Please Complete the Following
Business operated from
home
store front or office.
Physical Location:
City
Police Jurisdiction
Outside Corporate Limits & PJ
Tax Types:
Sales/Sellers Use
Consumer Use
Rental
Lodging
Liquor
Tobacco
Business License (Annual)
Tax Filing Frequency:
Monthly
Quarterly
Annual
Semi-Annual
Other __________
Business Type:
Retail
Wholesale
Contractor
Service
Professional
Manufacturer
Rental
Rental Property
Agent
Other _______________
By signing this license application you certify that all information provided on this document is true
and correct. You also certify, under penalty of perjury, that you are a U.S. Citizen or are lawfully
present in the U.S. and/or are conducting this transaction on behalf of a U.S. Citizen or lawfully
present alien. Please note that Section 30 of Act 2011-535 establishes criminal penalties for entering into a
“business transaction” on behalf of an illegal alien.
For Businesses physically located in Northport ( There will be a minimum waiting period of (7) working days for
approval of application: Must have Code Compliance Certificate signed by the necessary departments.
I UNDERSTAND THAT I CANNOT OPEN OR OPERATE THIS BUSINESS AT THIS ADDRESS UNTIL
THIS APPLICATION IS APPROVED AND A BUSINESS LICENSE IS ISSUED,
________________
_______________________________________
_________________
Date
Signature
Title
LICENSE AMOUNT AND FEES
(CALL FOR AMOUNTS 205-339-7000 EXT. 228)
Base License Amount (code: _________________ )
Estimated Gross Receipts for remainder of this year _________ X ____ % =
INSPECTION FEE (For a business opening a physical location in the city)
Copies of acceptable proof of lawful presence must be included with application.
$ 10.00
ISSUE FEE:
Include a copy of State Certification Card (if marked)
Send in this amount with application:
TOTAL DUE: