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Cobb County Business License Division

P.O. Box 649, Marietta, GA 30061-0649

Phone (770) 528-8410 Fax (770) 528-8414

Web site Address -

Precious Metal

Application For Corporation or Limited Liability Company LLC

Occupation Tax Certificate

A Certificate of Registration from the Secretary of State or Articles of Organization must accompany this

application. To obtain information on becoming incorporated please call (404) 656-2817. The application must be filled

out completely to obtain a Cobb County Occupation Tax Certificate. Payment must be filed with the application to obtain a

Cobb County Occupation Tax Certificate. This application will not be processed if it is not accompanied by the appropriate

tax or fee. You will not be billed. Please print with ink or type. For further information on determining tax and/or fee

amount see our website at , and click on Business, Business License Division, then Business

Registration. Before submitting the completed application to the Cobb County Business License it must be taken to

the Cobb County Zoning Division for review.

( ) New Application

This Business is:

( ) Ownership Change / Date ownership changed______________________

( ) I am filing a name/or address change for # ___________________

Is this business located:

( ) Outside Cobb

( ) In Unincorporated Cobb

( ) Inside a City

1. Name Doing Business As_________________________________________________ Phone # (

)___________

2. Name of Corporation/ LLC_______________________________________________________________________

3. Business Address______________________________________Suite#______City________State___Zip________

4. Mailing Address_______________________________________Suite#______City________State___Zip________

5. Is property zoned? ( ) Residential

( ) Commercial

( ) Industrial

Fax #__________________________

6. Full Detailed Description of Business_______________________________________________________________

7. Estimated Gross Receipts in GA from this location for the current calendar year $____________________________

Gross Receipts in GA from this location for the calendar year prior to this application $________________________

Gross Receipts in GA from this location for the year two calendar years prior to this application$________________

8. Date Business began in Cobb County_____________________________ # of employees in Cobb______________

9. State Sales Tax ID # ___________________________________Federal ID # _____________________________

10. President/ Managing Member________________________Cell #_________________SSN#__________________

Home Address_______________________________________Apt#____City___________State____Zip________

Home Phone (

)_________________D/O/B___/___/___/Drivers License # _______________State__________

11. Vice President/ Member_____________________________________________SSN#_______________________

Home Address______________________________________Apt#____City___________State_____Zip________

Home Phone (

)_________________D/O/B___/___/___/Drivers License # ___________________State_______

12. Secretary/ Member_________________________________________________SSN#_______________________

Home Address______________________________________Apt#____City___________State_____Zip________

Home Phone (

)________________D/O/B___/___/___/Drivers License # ____________________State_______

Precious Metal Application For Corporation Or Limited Liability Company Llc Occupation Tax Certificate Form - Cobb County Business License Division

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