Application Form For New Companies - City Of Jacksonville

Download a blank fillable Application Form For New Companies - City Of Jacksonville in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Application Form For New Companies - City Of Jacksonville with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

(CONFIDENTIAL)

Complete and Mail or Fax to:

Applicant Complete This Box

City of Jacksonville

FEIN

ST of Ala Tax #

320 Church Avenue, SE

Form of Ownership (Check One)

Jacksonville, AL 36265

Sole Prop

Partnership

Corporation

Professional Assn.

(256) 435-7611

LLC

Other

Please Print or Type

SEE REVERSE SIDE FOR INSTRUCTIONS AND FURTHER INFORMATION

APPLICATION TYPE:

NEW

OWNER CHANGE

NAME CHANGE

LOCATION CHANGE

Legal Business Name:

Trade Name: (If different from above)

Business Activities: (Brief description – example: retail clothing sales, wholesale food sales, rental of industrial equip., computer consulting, etc)

Physical Address:

(Street)

(City)

(St)

(Zip)

Mailing Address:

(Street)

(City)

(St)

(Zip)

Telephone:

(Business)

(Fax)

(Home)

Name/Phone # for Contact Person:

(

)

List Names of Owner(s), Partners, or Officers (attach separate sheet if necessary)

Name

Residence Address

SSN

Title

Date Business Activity Initiated or Proposed

# of Employees

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 MUNICIPAL USE ONLY

ACCOUNT ID #____________________ NAICS CODE______________ REVIEWED BY_________________________

PHYSICAL LOCATION:

CITY

POLICE JURISDICTION

OUTSIDE CORP LIMITS & PJ

ZONING CLASSIFICATION:__________________ BUILDING APPROVAL:

YES

N/A