FOR OFFICIAL USE ONLY
RESET FORM                                                                              Customer #_____________ NAICS # ______________

                                                                         Instruction:  Complete form and submit to Revenue Office.  Fields 
CITY OF AUBURN, AL 
                                                                         outlined in RED represent required information.  To avoid a delay in 
BUSINESS REGISTRATION FORM                                               processing of application; information must be provided.

BUSINESS INFORMATION 

Business Legal Name:__________________________________________ DBA Name:  _______________________________________ 

Business Category:          □ Agriculture                  □ Contractor   □ Manufacturing                  □ Retail
                            □ Service                      □ Wholesale    □ Not-for-profit                 □ Other ________________________
Contractors: Please provide project location and General Contractor name. ____________________________________________
___________________________________________________________________________________________________
Type of Ownership:          □ Corporation      □ Partnership     □ Individual or Sole Proprietorship     □ Limited Liability Partnership (LLP)
                            □ Limited Liability Company (LLC) (Single Member)     □ Limited Liability Company (LLC) (Multi-Member)
FederalEmployer Identification # ________________________                 State of Alabama Sales/Use Tax # ____________________ 

First Day Business Activities Will Begin in Auburn:  _______________(Month) _________ (Day) ____________ (Year) 

Description of Business Activity:  ____________________________________________________________________________________ 
ADDRESS/MAILING INFORMATION 

Business Location: _______________________________________________, __________________,(City), _____(State) _______                            (Zip)

Mailing Address:  ________________________________________________, __________________,                    (City) _____(State)   _______       (Zip)

Business Phone:  _________________                Fax #: _________________           Website:  _________________________________________

If the physical location is within the city limits of Auburn, do you own the property?         ____ Yes  ____ No
If no, please provide the name and address of the property owner.  ____________________________________________________
TAX/LICENSING INFORMATION 

Tax Types(Check all applicable tax types) :                □ Sales    □ Consumers/Sellers Use    □ Rental/Leasing    □ Lodging □ Alcohol/Liquor
                                                           □ Wholesale Wine   □ Wholesale Motor Fuel    □ Occupational

Preferred Filing Frequency  (Only applies to sales, use, rental/leasing taxes):         □ Monthly    □ Quarterly    □ Annually
                                                                                        □ Occasional    □ 13 Period
Will you have any employees working in the City of Auburn? ____ Yes ____ No
Will you have any independent contractors (1099) working in the City of Auburn?  ____ Yes  ____No
Note:  Any 1099 independent contractor working in the City of Auburn must             purchase his/her own business license.
All W-2 employees are subject to the occupational license fee. 

OWNER/PARTNER/OFFICER INFORMATION (Person(s) legally responsible for business) (Attach additional sheets if necessary) 

                  SECTION MUST BE COMPLETED BY ALL PERSONS LEGALLY RESPONSIBLE FOR BUSINESS 

Name: ______________________________________________________________________   Title: ____________________________ 

Home Address: ________________________________________________, ___________________(City), ______ (State), _______ (Zip) 

Business Phone # _____________    Alternative Phone # _____________   Fax # _____________  Email _________________________ 

SSN: (required if not publicly-traded  _______________                   DOB: ________________         DL#/STATE: _______________________  
          If unsure, SSN must be provided)
Please provide a legible copy of the driver’s license or state-issued identification card for each owner/partner/officer. 
                            Mail Completed Form To:  City of Auburn-Revenue Office at 144 Tichenor Avenue ∙Suite 6∙Auburn, AL  36830 
                                                                     Office:  (334) 501-7239 ∙ Fax: (334) 501-7297 ∙ Website:  www.auburnalabama.org 

BUSINESS REGISTRATION FORM (CITY OF AUBURN, AL)                                                                          Page 2 

CONTACT INFORMATION (Person(s) who can answer tax/licensing questions about the business) (Attach additional sheets if necessary) 

Name: ______________________________________________________________________   Title: ____________________________ 

Business Phone # _____________    Alternative Phone # _____________   Fax # _____________  Email _________________________ 

REGULATORY BOARD LICENSING AND BOND REQUIREMENTS 

 Applicants licensed by a State of Alabama regulatory board, must present a copy of the current State license before the City of
  Auburn business license can be issued (contact the Revenue Office for additional details).
 General contractors, plumbers, and electricians must post an indemnity bond before the City of Auburn business license can be
  issued (contact the Revenue Office for additional details).

