City of Kansas City, Missouri - Revenue Division
RD-100
                                    REGISTRATION APPLICATION

                                    Phone: (816) 513-1120
                                    Fax:    (816) 513-1264
                                    E-file: kcmo.gov/quicktax

                                    ADD NEW OR UPDATE EXISTING ACCOUNTS (check all that apply)
Business License                         Convention & Tourism-Hotel                        Utilities License: Cable Company
Profits                                             Liquor Sales (If yes, check box)       Utilities License: Wireless Telephone Company
Withholding                              Convention & Tourism-Food                         Utilities License: Telephone Company
Arena (Hotel/Motel)                                 Liquor Sales (If yes, check box)       Utilities License: Gas, Electric, or Steam Company
Arena (Car Rental)                       Domestic Employer
SOCIAL SECURITY/FEDERAL ID NUMBER                                       MISSOURI SALES TAX NUMBER

LEGAL NAME (INDIVIDUAL OR BUSINESS)                                     BUSINESS NAME (DBA)

LOCAL BUSINESS ADDRESS (IF ANY)                     CITY                        STATE                     ZIP CODE

MAILING ADDRESS                                     CITY                        STATE                     ZIP CODE

BUSINESS TELEPHONE NUMBER         LOCAL BUSINESS TELEPHONE   FAX NUMBER         EMAIL ADDRESS                         CONTACT NAME

Type                                                         Type of Business                    Classification of Business
Individual                          Retail Trade                        Restaurant               Profit
Limited Liability Company           Wholesale Trade                     Finance                  Non-profit (if non-profit, attach copy 
                                                                                                 of exemption certificate)
Corporation                         Manufacturing                       Real Estate
                                                                                                 Voluntary Withholding Only
Partnership                            Plant located in KCMO            Service                  (Non resident Employers)
Other, specify:                        (If yes, check box)              Hotel/Motel
                                    Construction                        # of rooms:_______
                                    Governmental                        Other, specify:

DATE OF INCORPORATION               STATE OF INCORPORATION                                       NUMBER OF EMPLOYEES LIVING OR WORKING IN KCMO

KCMO START DATE                     FISCAL YEAR END                                              NAICS CODE (IF KNOWN)

DESCRIBE (IN DETAIL) THE NATURE OF BUSINESS PERFORMED IN KCMO

                      LIST ALL OWNERS, PARTNERS OR OFFICERS (Attach additional names on separate sheet):
                Name                                Home Address and Telephone Number            Position             Social Security Number

Email completed form to business.license@kcmo.org or mail to:
City of Kansas City, Missouri, Business License Office, 414 E 12th St., 1st FL,, Kansas City, MO 64106

I authorize the Commissioner of Revenue or delegate to discuss my return and attachments with my preparer.                                    No
                                                                                                                            Yes
Under penalties of perjury, I declare this return to be true, correct, and complete accounting for the taxable year stated. 

Print Name of Taxpayer                 Signature                        Title                             Date                    Phone

Preparer Name (if other than taxpayer) Signature                        Title                             Date                    Phone

                      City of Kansas City, Missouri - Revenue Division
RD-100
                      REGISTRATION APPLICATION

                      Phone: (816) 513-1120
                      Fax:          (816) 513-1264
                      E-file:       kcmo.gov/quicktax

Business License and Registration
Businesses are required to be registered and licensed in order to do business in Kansas City, Missouri unless State Law
provides an exemption from licensing. New businesses may be required to meet the following requirements prior to the
issuance of a business license. Proof of obtaining the following documents should accompany the initial request for a license.
In addition to licensing businesses, this section also registers businesses for other taxes the city collects.
Requirement                                                         Office Location
FORM RD-100 REGISTRATION APPLICATION                                KANSAS CITY, MO REVENUE DIVISION 
                                                                    BUSINESS LICENSE SECTION
Required of all businesses operating in Kansas City, Missouri.      414 E 12th St., 1st FL, Kansas City, MO 64106  
                                                                    (816) 513-1120
                                                                    kcmo.gov/quicktax
ZONING CLEARANCE                                                    KC BizCare/KANSAS CITY, MO CITY PLANNING AND 
                                                                    DEVELOPMENT DEPARTMENT
Required of all new and existing businesses with a change in a 414 E 12th St., 1st FL, Kansas City, MO 64106
Kansas City, Missouri address.                                      (816) 513-1500 or (816) BIZC(2492) 
                                                                    kcmo.gov/planning
CERTIFICATE OF INCORPORATION/ORGANIZATION                           STATE OF MO - SECRETARY OF STATE
Required for limited liability companies (LLC), corporations,       615 East 13th St., 5th FL, RM 513, Kansas City, MO 64106
limited partnerships, non-profit organizations                      (816) 889-2925
                                                                    sos.mo.gov/business
MISSOURI SALES TAX NUMBER (Retail Sales)                            MISSOURI DEPARTMENT OF REVENUE
Required if you will sell retail in the city limits of Kansas City, 615 E 13th St., 5th FL RM 508B, Kansas City, MO 64106
Missouri                                                            (573) 751-3505
FORM 2643                                                           dor.mo.gov
FEDERAL EMPLOYERS ID NUMBER (EIN)                                   INTERNAL REVENUE SERVICE (IRS)
                                                                    (800) 829-4933
                                                                    irs.gov
KCMO CLEARANCE/APPROVAL                                             KANSAS CITY, MO REGULATED INDUSTRIES
Required for all establishments serving liquor and other types  Century Towers, 635 Woodland, STE 2101, Kansas City, MO 
of businesses that are regulated by the City of KCMO.               64106
                                                                    (816) 513-4560
                                                                    kcmo.gov/neighborhoods
HEALTH PERMIT                                                       KANSAS CITY, MO HEALTH DEPARTMENT
Required of all food establishments                                 2400 Troost Ave., STE 3000, Kansas City, MO 64108
                                                                    (816) 513-6315
                                                                    kcmo.gov/health
WORKERS' COMPENSATION CERTIFICATE OF INSURANCE                      APPLICANT'S INSURANCE COMPANY
OR FORM MO-WC65B (Exemption) OR FORM MO-WC76
CERTIFICATE OF INSURER
Required of construction companies
KCMO POLICE CLEARANCE                                               PRIVATE OFFICERS LICENSING SECTION
Required for all security guard service & private investigator      635 Woodland, STE 2104, Kansas City, MO 64106
businesses                                                          (816) 889-6600
CITY BIDS/ CONTRACTS                                                KANSAS CITY, MO GENERAL SERVICES PROCUREMENT 
Required if business is being done within the City limits of        414 E 12th St., 1st FL, Kansas City, MO 64106
KCMO
*Additional paperwork and/or requirements may be required depending on the type of business activity.