BUSINESS REGISTRATION LICENSE APPLICATION                                                                                Business Services Office Location
                                                                                                                           7447 E. Indian School Road, Suite 110
                                                                                                                           Scottsdale, AZ 85251
If applicable, make checks payable to: City of Scottsdale
                                                                                                                         Telephone:  (480) 312-2400         Fax:  (480) 312-4806
Mail to: PO BOX 1600                                                                                                     www.ScottsdaleAZ.gov
Scottsdale, AZ 85252-1600                                                                                                Email:   customerservice@scottsdaleaz.gov
                    If questions are not applicable to you or your business enter N/A as a response
SECTION I.  Business Information   (separate licenses are required for each location) 
Check any that apply:            New Business to Scottsdale                                           Update                              Merchant (Attach Copy of AZ State TPT License)
                                 Ownership Change, Date Changed  ________________                     Insurance Only                      Service
Date business started at Scottsdale location  Former Owner (if applicable)                                        Current City License #           Previous City License #                            For Office Use Only
                                                                                                                                                                                                      App. Fee
Doing Business As (DBA), Name on Signage, Name known to the public

Physical address  (Mail box, Mail Drop addresses are not acceptable)                                                                                                                                  License #

City                                                                         State                            Zip Code + 4               (Area Code) Business Telephone #                             NAICS Code

E-Mail Address                                                     Check to receive email updates                 AZ State TPT #                   Federal ID #                                       Date Received

SECTION II.  Additional Business Information, Mailing and Telephone Number                                                                                                                                Initials
Legal Business Name of Entity or Individual Name

Mailing Address (Including C/O)                                                                                                                                                                       Comments

City                                            State                        Zip Code + 4                     Fax #                      (Area Code) Other Business Telephone #

SECTION III.  Business Ownership
Ownership:       Individual           LLC        Corp. / S corp         PLLC                          Partnership            Trust        Other __________________________
                    Name                                                                             Title                                                        (Area Code) Telephone #
     Owners, 
Partners, LLC       Home Address                                                                     Email                                                        Social Security #
Members, or 
     Officers       City                                             State                           ZIP Code + 4                                                 Driver’s License #

                    Name                                                                             Title                                                        (Area Code) Telephone #

                    Home Address                                                                     Email                                                        Social Security #
(For Additional 
     Names,
Please Attach List) City                                             State                           ZIP Code + 4                                                 Driver’s License #

Responsible Representative           Name                                                                           Email

Responsible Representative           Name                                                                           Email

     SECTION IV. 
     Business Type                    Retail Sales           Wholesaler                               Service Only   Construction Contracting       Restaurant/Bar
                                      Manufacturer           Commercial Rental                        Automotive     Hotel/Motel                    Other _______________________________
     Describe Nature                                                                                                                                                                # of Employees
     of Business
SECTION V.  Physical Address Information
Is this your residence?      Yes      No                      Do you own your business location?      Yes      No               Do you rent a portion of the business premises to another entity?      Yes      No
If yes, complete the Home Business Questionaire     If you do not own your business location, complete Landlord/Property Manager information below.
Landlord/Property Manager Name                             Address                                                         City                                 State     Zip Code + 4

(Area Code) Telephone #                    Email

I certify that the statements made in this application are true and complete to the best of my knowledge.   Incomplete applications may not be processed.
Print Name(s)                                               Signature(s)                                                                           Title(s)                                           Date

All applications must be signed by either the Sole Owner, All Partners, One Corporate Officer, Trustee, or General Partner.                                                         BS2023-843_BRLA

If your business is in a residential district (Home Based Business 

in Scottsdale), please complete the questionnaire below:

                                 Home Business Questionnaire

Home occupations, as defined in Scottsdale Revised Code, Appendix B, Article lll, Section 3-100, 
are uses permitted but must meet guidelines limiting the impact of uses in residential districts.  The 
following questionnaire will be used by the City of Scottsdale to determine if your request for a home 
occupation exception fits within the guidelines of a residential zoning district.

