Annual Business License Application Form - City Of Tacoma
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1Year: _______________
CITY OF TACOMA
Finance Department / Tax & License Division
Contract Account # ____________
Annual Business License Application
FEE
___________
PENALTY
___________
TOTAL
__________________
Gross Receipts: Total business income shall include all income from business activities both inside and outside the corporate city
limits of Tacoma.
TO DETERMINE YOUR FILING FREQUENCY:
1a. Do you anticipate your Company's gross receipts to be over $100,000 annually?
YES
NO
LICENSE FEE THRESHOLD:
1b. Do you anticipate your Company's gross receipts to be over $10,000 annually?
YES
*NO
*If no, no license fee is due and your account will be placed in a non – filing status. See details on back of form.
2. Type of Ownership (legal entity type):
Sole Owner
Corporation
Partnership
LLC
3. Name of Owner, Partnership, Corporation or LLC:_______________________________________________________________________
4. Name of Business (DBA): _____________________________________________________________________________________________
5. Business Physical Location: ___________________________________________________________________________________________
Address
City
State
Zip
Business Phone:____________________________________________ Cell Phone: _____________________________________________
6. Do you own real estate that you rent or lease inside Tacoma?
YES
NO
If yes, you must also complete a Supplemental Rental Property Statement.
7. Is this business operated out of your residential property in Tacoma?
YES
NO
If yes, a Home Occupation License may be required. Call (253) 591-5252 to verify.
8. Opening date of business in or with Tacoma: ______________________________________________ (See fee information on reverse)
9. List Owner, Partners, Corporate Officers, Registered Agent (if more than two, please attach list):
(A) ______________________________________________________ (B) _________________________________________________________
Name
Name
___________________________________________________________________
_______________________________________________________________________
Title
Phone No.
Title
Phone No.
___________________________________________________________________
_______________________________________________________________________
Address
Address
___________________________________________________________________
_______________________________________________________________________
City
State
Zip
City
State
Zip
10. Describe in detail principal product or service provided:__________________________________________________________________
___________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________
The undersigned acknowledges that this business license is governed by the Tacoma Municipal Code and is responsible for becoming
familiar with the code and abiding by its requirements.
Signature:____________________________________________________ Date: ____________________________________________________
City of Tacoma • Finance Department/Tax & License Division • 733 Market Street, Room 21, Tacoma, WA 98402-3770 • (253) 591-5252
TXL 189 (4/08) t
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