Business Application - City Of Mountain Brook, Alabama
ADVERTISEMENT
1
2CITY OF MOUNTAIN BROOK, ALABAMA BUSINESS APPLICATION
The city does not impose a business license tax in its police jurisdiction
(CONFIDENTIAL)
RV ACCOUNT #____________
Complete and Mail/Fax to:
City of Mountain Brook
Estimated Gross receipts
NAICS _____________
P.O. Box 130009
st
through Dec 31
:
Mountain Brook AL 35213
_$___________________
Form of Ownership (Check One)
Phone (205)802-2400
(for gross receipts based licenses)
Sole Proprietor
Partnership
Fax (205)870-3590
Corporation
Professional Assoc.
LLC
Other ____________
APPLICATION TYPE:
New ___ Location Change ____ Mail Change ____ Name Change ____ Update _____
Legal Business Name:
_____________________________________________________________________________________________
Trade Name: (If different from above)______________________________________________________________________
Federal ID number or Social Security Number (if sole-prop with no employees) :_____________________________________
If leasing property for business location please list landlord/mgmt co: ____________________________________________
Business Activities
(Brief desc. - ex. retail clothing sales, wholesale food sales, rental of industrial equip., computer consulting, etc):_______
_________________________________________________________________________________________________________________
Physical Address: __________________________________________________________________________________________________
(Street)
(City)
(State)
(Zip)
Mailing Address: __________________________________________________________________________________________________
(Street)
(City)
(State)
(Zip)
Telephone: _______________________________________________________________________________________________________
( Business)
(Fax)
(Home Phone – In Case Of Emergency )
Email: ____________________________________________________ Website: ______________________________________________
Name/Phone # for Contact Person:
_________________________________________ (
)_________________________________
Email Address for Contact Person: _______________________________________
List Names of Owner(s), Partners, or Officers (Attach separate sheet if necessary)
Name
Residence Address
SSN
Title
(if not publicly traded company)
_______________________________________________________________________________________________
Date Business Activity Initiated or Proposed in Mountain Brook: _______________________ # of Employees in Mtn Brook ______________
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 # __________________________
SETUP BY: _______________
REVIEWED BY:_____________________
PHYSICAL LOCATION:
CITY
OUTSIDE CORP LIMITS & PJ
GEO CODE: ______________________
ZONING CLASSIFICATION: _____________________
BUILDING APPROVAL:
YES
NO
N/A
FIRE CODE
TAX TYPES:
SALES/SELLER'S USE
CONSUMER USE
RENTAL
LODGINGS
ALCOHOL
GAS/MOTOR FUEL
BUSINESS LICENSE
TAX FILING FREQUENCY:
MONTHLY
QUARTERLY
ANNUAL
OTHER ________________
BUSINESS TYPE:
RETAIL
WHOLESALE
BUILDING CONTRACTOR
SERVICE
PROFESSIONAL
MANUFACTURER
RENTAL
OTHER _______________________________________
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Business