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 1586                                                                                                                                      www.ScottsdaleAZ.gov
Scottsdale, AZ 85252-1586                                                                                                                                 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.