Form 523 - Application For Tax Certificate Page 2
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1
2INFORMATION REGARDING PRINCIPAL BUSINESS ACTIVITY AND PRODUCT.
You should indicate the one business activity that accounts for the largest percentage of gross income. State the broad field of business activity as well as the product or service.
For example—Activity: Wholesale sales/Product: Pharmaceuticals OR Activity: Manufacturing/Product: Automobiles
NOTE: This should be the same information as required by the Internal Revenue Service or Schedule C of Form 1040 for Sole Proprietorships.
ADDITIONAL TAXABLE LOCATIONS:
CITY OFFICE USE ONLY
TRADE NAME AND LOCATION ADDRESS OF OFFICE
Location Number
IN BIRMINGHAM. IMPORTANT NOTE—ALL BUSINESS LOCATIONS SUBJECT TO ZONING
SIC OR NAICS
APPROVAL.
IF YOUR BUSINESS LOCATION IS IN A RESIDENTIAL AREA, YOU MUST MAKE
APPLICATION IN PERSON AT THE ADDRESS SHOWN ON THE REVERSE SIDE.
BLIC
TERR
ANNEX
ZONING
CITY
STATE
ZIP
PHONE NUMBER OF LOCATION: AREA CODE
-
-
FAX NUMBER: AREA CODE
EMAIL OR WEBSITE ADDRESS:
NAME OF CONTACT PERSON:
TRADE NAME AND LOCATION ADDRESS OF OFFICE
Location Number
SIC OR NAICS
IN BIRMINGHAM. IMPORTANT NOTE—ALL BUSINESS LOCATIONS SUBJECT TO ZONING
APPROVAL.
IF YOUR BUSINESS LOCATION IS IN A RESIDENTIAL AREA, YOU MUST MAKE
BLIC
APPLICATION IN PERSON AT THE ADDRESS SHOWN ON THE REVERSE SIDE.
TERR
ANNEX
ZONING
CITY
STATE
ZIP
-
PHONE NUMBER OF LOCATION: AREA CODE
-
FAX NUMBER: AREA CODE
EMAIL OR WEBSITE ADDRESS:
NAME OF CONTACT PERSON:
TRADE NAME AND LOCATION ADDRESS OF OFFICE
Location Number
SIC OR NAICS
IN BIRMINGHAM. IMPORTANT NOTE—ALL BUSINESS LOCATIONS SUBJECT TO ZONING
APPROVAL.
IF YOUR BUSINESS LOCATION IS IN A RESIDENTIAL AREA, YOU MUST MAKE
BLIC
APPLICATION IN PERSON AT THE ADDRESS SHOWN ON THE REVERSE SIDE.
TERR
ANNEX
ZONING
CITY
STATE
ZIP
PHONE NUMBER OF LOCATION: AREA CODE
-
-
FAX NUMBER: AREA CODE
EMAIL OR WEBSITE ADDRESS:
NAME OF CONTACT PERSON:
CITY OFFICE USE ONLY
HOME OCCUPATION CERTIFICATE EXECUTED:
TAX FORMS ORDERED:
HEALTH DEPARTMENT PERMIT NUMBER
NBL ORDERED:
OTHER REQUIRED PERMIT NUMBER
ARTICLES OF INCORPORATION OR CERTIFICATE OF AUTHORITY TO CONDUCT BUSINESS IN STATE:
COMMENTS:
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Parent category: Financial