Towing License Application Form - Department Of Inspections And Permits - Anne Arundel County Maryland

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Licensing Division, MS 6006
Department of Inspections and Permits
2664 Riva Road, Annapolis, MD 21401
Telephone: (410) 222-7788
Fax: (410) 222-4488
APPLICATION FOR TOWING LICENSE
Police-Initiated Towing: YES NO
Nonconsensual Towing: YES NO
Indicate the number of tow trucks for which licenses are applied: ____________
The license applicant is a: corporation, partnership, individual, other: ______________________
Specify
________________________________________________________________________________
Full Name of Applicant(s)
________________________________________________________________________________
Trade Name of Applicant(s)
Federal Employer ID Number: ____________________________
SDAT#______________________________
DOT Number: ________________________
State of incorporation or organization:________________________
Business Office:
___________________________________________
_________________________
______________
Physical Street Address
City
Zip Code
___________________________________________
_________________________
______________
Mailing Address if different than above
City
Zip Code
_______________________________________________________
Owner of business office property above
Storage Facility:
_________________________________________
_________________________
______________
Street Address
City
Zip Code
________________________________________________________
Owner of storage property above
Redemption Area:
(if different than above)
_________________________________________
_________________________
______________
Street Address
City
Zip Code
________________________________________________________
Owner of redemption area property above
Company Phone #s: Public:__________________________
Police Use: __________________________
FAX# ____________________________
E-mail:______________________________________________
Days/hours the storage/redemption facility is open:
______________________________________________________
______________________________________________________
Methods of payment: Credit Cards: YES NO
Checks: YES NO
Cash: YES NO
 Other ___________________________________________
ATM on site: YES  NO
Credit cards accepted: MasterCard Visa Discover AmerExpress Other:___________________
(Application continues on side 2)

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