Std License Form VI Nov 2006  CITY OF WINFIELD, ALABAMA BUSINESS APPLICATION The City Does Impose the Business License Tax in its Police Jurisdiction  (CONFIDENTIAL)  Applicant Complete This Box FORM OF OWNERSHIP (Check One)  Complete and Mall/Fax/Email To: CITY OF WINFIELD, ALABAMA PO DRAWER 1438 WINFIELD, ALABAMA 35594 winfieldcity.org (205) 487-4337 Fax (205) 487-0202 Application Type: New Legal Business Name: Trade Name: (if different from above).  FEIN STOfALATAX Sole Prop. Corp. LLC  Partnership. Prof Assoc Other  Please Print or Type  SEE REVERSE SIDE FOR INSTRUCTIONS. AND FURTHER INFORMATION  Owner Change  Name Change  Location Change  Business Activities:(Brief description- Retail clothing sales, wholesale food sales, rental ofi industrial equip.. computer consulting, etc)  Physical Address: Mailing Address: Telephone:  (Street) (Street) (Business)  (Cay) (City) (Fax)  (State) (State) (Home Phone)  (Zip) (Zip)  Name & Phone # for Contact Person Emall address for contact:  List Following for Owner(s), Partners, or Officers (Attach separate sheet H necessary)  Name  Besidence Address  DL#  SSNil not publicly traded co.)  Title  Date Business Activity Initlated or Proposed in Anywhere:  sof Employees in Anywhere  This application has been examined by me andi is, tot the best of my knowiedge, at true and compiete 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: D CITY ZONING CLASSIFICATION:  D POLICE JURISDICTION  JOUTSIDE CORP LIMITS & PJ  BUILDING APPROVAL: ? YES ? NO ?NA  FIRE CODE D Business License D Professional  Tax Types: a Sales/Seller's Use 0 Consumer Use D Rental a Lodgings D Alcohol  Do Occupational  Tobacco Quarterly  Gas/Motor Fuel Annual  Tax Filing Frequency: D Monthly  0Other. DOther  Business Type: D Retail a Wholesale D Bullding Contractor OService  Manufacturer  Rental    Sid License Form VI Nov 2006  PLEASE READ THE FOLLOWING INFORMATION CONCERNING COMPETION OF THIS FORM PLEASE COMPLETE ALL AREAS OF THE FORM EXCEPT FORI THE SHADED AREA ATI THE BOTTOM.  FORM SHOULD BE TYPED OR PRINTED LEGIBLY  FORM SHOULD BE DATED AND SIGNED BY ANOWNER. PARTNER. OR OFFICER OF THE BUSINESS FORM WILL INITIATE THE PROCESS FOR REGISTERING YOUR BUSINESS WITH THE MUNICIPALITY  IF YOUR BUSINESS WILL HAVE A PHYSICAL LOCATION WITHIN THE MUNICIPALITY PLEASE USE THAT ADDRESS ON THE FRONT OF THIS FORM. (Complete separate forms for each  physical location in the city)  AFTER COMPLETING THIS FORM IT CAN BE MAILED, SENT BY FAX, OR WHERE POSSIBLE, UPON RECEIPT OF THE COMPLETED FORM, THE MUNICIPALITY WILL PROVIDE ANY ADDITIONAL FORMS AND INFORMATION REGARDING OTHER SPECIFIC REQUIREMENTS TO  SENT BY ELECTRONIC MAIL TO THE MUNICIPALITY.  YOU IN ORDER TO ÇOMPLETE THE LICENSING PROCESS.  ALL LICENSE RENEWALS ARE DUE JANUARY1 1 AND DELINQUENT AFTER JANUARY31 WITHTHE  FOLLOWING EXCEPTIONS:  INSURANCE COMPANY LICENSE: DUE JANUARY 1, DELINQUENT AFTER MARCH1  This form is intended as a simplified, standard mechanism for businesses to initiate contact with a municipality conceming their activities within that city. A business license will be required prior to engaging in business. Ifa business intends to maintain a physical location within the city, there are normally zoning and bullding code approvais In certain instances, a business may simply be required to register with the city to create a mechanism for the reporting and payment of any tax Habilities. If1 that Is the case, you will be provided the materials for that registration process. The completion and submission of this form does not guarantee the approval or subsequent issuance ofal license to do business. Any prerequisites for a particular type and location of the business must be satisfied prior to licensing.  required prior to the issuance of al license.  SHOULD THERE BE ANY QUESTIONS CONCERNING THE COMPLETION OF THIS FORM OR THE LICENSING AND/OR REGISTRATION PROCESS, PLEASE CALL THE NUMBER ON THE FRONT OF THIS  FORM TO OBTAIN MORE DETAILED EXPLANATION.