Application Form For Business License - City Of Seattle Page 2
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2CITY OF SEATTLE
APPLICATION FOR BUSINESS LICENSE - Page 2
NATURE OF BUSINESS:
Check all that apply and provide detail below. THIS INFORMATION should be as detailed as possible.
Manufacturing-Extracting
Printing & Publishing
Tour Operator
Wholesale
Retail
Service
Transportation
Other
Utility Services (telephone services, pager services, cable television franchise)
Charging Admission for Events/Shows
Gambling Activity
DOES YOUR BUSINESS OWN OR OPERATE PRICE SCANNING EQUIPMENT?
YES
NO
DESCRIBE IN DETAIL THE PRINCIPAL PRODUCT(s) OR SERVICE(s) RENDERED:
NOTE: Additional licenses or endorsements may be required depending on the business activity - please see instruction sheet under regulatory licenses.
NAME(S) OF SOLE PROPRIETOR, PARTNERS, CORPORATE OFFICERS, AND RESIDENT AGENTS:
List true name(s), residence address,
telephone number and date of birth of the sole proprietor or all partners or corporate officers/directors and their titles (attach a separate sheet, if needed).
NAME AND TITLE
RESIDENCE ADDRESS
CITY, STATE, ZIP
TELEPHONE
DATE OF BIRTH
TAX REPORTING STATUS -
Seattle BUSINESS LICENSE TAX FORMS must be filed by every business, EVEN IF NO TAX IS DUE.
Based on the taxable revenue for your business as described below, please check one of the following reporting frequencies:
QUARTERLY -
Estimated ANNUAL taxable revenue will exceed the threshold per year for entire entity - main location and branches.
ANNUAL -
Estimated ANNUAL taxable revenue will be less than the threshold per year for entire entity.
A Business granted ANNUAL reporting status by Revenue and Consumer Affairs must file a combined tax return if there is more than one location.
Tax forms are mailed to the last known address - failure to receive the form does not preclude the requirements to file timely.
YES My annual worldwide gross income and/or value of products will be $20,000 or less.
Should my gross income and/or value of products be greater than $20,000, I understand
I will be responsible for additional license fees.
IF YOU PURCHASED THIS BUSINESS, DID YOU TAKE OVER
THE ENTIRE BUSINESS
ONLY A PORTION
FORMER OWNER'S NAME
CURRENT ADDRESS
CITY, STATE, ZIP
TELEPHONE
CUSTOMER NUMBER
A SIGNATURE IS REQUIRED IN ORDER TO PROCESS THE APPLICATION
As applicant, I ___________________________________________ , certify or declare under penalty of perjury under the laws of the State of Washington
that the foregoing is true and correct. All information given is subject to verification with State of Washington, Department of Revenue.
SIGNATURE ______________________________________________________________
DATE _______________________________________
PLEASE PRINT your NAME __________________________________________________ TITLE ________________________________
FOR OFFICE USE ONLY
FEES DUE - MAKE CHECK PAYABLE TO CITY OF SEATTLE
Initials
Date
$ 90.00
Business License Fee if OPEN date is January 1 - June 30
Processed by
$ 45.00
If $20,000 or less in worldwide annual gross income
$ 45.00
Business License Fee if OPEN date is July 1 or later in year
Tax Forms Mailed
$ 22.50
If $20,000 or less in worldwide annual gross income
$ ____________
Enforcement
Additional Seattle Locations ___________ X $10.00 =
TOTAL DUE
$ ____________
License # Issued
..................................................................
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