Form Bls-700-028 - Business License Application - 2017 Page 2
Download a blank fillable Form Bls-700-028 - Business License Application - 2017 in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Form Bls-700-028 - Business License Application - 2017 with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2
3
43. Owner Information
a.
*
Select only ONE ownership structure:
Sole proprietorship
Yes
No
If married, should spouse’s name appear on license?
(If you answer No, you must still enter the
spouse information in section “3f” below.)
Corporation*
Non profit Corporation*
Limited Liability Company*
(educational, religious, charitable)
partnership (
:_____)
Joint Venture
# of partners
Limited partnership*
Limited Liability partnership*
Limited Liability Limited partnership*
*These ownership structures must contact the Secretary of State office for additional filing requirements.
Name of Corporation, LLC, partnership, LLp, LLLp, or Joint Venture Name (examples: aBC, Inc. oR fir Trees Unlimited LLC)
State incorporated/formed: ____________________________
Year incorporated/formed: ____________________________
association
Trust
Municipality
Tribal government
other
Name of organization (example: anderson family Trust)
b.
*
Provide the ownership structure’s first date of business at this location. Out-of-state businesses should
Business open Date
use the first date of operation in WA. (Required. If unknown, please estimate.)
MM
DD
YY
c.
Is this location inside city limits?
Yes
No
*
Business Name/Trade Name
d.
*
*
Business Mailing address (Street or PO Box, Suite No. do not use builiding name)
Business Street address (if different than mailing) Do not use po Box or pMB
City
State
Zip code
City
State
Zip code
e.
(
)
(
)
Business Telephone Number
fax Number
e-Mail address
f.
List all owners & spouses: Sole proprietor, partners, officers, or LLC members.
(Attach additional pages if needed.)
/
/
___________________________________________________________
___________________________
_________________
_____________
*
Name (Last, First, Middle)
Social Security
Number*
Date of Birth
%
owned*
___________________________________________________________
____________________________________________________________
Home address (Street or PO Box)
City
State
Zip code
(
)
are you married? Yes No If yes, enter spouse information below.
________________________
_________________________________
Title
Home Telephone
Number*
/
/
___________________________________________________________
__________________________________
____________________
Spouse Name (Last, first, Middle)
Spouse Social Security Number
Spouse Date of Birth
/
/
___________________________________________________________
___________________________
_________________
____________
Name (Last, First, Middle)
Social Security
Number*
Date of Birth
%
owned*
___________________________________________________________
____________________________________________________________
Home address (Street or PO Box)
City
State
Zip code
(
)
are you married? Yes No If yes, enter spouse information below.
________________________
_________________________________
Title
Home Telephone
Number*
/
/
___________________________________________________________
____________________________________
_____________________
Spouse Name (Last, first, Middle)
Spouse Social Security Number
Spouse Date of Birth
/
/
___________________________________________________________
___________________________
__________________ ___________
Name (Last, First, Middle)
Social Security
Number*
Date of Birth
%
owned*
___________________________________________________________
____________________________________________________________
Home address (Street or PO Box)
City
State
Zip code
(
)
are you married? Yes No If yes, enter spouse information below.
________________________
_________________________________
Title
Home Telephone
Number*
/
/
___________________________________________________________
____________________________________
______________________
Spouse Name (Last, first, Middle)
Spouse Social Security Number
Spouse Date of Birth
*The Social Security Number is required for sole proprietors, partners, officers, and LLC members of businesses that will have employees.
(WAC 192-310-010) Not fully completing section “f” will result in application delays.
BLS-700-028 (5/5/17) page 2 of 4
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Legal