligible for a license under the terms of a revocation determination by the City
Manager pursuant to Section 15-426.
For City use: Account# 1000-421060