OFFICE USE ONLY
Sales Tax (MQO)
Y N
Lease/Rental Tax
Y N
CITY OF HOOVER, ALABAMA
Lodgings Tax
Y N
Residential Rental
Y N
REVENUE DEPARTMENT
Location Code
_______
2020 Valleydale Road P.O. Box 360628
Schedule Number _______
Hoover, Alabama 35236-0628
Phone (205) 444-7516 or (205) 444-7518 Fax (205) 739-7151
APPLICATION FOR CITY BUSINESS LICENSE & TAXES
(Name and address of application is Public Record)
SELECT THE TYPE OF BUSINESS:
MANUFACTURER
FINANCIAL, INSURANCE, REAL ESTATE
HEALTH SERVICES
WHOLESALER
TRANSPORTATION
PROFESSIONAL SERVICES
RETAILER
PUBLIC UTILITY
RESTAURANT
CONSTRUCTION
INTERNET GAMING
OTHER
DESCRIBE BUSINESS: ______________________________________________________________________
Sales Representative:
Yes
No
Delivery:
Common Carrier
Own Vehicle
DATE BUSINESS BEGAN IN HOOVER: _________________________________________________________
ESTIMATED ANNUAL GROSS RECEIPTS: ______________________ FOR CALENDAR YEAR: ___________
SELECT THE TYPE OF ORGANIZATION:
CORPORATION
LIMITED LIABILITY COMPANY (LLC)
PROFESSIONAL ASSOCIATION
PARTNERSHIP
SOLE PROPRIETORSHIP
OTHER (Specify) ____________
LEGAL BUSINESS NAME: _____________________________________________________________________
TRADE NAME (D/B/A/) ________________________________________________________________________
LOCATION OF BUSINESS:
STREET NUMBER: _________________ NAME OF STREET, RD., etc. _________________________________
SUITE NUMBER: ___________ CITY:___________________________ STATE: ___________ ZIP: ___________
*Name of shopping center located in Hoover, if applicable: ____________________________________________
PHONE NUMBER (local) (____)__________________________ FAX NUMBER (____)______________________
CONTACT PERSON ______________________________ PHONE NUMBER (emergency) (____)_____________
EMAIL ADDRESS ___________________________________
MAILING ADDRESS (IF DIFFERENT):
STREET NUMBER: _________________ NAME OF STREET, RD., etc. _________________________________
SUITE NUMBER: ___________ CITY:___________________________ STATE: ___________ ZIP: ___________
GIVE INFORMATION BELOW, WHERE APPLICABLE:
SHELBY CO. HEALTH PERMIT #: _________________________
FEDERAL I.D. TAX #: _______________________________
JEFFERSON CO HEALTH PERMIT #: ______________________
SOCIAL SECURITY # ______________________________
ELEC MASTER CARD # __________ PLUMBERS MASTER CARD # ________
HVAC CARD # __________________________
HOME BLDR CERT #: _________________________ STATE GENERAL CONTRACTOR #: ________________________________
THE ISSUANCE OF THIS BUSINESS LICENSE SHOULD NOT BE CONSIDERED AS APPROVAL BY THE CITY
OF THE LICENSEE’S LOCATION FOR ZONING PURPOSES.
(OVER)