Business Application - City Of Valley, Alabama
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2CITY OF VALLEY, ALABAMA BUSINESS APPLICATION
(CONFIDENTIAL)
Complete and Mail
Applicant Complete This Box
TIN_____________________________
City of VALLEY
ST of Ala Tax #____________________
Please Print or Type
P.O. Box 186
Form of Ownership (Check One)
SEE REVERSE SIDE FOR INSTRUCTIONS
VALLEY AL 36854
Sole Proprietor
Partnership
AND FURTHER INFORMATION
Corporation
Professional Assoc.
(334) 756-5220
LLC
Other ____________
APPLICATION TYPE:
NEW
RENEWAL
OWNER CHANGE
NAME CHANGE
LOCATION CHANGE
Legal Business Name:
_____________________________________________________________________________________________
_________________________________________________________________________________________________________________
Trade Name: (If different from above)______________________________________________________________________
____________________________________________________________________________________________________
Business Activities: (Brief desc. - example. 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:
AlaTax Acct.#:
AlaTax Taxpayer Name:
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 in XXXXXXXXX: __________________________ # of Employees in Valley, AL ______________
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 # __________________________
REVIEWED BY:_____________________
PHYSICAL LOCATION:
CITY
POLICE JURISDICTION
OUTSIDE CORP LIMITS & PJ
ZONING CLASSIFICATION: _____________________
BUILDING APPROVAL:
YES
NO
N/A
FIRE CODE
TAX TYPES:
SALES/SELLER'S USE
CONSUMER USE
RENTAL
LODGINGS
ALCOHOL
OCCUPATIONAL
TOBACCO
GAS/MOTOR FUEL
BUSINESS LICENSE
TAX FILING FREQUENCY:
MONTHLY
QUARTERLY
ANNUAL
OTHER ________________
BUSINESS TYPE:
RETAIL
WHOLESALE
BUILDING CONTRACTOR
SERVICE
PROFESSIONAL
MANUFACTURER
RENTAL
OTHER _______________________________________
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Parent category: Business