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