Enlarge image | License No._____________________ License Type:___________________ Naics Code: ____________________ City of Nogales Finance Department Fee:___________________________ 777 N. Grand Ave. For Office Use Only Nogales, AZ, 85621 BUSINESS LICENSE APPLICATION A $35.00 non refundable fee is due at the time of application and renewable annually Licenses will not be issued the same day as application receipt New Change in Information (Please Type or Print Clearly) Business Name: ________________________________________________________________________________ Physical Address: ______________________________________________________________________________ Business Phone: _________________________________ Business Start Date: ____________________________ Email Address: ________________________________________________________________________________ Business Type: Contractor Retail Rental Service Other Brief Description of Business Type: ________________________________________________________________ Number of Employees: __________________________________________________________________________ Required: State Sales Tax License #: _____________________ Federal I.D. or SSN #: ______________________ Type of Ownership: Individual Partnership Corporation LLC Name of Owner, Partner, or Officer: _______________________________________________________________ Home Address: ________________________________________________________________________________ Phone: _______________________________________________________________________________________ NOTICE: If you purchased this business, be sure all taxes have been paid by the former business and a tax clearance has been issued by the City of Nogales. Under the law you may be held liable for any unpaid taxes due. I HEREBY CERTIFY THAT ALL STATEMENTS ANSWERED ON THIS FORM ARE TRUE AND COMPLETE (Signature of Owner, Partner or Officer) (Date) Please send completed and signed form to businesslicense@nogalesaz.gov |