Business Application - City Of Mobile, Alabama
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2CITY OF MOBILE, ALABAMA BUSINESS APPLICATION
COMPLETE AND MAIL OR TAX TO:
FORM OF OWNERSHIP (CHECK ONE)
CITY OF MOBILE
SOLE PROP
PARTNERSHIP
REVENUE DEPARTMENT
PO BOX 3065
CORPORATION
PROFESSIONAL
MOBILE, AL 36652-3065
LLC
OTHER________
(251) 208-7462
FAX (251) 208-7954
*SEE REVERSE SIDE FOR INSTRUCTIONS AND FURTHER INFORMATION
PLEASE PRINT OR TYPE:
APPLICATION TYPE:
NEW
OWNER CHANGE
NAME CHANGE
LOCATION CHANGE
FEIN:_____________________________________ ST OF AL TAX #______________________________
LEGAL BUSINESS NAME:_________________________________________________________________
TRADE NAME (IF DIFFERENT FROM ABOVE:______________________________________________
BUSINESS ACTIVITIES:
(Description of business activity – i.e. Contractor, equipment rental, consulting, retail clothing
sales, etc…)
PHYSICAL ADDRESS:
(STREET)
(CITY)
(STATE)
(ZIP)
MAILING ADDRESS:
(STREET)
(CITY)
(STATE)
(ZIP)
TELEPHONE:____________________________________________________________________________
(BUSINESS)
(FAX)
(HOME PHONE)
NAME FOR CONTACT PERSON:____________________________ PHONE #______________________
CONTACT PERSON EMAIL ADDRESS (REQUIRED)_________________________________________
LIST NAMES OF OWNER(S), PARTNERS, OR OFFICERS (ATTACH SEPARATE SHEET IF NECESSARY)
NAME
RESIDENCE ADDRESS
SSN
TITLE
DATE BUSINESS ACTIVITY INITIATED OR PROPOSED IN MOBILE:_________________________
NUMBER OF EMPLOYEES IN MOBILE______________________
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________________
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