Application Form For Business License - City Of Seattle

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FOR OFFICE USE ONLY
CITY OF SEATTLE
CUSTOMER Number ___________________________________
Revenue and Consumer Affairs
700 5th Avenue, Suite 4250
OBL. NR. ___________________________ AMT. ____________
P.O. Box 34214
OBL. NR. ___________________________ AMT. ____________
Seattle, Washington 98124-4214
(206) 684-8484 fax (206) 684-5170
email address rca.bizlictx@seattle.gov
OBL. NR. ___________________________ AMT. ____________
APPLICATION FOR BUSINESS LICENSE
Annual Fee $90.00
The license is for the calendar year, January through December. For a business that opens July 1 or thereafter, the half-year fee is $45.00*
The half-year fee does NOT apply to any years prior to 1998. The Seattle business license expires December 31.
*If worldwide annual gross income and/or value of products is estimated as $20,000 or less, the license fee
is $45.00 ($22.50 for half-year fee).
PLEASE PRINT OR TYPE - COMPLETE BOTH SIDES OF THE APPLICATION
Your business will be assigned a City of Seattle CUSTOMER NUMBER. Refer to the Customer Number in any future correspondence relating to your license.
Let us know if you previously had a Seattle business license. The account will be deemed a reinstatement ONLY if it has been closed for at least 12 months.
Please provide the information in the first section if it is available. The ID numbers are not required to obtain a City of Seattle business license.
State of Washington UBI #
FEIN
State of Washington Contractor #
City of Seattle Vendor ID # (if applicable)
S.I.C. Code
____ ____ ____ ____
(office use only)
Internet Address (if applicable)
Have you previously had a Seattle Business License?
YES
NO
N.A.I.C.S. Code ____ ____ ____ ____ ____ ____ (office use only)
PLEASE COMPLETE ALL SECTIONS BELOW and the REVERSE SIDE OF THIS FORM PROVIDING the BUSINESS INFORMATION
TYPE OF BUSINESS
(Check ONE)
Sole Proprietor
Corporation
Partnership
LLC
Other______________________________
Is the business a non-profit organization?
Yes
No (Non-profit organizations are required to be licensed and file tax returns as all other businesses.)
LEGAL NAME OF BUSINESS
ENTITY____________________________________________________________________________________________________
(If a sole proprietorship, please list your legal name, last name first, and include any middle initial.)
TRADE NAME
or dba (doing business as) _________________________________________________________________________________________________
WHAT IS THE
STARTING DATE OF BUSINESS IN SEATTLE?
Month___________________________ Day __________________ Year____________________
If the business was operating in Seattle before the current year, prior years' license fees, taxes, penalties and interest may be due.
Zoning Limitations - A business license does not authorize the holder to conduct business in violation of any zoning ordinance.
The location of your business should be indicated below. You must list a physical address (a post office box or mail drop is not considered a physical address).
PHYSICAL BUSINESS LOCATION:
ADDRESS
CITY
STATE
ZIP
IS THIS LOCATION BEING ADDED AS A BRANCH ONLY TO AN EXISTING LICENSE?
YES
NO
Mailing address for LICENSE & RENEWAL
ADDRESS
CITY
STATE
ZIP
SAME AS ABOVE
Mailing address for TAX FORMS
ADDRESS
CITY
STATE
ZIP
SAME AS ABOVE
-
-
-
BUSINESS PHONE:
CELLULAR PHONE
FAX
LIST OTHER BUSINESS LOCATIONS IN SEATTLE -
Each BRANCH LICENSE FEE is $10.00 per year (attach a separate sheet, if needed).
TRADE NAME
ADDRESS
SEATTLE ZIP CODE
TELEPHONE
"Separate" tax reporting status?
Yes
No
Yes
No
PLEASE COMPLETE THE BACK SIDE OF THE APPLICATION - ALL INFORMATION AND A SIGNATURE IS REQUIRED TO PROCESS

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