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Tuscaloosa County Business License Application

VIEWS: 1 PAGES: 2

									                                  TUSCALOOSA COUNTY, ALABAMA
                                      COUNTY COMMISSION

                                                    JEFF BROWN
                                                 License Commissioner


                           STATE of ALABAMA / Tuscaloosa County
                                APPLICATION FOR BUSINESS LICENSE

Application Type –      New:              Transfer of Location:                       Name Change:

Legal Business Name:

FEIN                                             Is this business a DBA?        Yes                No
DBA Name:

Form of Ownership:        Sole Proprietorship:         Partnership:             Corp.:           Other:

Physical Address:
                               (Street)                                (City)              (State)    (Zip Code)
Mailing Address:
(If Different Than Physical)   (Street)                                (City)              (State)    (Zip Code)
Telephone:
                          (Business)                      (Cellular)                             (Fax)


List the Owner(s), Partners or Officers (Please Add Additional Owners on the Back of This Form)
Name:                                                  SSN:                              DL #:
DOB:                                   Race:                            Gender:        Male               Female

Describe in detail the business that will be conducted:




Main Contact Person –     Name:                                            Telephone:

       * Form Must Be Completed Before Licenses Can Be Issued (Code: 40-12-2) *
     * Make Checks & Money Orders Payable to: Jeff Brown, License Commissioner *

        PO Box 020737 * Tuscaloosa, AL 35402 * 2501 7th St, Suite 100 * Tuscaloosa, AL 35401
    Phone: (205) 464-8235 or (205) 464-8371 * Fax: (205) 750-0530 * Email: BusinessLicense@tuscco.com
                                 TUSCALOOSA COUNTY, ALABAMA
                                     COUNTY COMMISSION

                                                 JEFF BROWN
                                              License Commissioner



        List All Additional Owner(s), Partners or Officers (Continued from Front)

Name:                                              SSN:                       DL #:

DOB:                                  Race:                      Gender:    Male            Female




Name:                                              SSN:                       DL #:

DOB:                                  Race:                      Gender:    Male            Female




Name:                                              SSN:                       DL #:

DOB:                                  Race:                      Gender:    Male            Female




Name:                                              SSN:                       DL #:

DOB:                                  Race:                      Gender:    Male            Female




Name:                                              SSN:                       DL #:

DOB:                                  Race:                      Gender:    Male            Female




Name:                                              SSN:                       DL #:

DOB:                                  Race:                      Gender:    Male            Female



       PO Box 020737 * Tuscaloosa, AL 35402 * 2501 7th St, Suite 100 * Tuscaloosa, AL 35401
   Phone: (205) 464-8235 or (205) 464-8371 * Fax: (205) 750-0530 * Email: BusinessLicense@tuscco.com

								
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