AP0711 
             BUSINESS LICENSE APPLICATION                                         

                $25           Date App Rec’d      Check                 Initials 
                APP                               Number                
                FEE                              
                                                                                  City of Tucson**City Hall**255 W. Alameda**P.O. Box 27210**Tucson, AZ 85726** (520) 791-4566 
 LIC#                                            Activities                                      NAICS (s)                                                                               For Office Use Only 
                                                                                                                                                                                              Paying # 
  SECTION I. BUSINESS INFORMATION                                                 Please complete all sections below.   [Print]                                                          
    New Business                       Date Business Started in Tucson           Former Owner (if applicable)                           Previous City License # 
    New Owner of Existing Business                                                                                                       
 Check any          Name Change Only              Corporate Name/                Current City License # (if applicable)                 Date of Change                                    Commercial 
                                                                                                                                                                                              Rental 
                                                 
 that apply:        Location Change               Officer Change Only                                                                                                                    
  Business Name, “Company or DBA”, if Individual (Last, First, Middle)                                                                                                                    Sub-Lease 
                                                                                                                                                                                         
  Street #                    Direction                     Street Name                                 St Title                          Suite/Apt #                                     Booth Rental 
                                                                                                                                                                                         
  City                                                                 State            ZIP Code + 4         (Area Code) Business Telephone # 
                                                                                                              
  Fax #                                         E-Mail Address (If Available)           State License #                                 Federal ID #                                      Previous Lic # 
                                                                                                                                                                                         
  SECTION II. MAILING ADDRESS AND TELEPHONE NUMBER 
  Enter Name if Different from Section I (above) or Enter ‘In-Care-Of’ Name 
  
  Street #                    Direction                     Street Name                                 St Title                          Suite/Apt # 
  
  City                                                                 State           ZIP Code + 4          (Area Code) Telephone # 
                                                                                                         
  SECTION III. BUSINESS OWNERSHIP & RECORD LOCATION 
  Ownership:    Individual             LLC      Corp. - State Inc.#               Partnership           Ltd. Partnership                  Other                                               **ZONING** 
                                                                                                                                                                                              Approved 
    * Provision of your Social Security Number on this form is voluntary.  It is the policy of the City of Tucson Finance Department/Treasury Division to request this                   
       information for tax collection purposes.  If provided, your Social Security Number will not be released to unauthorized persons. 
                                        Name                                              Title                                          Driver’s License # 
  Owners, Partners, LLC, 
  Members, or Officers (for additional  Home Address                                                                                                                                          Denied 
  names, please attach list) 
                                                                                                                                                                                         
                                        City                                     State    Zip Code + 4                                   (Area Code) Telephone # 
                                        Name                                              Title                                          Driver’s License #                                   Comments 
                                                                                                                                                                                         
                                        Home Address 
                                        City                                     State     Zip Code + 4                                  (Area Code) Telephone # 
        Corporation Name if             Name 
        different from DBA.             
  Location where business records       Address                                                                                          (Area Code) Telephone # 
 are kept, if different from business   City                                     State     Zip Code + 4 
             location.                                                                     
  SECTION IV. BUSINESS TYPE 
           Describe Nature                                                                                                                Are you a registered Contractor? 
           Of Business                                                                                                                               Yes                                  No 
                                                                                                                                                                                         
  Check method you will use to submit reports:              Cash Receipts         Accrual               Number of Employees               Contractors # 
  SECTION V. BUSINESS PREMISES STATUS 
    Is this your residence?                Yes       No                If No, do you own your business location?                          Yes                          No 
                                                                                                                                                      
                                              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 # 
                                                                       Do you rent a portion of the business premises to 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 with the condition that I report 
  timely and pay any and all taxes due by me to the City of Tucson.  Incomplete forms may not be processed.  Applications must be signed by Corporate officer, owner, or all partners. 
  Print Name(s)                                       Signatures(s)                                          Title(s)                                                                    Date 
                                                                                                                                                                                         
  Print Name(s)                                       Signatures(s)                                          Title(s)                                                                    Date 
                                                                                                                                                                                         
 IF YOU PURCHASE A BUSINESS, BE SURE ALL BUSINESS TAXES AND FEES HAVE BEEN PAID BY FORMER OWNER. BY LAW YOU MAY BE LIABLE FOR ANY UNPAID TAX. 

               INSTRUCTIONS FOR COMPLETING BUSINESS PRIVILEGE LICENSE APPLICATION 
                                    Please complete all sections starting with Section I. 
  Section I: Business Information 
  Check Boxes   
  Put a check in any of the boxes in the first two lines that apply to your business. Each block in the next two lines is self-explanatory 
  and requires a check in the appropriate box or 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 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. 
  Federal ID # 
  List your Federal Employer Identification Number.  This number is required in order to use Tucson Tax and License Online. 
  Section II: Mailing Address And Telephone Number 
  Name 
  List business legal entity name if different from Section I, or "In-Care-Of" name or information. Property managers or independent 
  tax preparers who will be receiving returns should list their name here. 
  Mailing Address 
  Provide the mailing address. Note: Business license and tax billings will be sent to this address. Please include suite, unit, or 
  apartment numbers. 
  Telephone Number 
  Provide the telephone number that corresponds to the mailing location. 
  Section III. Business Ownership And Record Location 
  Ownership 
  Please indicate the type of ownership. If you mark "other" please describe. All corporations must provide: State in which 
  incorporated,  State  Incorporation Number,  officers'  names  and  addresses  (at  least two)  and statutory  agent  information. 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 and titles. P.O. Box numbers are not acceptable for 
  home addresses. 
  Corporation Name If Different From DBA 
  The corporation name, if applicable. 
  Location Where Business Records Are Kept 
  Complete this section if business records are not kept at the location listed in Section I. 
  Section IV: Business Type 
  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. If you are doing construction contracting, please indicate your Contractor's number with 
  Arizona  Registrar  of  Contractors. 
  Check Method You Will Use To Submit Reports 
  Check cash receipts if you recognize income and expense based upon the date you receive funds or pay bills. Check accrual 
  method if you recognize income when earned and expense when incurred regardless of when cash is received or disbursed. 
  Section V: Business Premises Status 
  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 
  Effective January 1, 2015, all applications for a City of Tucson business license must include a $25 application fee and a $50 annual license 
  fee.  The annual license fee is prorated by quarter.  If your business is starting between April 1 and June 30, the fee is $37.50.  If your 
  business is starting between July 1 and  September 30, the fee is $25.00.  If your business is starting between October 1 and December 
  31, the fee is $12.50.  If your business is engaged in a taxable activity in the City of Tucson, please include a license fee of $20 for a 
  municipal tax license. 
  All applications MUST be signed by either the Sole Owner, All Partners, One Corporate Officer, Trustee, or General Partner. 
  
 Application and annual license fees are non-refundable.