Application For City Business License & Taxes - City Of Hoover Revenue Department Page 2
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2ADDITIONAL INFORMATION:
NUMBER OF EMPLOYEES WORKING IN HOOVER ONLY:
A. NUMBER OF FULL-TIME EMPLOYEES: _________
B. NUMBER OF PART-TIME EMPLOYEES: ___________
ESTIMATED ANNUAL PAYROLL IN HOOVER ONLY: _______________
FOR CALENDAR YEAR: ____________
INTERNET SALES:
YES
NO
ESTIMATED GROSS RECEIPTS: ___________ FOR YEAR: _______
COMPLETE THE SECTION THAT APPLIES TO THE TYPE OF ORGANIZATION OF YOUR BUSINESS.
CORPORATION (Attach additional sheet if necessary)
NAME/ADDRESS OF ALL OFFICERS OF CORPORATION
TITLE
PHONE NO.
LOCATION DATE OF INCORPORATION: ______________________________________________________________________
OF INCORPORATION: STATE: _____________________________
COUNTY: _____________________________________
PARTNERSHIP OR LLC (Attach additional sheet if necessary)
NAME/ADDRESS OF ALL PARTNERS
TITLE
PHONE NO.
SOCIAL SECURITY NO.
OR
FEIN
DATE OF FORMATION OF PARTNERSHIP OR LLC: ___________________________________________________________________
SOLE PROPRIETOR
NAME/ADDRESS OF OWNER
TITLE
PHONE NO.
SOCIAL SECURITY NO.
I hereby certify that all information is true and correct.
DRIVER’S LICENSE # ____________________
STATE WHERE DRIVER’S LICENSE IS HELD _______________________
_________________________________________________
___________________________________________
SIGNATURE
DATE
_____________________________________________________
TYPE OR PRINT NAME
Comments_______________________________________________________________________________________________
OFFICE USE ONLY
CLASS
AMOUNT
CLASS
AMOUNT
ISSUE FEE ______________
______
______
______
________
CC FEE
_____________
______
______
______
________
TOTAL
_____________
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