Form Bls-700-028e - Business License Application

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State of Washington

Legal entity/owner Name

Business Licensing Service

po Box 9034

olympia Wa 98507-9034

Unified Business Identifier (UBI)

Telephone: 1-800-451-7985

federal employer Identification Number (feIN)

Information provided may be subject to disclosure

under the public disclosure law (RCW 42.56)

For Validation - Office Use Only

Business License Application

For faster service apply online at

business.wa.gov/BLS

Online applications are typically processed within two business days.

It may take up to 21 days if you file by mail.

03N-400-925-0003

1. Purpose of Application

Please check all boxes that apply.



add License/Registration to existing Location

open/Reopen Business

complete sections 2, 3, 4, and 6

complete sections 2, 3, 4, (5 if hiring employees) and 6



Business Has or Will Have employees

open additional Location

complete all sections

complete sections 2, 3, 4, (5 if hiring employees) and 6



Business Has or Will Have employees Under age 18

Change ownership

complete all sections (If this business location has an active

complete sections 2, 3, 4, (5 if you have employees) and 6

Workers’ Compensation account with L&I, and there were no



business changes since the last Business License Application

complete sections 2, 3, 4 and 6

was filed, complete only sections 2, 3a, 3c, 3d, [and 3f for sole

proprietors], 5c, and 6.)



Change Trade Name -

complete sections 2, 3, 4 and 6



Hire persons to Work In or around Your Home

Name(s) to be cancelled: ________________________

complete all sections

_____________________________________________



other -

complete all



Change Location -

complete sections 2, 3, 4 and 6

old address to be closed:______________________________________________________________________________________

2. Licenses and Fees

Use the License Fee Sheet for the information needed to complete this list.

Fees Due

Mark Registrations Needed:

No Fee



Tax Registration

–

Do you want a separate tax return for each business?

Yes

(State Dept. of Revenue)

No Fee



Industrial Insurance

–

Required if you will have employees.

(Workers’ Compensation)

No Fee



Unemployment Insurance –

Required if you will have employees.

No Fee



Minor Work permit –

Required if you will have employees under age 18.

$ 5.00



New Trade Name

(Doing Business as)

List Additional Trade Names ($5 each name) or Other Licenses (such as Lottery Retailer):



enclose check for total amount due, including the

19.00

Processing Fee

non-refundable processing fee, which MUST be submitted with this form.

Total Amount Due

Department of Revenue.

Make check payable to the

To receive this document in an alternate format, please call 1-800-647-7706. Teletype (TTY) users may use the Washington Relay Service by calling 711.

BLS-700-028e (11/21/13) page 1 of 4

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