Business License Application Form - Alabma

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A
FINANCE
DEPARTMENT
Business License: 334-501-7227
REVENUE
OFFICE
Occupational License: 334-501-7228
Sales Tax: 334-501-7226
License & Tax Examiner: 334-501-7225
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.144
TICHENOR AVENUE, SUITE 6
Fax: 334-501-7297
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4.M~t
AUBURN, AL 36830
City of Auburn
BUSINESS LICENSE APPLICATION
1.
APPLICANT'S
NAME
Date of Birth
2.
SOC. SEC. NO.
--DRIVER
LICENSE NO.
STATE
-
3.
TRADE NAME OR "D.B.A." OF BUSINESS
4.
LEGAL NAME IF DIFFERENT FROM D.B.A.
5.
STREET ADDRESS/CITY,
STATE & ZIP OF BUSINESS
6.
IF STREET ADDRESS IS IN AUBURN: OWNER'S NAME
ADDRESS AND PHONE
NUMBER
7.
MAILING ADDRESS (if different from street address)
8.
TELEPHONE
NO. (
) --;
FAX NO (-)
--E-MAIL
AD DR
9.
BUSINESS TYPE: _(1)Manufacturer
_(2)Contractor
_(3)Wholesaler
_(4)Retailer
_(5)Other
10. ORGANIZATION
TYPE: _(1)Corporation
_(2)Partnership
_(3)Proprietorship
_(4)Prof.
Assoc. _(5)
Other
11. DESCRIPTION
OF BUSINESS ACTIVITIES IN AUBURN
12. IF YOU ARE A CONTRACTOR,
THE CONTRACT MATERIAL WILL BE DELIVERED TO THE AUBURN JOB SITE BY:
-Supplier(s)
from whom it is purchased.
_I,
the contractor, who will withdraw it from my inventory.
13. DO YOU HAVE SALESPERSONS
WHO PERSONALLY SOLICIT BUSINESS IN AUBURN? _YES
_NO
14. HOW ARE YOUR GOODS DELIVERED TO AUBURN? -Company-owned
or leased vehicles -Common
carriers
15. HOW MANY BUSINESS LICENSE DECALS ARE NEEDED FOR VEHICLES OPERATING IN AUBURN?
16. WHAT IS YOUR FIRST DAY OF BUSINESS IN AUBURN?//
(Month)
(Day)
(Year)
17. HOW MANY PERSONS (NOT INCLUDING OWNER OR PARTNERS) WILL BE EMPLOYED IN AUBURN BY THE
BUSINESS APPLYING FOR THIS LICENSE?
18. BUSINESS IDENTIFICATION
NUMBeRS (Write "NONE" if no number has been assigned)
Federal Employer I. D. No.
Alabama Sales/Use Tax No.
19. OWNERS, PARTNERS, OR OFFICERS (List additional persons on reverse side)
Name
Home Address
Socia! Security Number
Title
If business has pool tables, coin-operated laundry machines, vending, or amusement machines, please list business address
where machines are located, number, and type of machine on the back of this form.
UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE EXAMINED THIS RETURN AND TO THE BEST OF MY
KNOWLEDGE AND BELIEF, IT IS TRUE, CORRECT, AND COMPLETE. MY SIGNATURE INDICATES THAT I TAKE FULL
RESPONSIBILITY
FOR THIS RETURN AND ANY TAX LIABILITY THAT MIGHT OCCUR.
Print Name of Owner/Partner/Officer
Signature
of Owner/Partner/Officer
Title
Date
PLEASE
RETURN THE COMPLETED
FORM TO THE ABOVE ADDRESS
BEFORE THE FIRST DAY OF BUSINESS
---

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