Business License Application Form - Cuty Of Montgomery - Alabama
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1BUSINESS LICENSE APPLICATION
RECEIPT NO._________________
CITY OF MONTGOMERY, ALABAMA
(334) 625-2036
FAX (334) 625-2994
RETURN TO:
CITY OF MONTGOMERY
LICENSE AND REVENUE DIVISION
P. O. BOX 5070
MONTGOMERY AL 36103-5070
PLEASE PRINT OR TYPE
Application Type:
___ New
___ Add-on
FEIN _________________________
ST of AL TAX#_________________
Mailing Name and Address
_____________________________________________
Forms of Ownership (Check One)
_____________________________________________
Sole Prop____
Partnership____
_____________________________________________
Corp____
LLC ____
Trade Name: (If different from above) ____________________________________________________________________
Physical Location (Street Name and Number) Leave Blank if operating from a Residence
_______________________________________________
Business (________) ___________________
_______________________________________________
_______________________________________________
Home
(________) ___________________
_______________________________________________
List Following for Owner(s), Partners, or Officers (Attach separate sheet if necessary)
Name
Residence Address
SSN
DOB
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
Date Business Activity Initiated or Proposed in Montgomery: ___________________________________
Give a brief detail the nature of your business: _______________________________________________________________
________________________________________________________________________________________________________
This application has been examined by me and is, to the best of my knowledge, a true and complete representation of the
above named entity, and person(s) listed.
Signature___________________________________________________ Title_______________________ Date _____________
ACCOUNT NO.__________________________
FOR MUNICIPAL USE ONLY
LICENSE NO. ___________________
CODE
DESCRIPTION OF LICENSE
GROSS RECEIPTS
SCH
AMT OF LICENSE
FEE
TOTAL
PLEASE LET US HELP YOU - CALL 334-625-2036 FOR CORRECT AMOUNT OF LICENSE PAYMENT THAT IS DUE
th
ZONING (25 Washington Ave. 4
Floor 334-625-2722)________________________
AREA NUMBER ____________
FIRE (19 Madison Ave. 334-625-3916) ____________
______________________
CITY SALES TAX NUMBER
st
INSPECTION (25 Washington Ave. 1
Floor 334-625-2073 ) ___________________
____________________________
Revised 02-2014
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Parent category: Business