Alabama Business Application Form - City Of Eufaula
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EUFAULA, ALABAMA BUSINESS
APPLICATION
Comnlete and
MaiVFax
City
of
Eufaula
P.O.
Box
219
Eufaula,
N,
36072-0219
{334)
6S3-2007
Telephone
{334)
688-2016
Fax
(coNFTDENTTAL)
Please
Print
or
Type
SEE
REVERSE
SIDE
FOR
INSTRUCNONS
AND
FURTHER
INFORMATJON
Applicanf Complete This Box
TIN
ST of AIa Tax
#
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coroor#on
Enb
APPLTCATToN
wpE: n
Nrw
RENEWAL
OWNER
CHANGE
n
NlMr
cHANcE
LOCATION
CHANGE
Legal Business Name:
Trade Name:
(If
different from above)
Business
Activities: (Brief
desc.
- example.
retail
clothing
sales, wholesale
food
sales,
rental of
industrial
equip., computer consulting, etc)
Physical Address;
Mailing
Address:
(Street)
(ctv)
(State)
(zip)
(Street)
(city)
(5tate)
(zip)
Telephone:
(
Business)
(Fax)
(Home Phone
-
In
Case Of
Emergency
)
AlaTax
Taxpayer
Name:
Email:
AlaTax
Acct.#:
Name/Phone
# for Contact
Person:
List Names of Owner(s), Partners, or Officers
(Attach separate sheet if
necessary)
Name
Residence
Address
Last 4
diqits
SSN
Title
Date
Business
Activity
Initiated
or
Proposed
in
Eufaula:
#
of
Employees
in
Eufaula
This application
has been
examined
by me and is,
to the
best
of
my
knowledge,
a
true
and
complete representation of the above
named
entity,
and person(s) listed.
D4e
..__._-.--.---
signature
Tifle
-
THIS
AREA
FOR
MUNICIPAL
USE
ONLY
TAXPAYER
ID
f
Building Qfficial/Code Enforcement
Offi
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PFTYSTCAL
LOCATION:
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LICENSE
CODEI
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CLASSIFICATION:
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TAXFTLTNGFREQUENCy:
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