Enlarge image
BUSINESS LICENSE APPLICATION
ALL SECTIONS OF THIS APPLICATION MUST BE COMPLETELY FILLED OUT AND FILED BEFORE YOU
CAN ENGAGE IN BUSINESS IN THE CITY OF AVONDALE. PLEASE PRINT OR TYPE
Annual Business License All businesses located within Avondale Temporary Business License For Office Use Only
All businesses located outside Avondale (Only non-profit License Fee
Application Fee $25.00 (non-refundable) conducting business in Avondale, which includes One Day Event = $15.00
special events
License Fee $40.00 businesses who participate in special events Two Day Event = $30.00 lasting three
Total Due $65.00 (except non-profit special events lasting three Three Day Event = $45.00 days or less.) Application Fee
days or less, see Temporary Business License).
Special Event Type: Non-profit <3 days (Temporary License) Special Event Name Special Event Date
Other (Annual License) License #
Check One: Former Owner (if applicable) Previous City License #
New Business New Owner of Existing Business SIC Code
Current City License # Start Date/Date of Change
Name Change Only Location Change
Business Class
SECTION I. BUSINESS INFORMATION
Legal Business Name DBA (Doing Business As)
Business Description
Street Address (physical business location) Ste/Apt Mobile (i.e. Food Truck)
City State Zip Business Phone # (Include Area Code)
State TPT License # Federal EIN # Email Address
Is your business home-based and located in Avondale? Yes No
If yes, must complete and attach a Business License Supplement for Home Occupations form with this application.
SECTION II. MAILING ADDRESS
Enter Name if Different from Section I (above) or enter “In-Care-Of” Name
Same As Above
Street Address Ste/Apt
City State Zip
Comments
SECTION III. BUSINESS OWNERSHIP & RECORD LOCATION
Ownership, Check One:
Individual LLC Corp. – State Inc. __________ Gen. Partnership Ltd. Partnership Other_____________________
Name Title
Owners, Partners, LLC
Members or Officers Home Street Address Social Security #
(For additional names, please (Include Area Code)
attach list.) City State ZIP Code Phone #
Individuals Must Provide Name Title
Proof of Legal Residence.
(Please attach a copy of your Home Street Address Social Security #
Driver’s License or State ID .)
City State ZIP Code Phone # (Include Area Code)
SECTION IV. BUSINESS TYPE
Describe Nature of Business Contractors #
# of Employees
SECTION V. BUSINESS PREMISES STATUS
Check One: Do you own your business location? Yes No
If yes, is this your residence? Yes No
If no, complete Landlord/Property Manager Information
Landlord/Property Manager Name Address Phone #
Do you rent a portion of the business premises to If yes, list name of business(s)
another entity? Yes No
I certify that the statements made in this application are true and complete to the best of my knowledge.
I accept the license authorized and issued in response to this application. Incomplete forms may not be processed.
IF APPLICABLE, BE SURE ALL TRANSACTION PRIVILEGE TAX HAS BEEN PAID BY THE FORMER OWNER, OR BY LAW, YOU MAY BE LIABLE FOR ANY UNPAID TAX.
Print Name Signature Title Date
CITY OF AVONDALE, ATTN: TAX & LICENSING, 11465 W. CIVIC CENTER DRIVE, #270, AVONDALE, AZ 85323
(623) 333-2001 | FAX (623) 333-0200 | www.AvondaleAZ.gov ABLA | 7/03/17