BUSINESS LICENSE APPLICATION                                                                                       RECEIPT NO._________________        
                                                 CITY OF MONTGOMERY, ALABAMA 
                                                   (334) 625-2036           FAX (334) 625-2994 
                                                                    www.montgomeryal.gov 
                                                                         
                                                                                                                                                                                              RETURN TO: 
                                                                                                                                                                                                                              
                                                                                                                                                                                            CITY OF MONTGOMERY 
                                                                                                                                                                            LICENSE AND REVENUE DIVISION 
                                                                                                                                                                            P. O.  BOX 5070 
                                                                                                                                                                            MONTGOMERY AL  36103-5070         
                                                                                                                                                                                                                                                                                                           
                                                                  PLEASE PRINT OR TYPE  
Application Type:            ___ New       ___ Add-on                                                                                                                 FEIN _________________________ 
                                                                                                                                                                      ST of AL TAX#_________________ 
Mailing Name and Address                                                                                                                                               
_____________________________________________                                                                                                                         Forms of Ownership (Check One)               
_____________________________________________                                                                                                                         Sole Prop____      Partnership____ 
_____________________________________________                                                                                                                         Corp____              LLC ____    
                                               
 Trade Name: (If different from above) ___________________________________________________________________ 
 
Physical Location (Street Name and Number) Leave Blank if Operating from a Residence 
_______________________________________________                                          Business   (________) ___________________ 
_______________________________________________ 
_______________________________________________                                          Home        (________) ___________________ 
_______________________________________________ 
 
Please List Owner(s), Partners, or Officers (Attach separate sheet if necessary) 
Name                                                     Residence Address                                   SSN                                                                                          DOB                      
_______________________________________________________________________________________________________ 
_______________________________________________________________________________________________________ 
_______________________________________________________________________________________________________ 
 
Date Business Activity Initiated or Proposed in Montgomery: ___________________________________ 
 
Briefly Detail the Nature of Your Business:   _______________________________________________________________ 
 ________________________________________________________________________________________________________ 
 
This application has been examined by me and is, to the best of my knowledge, a true and complete representation of the 
above named entity, and person(s) listed. 
 
Signature___________________________________________________ Title_______________________ Date _____________ 
 
ACCOUNT NO.__________________________                             FOR MUNICIPAL USE ONLY        LICENSE NO. _________________ 
 
                CODE    DESCRIPTION OF LICENSE                       GROSS RECEIPTS        SCH                                                                         AMT OF LICENSE                     FEE  TOTAL 
                                                                                                                                                                                                                
                PLEASE LET US HELP YOU - CALL 334-625-2036 FOR CORRECT AMOUNT OF LICENSE PAYMENT DUE 
 
ZONING (25 Washingtonth                               ___________________________                                                                                       AREA NUMBER                        _________________                                                                                                                                                                       Ave. 4  Floor 334-625-2722)
 
FIRE (19 Madison                                                                                                                                                        CITY SALES TAX NUMBER                                                                                                                              Ave. 334-625-3916)   ___________________________________________        
 
INSPECTION (25 Washingtonst                                               ____                                                                                          __________________________                                                                                                                                                                                                 Ave. 1  Floor 334-625-2073) ____________________
                                                                                                                                                                                              Revised 08-2018