Business Licenses Master Application Form - Estop Business Licenses
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1
2BUSINESS LICENSES
CLEAR FORM
eStop
Business Licenses is
Master Application
now online!
Check appropriate box(es) and complete all applicable information.
eStop.mt.gov
Business Changes
Register a new business with eStop. See Section II for fees that apply.
Update business information, such as mailing address or contact information, etc. No fee.
Change business structure or entity type. A liquor processing fee may apply. See Section II.
Add a new physical location to your eStop business. See Section II for fees that apply.
Purchase of an existing eStop location. Previous owner's Location Number ___________
Location Changes -
Provide current Location Number for box(es) selected below ________________
Your Location Number is at the upper right-hand section of your eStop license and renewal.
Relocate to a new physical location. A license fee may apply. See Section II.
Update location information, such as name/DBA/trade name, etc. No fee.
Update license information, such as add, increase/decrease, change license type, etc. See Section II
for fees that apply.
Section I.
Business Information
Company or Owner Name _____________________________________________________________________________________
(required)
Federal Employer Identification Number or Social Security Number _____________________________________
_______________________________________________________
_______________________
___________
___________
Business Mailing Address
City
State
ZIP + 4
Type of Business (please check one and provide additional information if needed):
Sole proprietorship
S corporation
Governmental
Limited liability company
Association
Limited partnership
C corporation
Limited liability partnership
Other
Nonprofit C corporation
Partnership
Location Information
Assumed Business Name/DBA/Trade Name, etc. ___________________________________________________________________
_______________________________________________________
_______________________
___________
___________
Physical Location Address
City
State
ZIP + 4
______________________________________________
_____________________________
___________________________
County
Location Phone Number
Location Fax Number
Contact Information
Name ___________________________________________________ Phone Number _____________________________________
Please Print
Email address ___________________________________________________________________
Important:
Complete Section II (other side of form), if applicable. In all situations, sign and date.
All coordinating applications and affidavits must be completed and attached for processing.
License fee and payment information is on the other side of this form.
Signature
(required)
I declare under penalty of false swearing that I am the applicant or the duly authorized representative of the entity making
this application, and that the responses provided, including any accompanying information, are true, correct and complete.
_____________________________________________
____________________________________
_____________
Signature
Title
Date
e
Mail completed form to:
Stop Business Licenses, PO Box 8003, Helena, MT 59604-8003
Questions? Call us toll free (866) 859-2254 (In Helena, 444-6900), FAX: (406) 444-7723
Rev 12 15
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