Please answer all the following questions in regard to your home based business with a check mark in 
the “yes” or “no” box supplied:

1. Yes          No Will this business be the main use to the residence? (people will not live 
                   here)

2. Yes          No Will employees come to the home? (other than people that live in the 
                   home)

3. Yes          No Do you plan on using your garage or carport for storage? (may only use a 
                   bedroom or alternate room inside the home)

4. Yes          No Will a service or commodity be sold that invites customers to your home?

5. Yes          No Will commercial type vehicles be kept at this residence for business use?

6. Yes          No Are you operating any mechanical equipment at your residence that is 
                   not normally used for domestic, hobby, standard office or household 
                   purposes?  Such as; welding, metal working, wood assembling

7. Yes          No Will this business generate pedestrian or vehicular traffic?

I certify that the statements made on this questionnaire are true and complete to the best of my 
knowledge.

                                                                                 Office Use Only
_____________________________________
                Owner / Applicant

_______________
     Date

                 INSTRUCTIONS FOR COMPLETING BUSINESS REGISTRATION LICENSE APPLICATION 
                                     Please complete all sections starting with Section I. 

   Section I: Business Information 
   Check Boxes 
   Put a check in any of the boxes that apply to your business. 
   General Information 
          Line 2 provide start date or date opened at location and any other applicable information. 
   Business Name 
   The business name should be the DBA (Doing Business As) or if you are not using a business name, the name of the 
   owner. 
Business Location Address 
   The address listed is your business location address. Include suite, unit, or apartment numbers. P.O. Box numbers or mail 
   drop /PMB addresses are not  accepted for business location. 
   Business Telephone 
   The telephone number listed here should correspond to the business location. 
   Fax Number 
   Provide the fax number for the person who should receive inquiries concerning this application. 
   E-mail Address
   Provide the E-mail address for the person who should receive inquiries concerning this application. 
   State Tax License # 
   List your Arizona State privilege tax number, if you are required to have one. 
   Section   II: Additional Business Information, Mailing and Telephone Number 
   Name 
   List business legal entity name if different from Section I, or "In-Care-Of" name or information.  
Mailing Address 
   Provide the mailing address. Note: Business license and renewals will be sent to this address. Please include 
   suite, unit,  apartment  or  m ai l  dr op/ P M B   numbers. 
   Telephone  Number 
   Provide the telephone number to the person responsible for this application.        
   Section III. Business Ownership And Record Location 
   Ownership 
   Please indicate the type of ownership. If you mark "other" please describe.  A Limited  Liability Corporation (LLC) must 
   have at least one member. General partnerships must provide the name of the general partner(s). 
   Owners/Partners/LLC/Members  Or  Officers 
   List complete owner/officer/partner information as requested. Include names, titles and contact information. 
Responsible Representative
   Person or Persons authorized to act on behalf of owner.
   Section IV: Business Type 
   Business Type 
            Check any boxes that apply to business activity. 
   Describe Nature Of Business 
   Provide a detailed description of business activity. For example, if retail sales, list type of items to be sold; if construction 
   contracting, list type of contracting, etc.  
  # of Employees 
   Employees at business location listed in Section I.  Does not include owners. 
   Section V: Physical Address Information 
   Ownership Of Business Location 
   If your business location is a residence, check "Yes" and complete the enclosed Home Occupational Form. If you answer 
   "No", please  indicate whether or not you own your business location. If you do not own your business location, please 
   provide the name of the legal  owner or property manager along with their mailing address and telephone number. 
   Application & License Fees 
   Applications for a City of Scottsdale Business Registration (Service) License must include a $12 application fee and a 
   $50 annual license fee. (if applying after the start date add $25.00 penalty fee). 

   Applications for a City of Scottsdale Business Registration (merchant) License must include a copy of the AZ State 
   TPT License showing (SC) as a region code. 

All applications MUST be signed by either the Sole Owner, All Partners, One Corporate Officer, Trustee, or General 
Partner.