ANNUAL BUSINESS LICENSE TAX RETURN 
                                                      FOR OFFICE USE ONLY 
  ID#_________________________    LOC#_______________________   OBL#  _______________________    USER NAME _____________________ 

 FORM OF OWNERSHIP                    SOLE PROPRIETOR       PARTNERSHIP              CORPORATION                         LLC 
                                       LLP                  FEIN__________________________                          SSN__________________________ 
 OWNERSHIP NAME
 DOING BUSINESS AS (DBA) 
 PERSON RESPONSIBLE FOR LICENSE                                                        PHONE 
 EMAIL ADDRESS 
 MAILING ADDRESS                                                                  UNIT / SUITE 
 CITY                                                                            STATE                              ZIP        +4
 LOCATION ADDRESS                                                                                             UNIT / SUITE
 CITY                                                  STATE           ZIP        +4                                PHONE
 DATE BUSINESS BEGAN                                      DATE APPLIED
 PREVIOUS OWNER’S NAME                                                     TAXPAYER NUMBER
 TYPE OF BUSINESS
 TYPE OF PRODUCT
 SEE MUNICIPAL CODE FOR SCHEDULE NUMBERS, LICENSE FEES, LATE FEES, AND COMPUTATIONS. (CHAPTER 15) 
 GROSS RECEIPTS AND COMPUTATION PER SCHEDULE:                                                                 AMOUNT DUE PER SCHEDULE 
 SCH#               NAICS CODE                                    $                                           $                   . 
 SCH#               NAICS CODE                                    $                                           $                   . 
 SCH#               NAICS CODE                                    $                                             $                 . 
 SCH#                      NAICS CODE                               $                                           $                 . 
 SCH#               NAICS CODE                                      $                                           $                 . 
 SCH#               NAICS CODE                                    $                                             $                 . 
 USE THIS SPACE FOR ADJUSTMENT COMPUTATION ONLY: 
 YEAR            SCH#             $                                                                            $                  . 
 YEAR            SCH#             $                                                                            $                  . 
 YEAR            SCH#             $                                                                            $                  . 
 YEAR            SCH#             $                                                                              $                . 
                                                          ADJUSTMENT SUB TOTAL+/-      $                                          . 

 PENALTY COMPUTATION                                                   TOTAL TAX DUE  $                                           . 
 1st 30 days penalty is 15% of the license fee        INTEREST(CALL FOR CURRENT RATE) $                                           . 
 (State Code 11-51-93)                                                            PENALTY $                                       . 
 After 30 days the penalty is 30% of the license fee                                                                           12   .00
                                                                           ISSUING FEE $    
 (State Code 11-51-93) 
                                                                      TOTAL AMOUNT DUE $                                          . 

  I swear and affirm that the above is a true and correct statement to the best of my knowledge and belief.  THIS FORM MUST BE SIGNED. 

   DATE                                                 SIGNATURE                                                        TITLE 
                              MAIL TO: CITY CLERK-TREASURER, P.O. BOX 308, HUNTSVILLE, AL., 35804-0308 
                   BUSINESS LICENSE BRING TO: 308 FOUNTAIN CIRCLE, 3 RDFLOOR, TELEPHONE (256) 427-5082 
                   CONTRACTORS LICENSE BRING TO:320 FOUNTAIN CIRCLE 2 NDFLOOR TELEPHONE (256) 427-5331 
 Rev.  1 /  1 16 RENEWALS ARE DUE AND PAYABLE ON JANUARY 1, AND DELINQUENT AFTER JANUARY 31 OF EACH YEAR.