Business License Application - City Of Abbeville, Alabama

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CITY OF ABBEVILLE, ALABAMA BUSINESS LICENSE APPLICATION

(The City of Abbeville Does Impose A Business License Tax in its Police Jurisdiction)

(CONFIDENTIAL)

Complete and Mail/Fax/Email to:

APPLICANT COMPLETE THIS BOX

PLEASE PRINT OR

FEIN # ________________________________

City of Abbeville

TYPE

Alabama Tax # ___________________________

P O Box 427

FORM OF OWNERSHIP (CHECK ONE)

Abbeville, AL 36310-0427

(See page 2 for

Sole Prop _____

Partnership _____

Instructions)

Corp.

_____

Prof Assoc _____

Ofc: 334.585.6444

Fax: 334.585.6982

LLC

_____

Other _________

Application Type:

New _____

Owner Change _____

Name Change _____

Location Change _____

Legal Business Name: _______________________________________________________________________________________

Trade Name: (If different from above) __________________________________________________________________________

Business Activities: (Brief description only) ______________________________________________________________________

_________________________________________________________________________________________________________

Physical Address: __________________________________________________________________________________________

(Street)

(City)

(State)

(Zip)

Mailing Address: __________________________________________________________________________________________

(Street)

(City)

(State)

(Zip)

Telephone: __________________________________________________________________________________________

(Business)

(Fax)

(Home Phone)

Name & Phone # for Contact Person: ________________________________________ ( __________) _____________________

Email address for Contact Person: ____________________________________________________________________________

List additional Owner(s), Partners, or Officers (Attach separate sheet if necessary)

Name

Resident Address

SSN (if not publicly traded co.)

Title

________________________________________________________________________________________________________

Date business activity initiated or proposed in Abbeville: ________________________ # of employees in Abbeville: __________

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.

Date: _______________________ Signature: __________________________________________________ Title: ___________________________________

THIS AREA FOR MUNICPAL USE ONLY

ACCOUNT ID# ________________________

REVIEWED BY: ________________

PHYSICAL LOCATION:

_____ CITY

_____ POLICE JURISDICTION

_____ OUTSIDE CORP LIMITS & POLICE JURISDICTION

ZONING CLASSIFICATION: __________ BUILDING APPROVAL: _____YES _____NO

_____N/A

_____ FIRE CODE