Vehicle For Hire Application Form - City Of Auburn, Alabama printable pdf download

For City of Auburn Staff use only:

Customer # _________________ Zoning Approval ___Yes ___ No

CITY OF AUBURN, AL

Home Occupancy Permit # _______________

VEHICLE FOR HIRE APPLICATION

SECTION 1: BUSINESS INFORMATION

Business Name:_______________________________________________________ Federal Identification # ___________________

□ Corporation

□ Partnership

□ Individual or Sole Proprietorship

□ Limited Liability Partnership (LLP)

Type of Ownership:

□ Limited Liability Company (LLC) (Single Member)

□ Limited Liability Company (LLC) (Multi-Member)

First Day Business Activities Will Begin in Auburn: _______________(Month) _________ (Day) ____________ (Year)

Physical Location of Business: __________________________________________________________________________________

Street Address

City

State

Zip Code

Will vehicle(s) be garaged at this location? ___Yes ___No If no, provide address where vehicle(s) will be garaged.

___________________________________________________________________________________________________________

Note:

If physical location of business is in the city limits of Auburn, page 3 must be completed before business license will

be issued. If physical location is a residence located in city limits of Auburn, a Home Occupation Permit must be obtained

from the Planning Department [171 N Ross St, Auburn, AL or (334) 501-3040]

Mailing Address, if Different: ____________________________________________________________________________________

Street Address or PO Box

City

State

Zip Code

Phone # _____________________ Fax # ______________________ Website: _________________________________

OWNER/PARTNER INFORMATION (Person(s) legally responsible for business) (Attach a separate sheet if necessary)

SECTION MUST BE COMPLETED BY ALL PERSONS LEGALLY RESPONSIBLE FOR BUSINESS

Name: ___________________________________________________________________ Title: ____________________________

Home Address: ________________________________________________, _______________(City), ______ (State), _______ (Zip)

Business Phone # _____________

Alternative Phone # _____________ Fax # _____________ Email ______________________

SSN: ________________ DOB: ________________ DL#/STATE: _______________________

Please provide a legible copy of the driver’s license or state-issued identification card for each owner/partner/officer.

STATE OF ALABAMA

COUNTY OF LEE

Under the provisions of Section 23-31 of the Code of Auburn, Alabama, regulating the licensing of vehicle for hire drivers, and the

operations of said vehicles on the streets of the City of Auburn, I heareby make application to the City of Auburn, Alabama, for a

Municipal Vehicle for Hire Business License and upon oath make the following statements:

I have attached copies of Current Vehicle Registrations Forms (Tag Receipts) for any/all vehicles that will be operated under this

license. I certify that this vehicle(s) to be in mechanically sound condition and to have all legally required safety equipment

installed and operational.

I have attaced a copy of the Certificate of Insurance issed for the vehicle(s) that will be operating for hire, along with information

concerning Insurance Agency’s contact information (Name, Address, and Phone Number). Insurance information will be verified

initially and periodically to ensure at least minimum industry standards of coverage are in effect and that policies have not lapsed.

It will be the owner(s)/partner(s) responsibility under this license to ensure that the City of Auburn is provided with current

Certificates of Insurance. Any lapse of insurance coverage or failure to provide current Certificates of Insurance will result in the

immediate invalidation of this license.

Under penalties of perjury, I declare that I have examined this form and to best of my knowledge and belief, it is true, correct, and

complete. My signature indicates that I take full responsibility for the information presented on this form and any tax liability that might

occur.

________________________________________

____________________________________________________

PRINT NAME

SIGNATURE OF APPLICANT and DATE

NOTE: All drivers, including owner(s) of business if he/she is a driver, must complete SECTION 2

Mail Completed Form To: City of Auburn-Revenue Office at 144 Tichenor Avenue∙Suite 6∙Auburn, AL 36830

Office: (334) 501-7239 ∙ Fax: (334) 501-7297 ∙ Website:

Vehicle For Hire Application Form - City Of Auburn, Alabama

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