CITY OF VERSAILLES BUSINESS REGISTRATION FORM  
                                                (NO FEE REQUIRED WITH APPLICATION) 
                                                PHONE (859) 873-5184 – FAX (859) 873-5969 
                                                                      https://versailles.ky.gov 
                                                                                        
                                                Return to: City of Versailles Tax Clerk 
                                                        P.O. Box 625, Versailles, KY 40383 
                                                or email to mjacobs@versaillesky.com 
                                                                                        
  Every business or individual subject to the Occupational                license Tax  requiredis to completethisapplication and return  toitthe Tax 
  Administrator. Kentucky Attorney General Opinion {OAG-85-1) provides that the Occupational Tax Office must let                   persons inspect records 
  pertainingto principalbusiness location,address and telephone                numberof each person or entity (tradename-if different)   andnatureof 
  business of the person or entity filing the application. Please answer all applicable questions: 

 Business Name                ___________________________________________________________________ 
  
 Business Address             ___________________________________________________________________ 
  
 City, State, Zip Code         ___________________________________________________________________ 
  
 Mailing Address          (           Same as business address)___________________________________________________ 
  
 City, State, Zip Code _______________________________________________________________________ 
  
 Telephone Numbers        Business _________________   Fax _________________ 
 Social Security Number   ________________   Federal ID# ________________ 

 Nature of Business           ___________________________________________________________________ 
 Overnight Lodging?                    Hotel/Motel       Bed             and Breakfast       Airbnb       Other

 Do you have employees?            Yes       No                    Will they be working in the city?   Yes       No  

 Do you  use contract labor?         Yes       No                    If yes, please list all names and addresses of contractors on back of form. 

 Date operations began in the City of Versailles  _______________ 
 Tax Classification       Sole Proprietor              Partnership                           Corporation              S Corporation

                                      LLC/Sole Proprietor             LLC/Partnership      LLC/Corporations    LLC/            S Corporation 

                                      Non- Profit                   Other_____________________________________________ 

 Accounting period per Federal return:               Calendar Year         Fiscal                     Year (month/day) 

 Do you have other businesses in the City of Versailles?    Yes     No                             If yes, please list business names  

 _______________________________________________________________________________________________ 
  
 Contact Person Name _____________________ Email _______________________________Phone______________ 

 Under penalties of perjury, I declare that I have examined this application, and to the best of my knowledge                                    and belief,true,it is 
 correct and complete. 

 Signature                                    Printed Name                                    Title                           Date 
                                                                       
FORM :VERSAPP (01/23)