Business Registration Application Form - City Of Bowling Green, Ky Page 2
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3FOR OFFICE USE ONLY
* Acct. #: _______________
* Source Code: __________
CITY OF BOWLING GREEN, KY
BUSINESS REGISTRATION APPLICATION
1017 College Street * P. O. Box 430 * Bowling Green, KY 42102-0430
PH (270) 393-3000 FAX (270) 393-3636 E-mail
Registration Fee: $50.00 A Cash Bond may be required. Please refer to section three of instructions.
* Per City Code of Ordinances Ch. 18 copy of lease for over six (6) months attached. *
Business Name: _________________________________
Local Phone No.: ________________________
Job Site or
_________________________________
Local Address:
_________________________________
Fax Number:
________________________
(No P. O. Box)
_________________________________
Start date in BG _________________________
If Entity has other locations in Bowling Green attach listing of street addresses.
Local Manager/Rep: _____________________________
Description of Business: ___________________
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Will you have payroll employees working in Bowling Green?
No
Yes — No. of Employees: _____
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Check Entity Type:
Individual,
Partnership,
Corporation,
Limited Liability Company
□
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Limited Liability Partnership,
Other _________________________________
□
must
attach IRS acknowledgement of tax exempt status
Non-Profit,
I certify that all the information on this application is true and correct.
_____________________________________________
___________________________________________
Print Name of Applicant
Title
Signature of Applicant
Date
_________________________________________________
________________________________________________
Print Name of Applicant
Title
Signature of Applicant
Date
Information Above This Line Available To Public
Information Below This Line Is Confidential
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Accounting Period Per Federal Return:
Calendar Year
or
Fiscal Year End Date: _________
Social Security No. of Business Owner: _________________
Business Federal ID No.: _____________
Accounting Firm or Individual Name: _______________________________ Phone: _____________________
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Check if applicable to above business:
Alcohol Sales
Live Entertainment
General Mailing Name & Address:
______________________________________________
Phone: _______________________
______________________________________________
______________________________________________
Fax No.: ______________________
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