Business License Application Form - City Of Westport printable pdf download

BUSINESS LICENSE APPLICATION

CITY OF WESTPORT

P.O. Box 505

Westport, WA 98595

Phone: (360) 268-0131

FAX: (360) 268-0921

Business Name:

________________________________________________________________________

Type of Business:

________________________________________________________________________

Owner’s Name:

___________________________________________ Phone: _____________________

Owner’s Drivers License Number: ____________________________________ ____________________________

Owner’s Address (Mailing): _____________________________________________________________________

Business Address (Mailing): _____________________________________________________________________

Business Address (Physical): _____________________________________________________________________

Federal ID Number:

_____________________ State ID Number: _________________________________

State Contractor License Number:

_________________________________________________________

ANNUAL BUSINESS LICENSE FEE IS $50.00

I hereby understand that purchasing a business license to operate a business inside the city limits of Westport is on a yearly basis

and obligates me to pay quarterly Excise Tax (Business & Occupation). Rates are as follows:

Service and all other Retailing: .0050 of gross income for the quarter.

Wholesale Manufacturing: .0025 of gross income for the quarter.

Quarterly statements must be signed and returned regardless of income earned for each quarter. Please review your

excise tax statement penalty section for additional information.

A penalty may be assessed for conducting business without a current business license.

I also verify that the information concerning my business is factual and I also understand that if I change business type in any

way at the same location, I will notify the City at once. Let it be known, that if you have falsely represented your business in any

way, or are operating in a zone restricting your business type, your license will be promptly revoked.

Applicant Signature: ____________________________________________________ Date: ___________________________

Official Use Only

Zoning: Approved _____ Denied _____ N/A _____ City Administrator ____________________________________________

Building Occupancy: Approved _____ Denied _____ N/A _____ Building Official __________________________________

Fire/Safety: Approved _____ Denied _____ N/A _____ Fire Chief ________________________________________________

Reason for Denial (see attached document(s)

Office Use Only

Assigned Acct # _______________ Tax Rate Code __________ Business License Code __________ Business Type (0-50) __________

Date Form Last Updated: 04/24/14

Business License Application Form - City Of Westport