CITY OF AUBURN LICENSING REQUIREMENTS 

         ALL Auburn-based business must submit a completed Page 3 before a business license will be issued.  Page 3 documents the
          issuance of a Zoning Certificate/Home Occupation Permit by the Planning Department and the completion of Fire/Life/Safety
          Inspection or issuance of Certificate of Occupancy by the Codes Department.
         Owner/partner/officer section must be completed before a business license will be issued.  Applicants may elect to provide either
          the social security number or driver’s license number.  One of the aforementioned must be provided before a business license
          will be issued.
         Registration form must be signed by the person(s) legally responsible for the business.
         A completed registration form and license fee must be remitted prior to applying for a City of Auburn Liquor license through the
          Auburn City Council.

LICENSE FEES                                Start Date Jan 1  – Junst 30   th        Start Date July 1  orst Later 

 General Business License                  $100 plus $5 issuance fee                $50 plus $5 issuance fee 
 General Contractors/HomeBuilders          $150 plus $5 issuance fee                $75 plus $5 issuance fee 
 Subcontractors                            $100 plus $5 issuance fee                $50 plus $5 issuance fee 
 Money Lenders                             $500 plus $5 issuance fee                $250 plus $5 issuance fee 

Note1:  In addition to base license fee, general contractors, home builders, and subcontractors are required to remit the quarterly 
contractors/subcontractors license fee of ¼ of 1% (.0025) of contract monies received in the City of Auburn. 
Note2:  State regulated agencies (i.e. banks, insurance companies, etc) are subject to different licensing fees (contact Revenue Office for 
details). 

PAYMENT INFORMATION   : Cash, check, money order, or credit card (Visa/MasterCard ONLY) 

         Credit card payments may be made in person at the Revenue Office or by phone by calling (334) 501-7239.  To process a phone
          payment, a copy of the registration form and applicable documents must be faxed to (334) 501-7297.

STATEMENT OF DECLARATION 
Under penalties of perjury, I declare that I have examined this form and to the best of my knowledge and belief, it is true, correct, and 
complete.  My signature indicates that I am legally responsible for the business and assume all tax/licensing liabilities of this business that 
might occur. 

________________________________________________                           _______________________________________________ 
Signature of the Person Legally Responsible for Business                   Print Name of the Person Legally Responsible for Business 

Date _________________ 

                         Mail Completed Form To:  City of Auburn-Revenue Office at 144 Tichenor Avenue ∙Suite 6∙Auburn, AL  36830 
                                                  Office:  (334) 501-7239 ∙ Fax: (334) 501-7297 ∙ Website:  www.auburnalabama.org 

BUSINESS REGISTRATION FORM (CITY OF AUBURN, AL)                                                           Page 3    

       ANY BUSINESS LOCATED WITHIN THE CITY LIMITS OF AUBURN:
       YOU MUST CONTACT THE PLANNING AND CODES DEPARTMENTS AND HAVE 
       THIS PAGE COMPLETED BEFORE A BUSINESS LICENSE WILL BE ISSUED.

APPLICANT INFORMATION 
(To be completed by the applicant)

Name of Business _______________________________________________________________________________________________ 

Date business activities will begin in Auburn____________________(Month)__________(Day)___________(Year)
Describe business activities in Auburn________________________________________________________________________________

______________________________________________________________________________________________________________ 

Physical Address of Business______________________________________________________________________________________
Note:  If address is a residence, ONLY complete Section 1.  If not, MUST complete Sections 1 and 2. 

Contact Name______________________________________                       Contact Number__________________________ 

Signature of Applicant__________________________________________         Date____________________ 

SECTION 1:  PLANNING DEPARTMENT—171 N Ross St • Auburn, AL • (334) 501-3040 
   (To be completed by the Planning Department) 

Is this a residence?   ___Yes  ___ No 
If Yes:  Home Occupation Permit # _____________________   Date Issued ______________________ 

Is this a commercial property?  ___Yes  ___ No  Zoning District ______________________    Approved:  ___Yes  ___ No 

Signature of Planning Official ________________________________________________   Date __________________ 

Comments_____________________________________________________________________________________________________ 
______________________________________________________________________________________________________________ 

SECTION 2:  CODES DEPARTMENT—171 N Ross St • Auburn, AL • (334) 501-3170 
(To be completed by the Codes Department)

Is a Life/Fire/Safety Inspection required?  ___Yes  ___ No  If Yes:  Date Passed ________________________ 

Is a Certificate of Occupancy required?  ___Yes  ___ No  If Yes:  Date Issued _________________________   

Signature of Building Inspector_______________________________________________    Date __________________ 

Comments_____________________________________________________________________________________________________ 
______________________________________________________________________________________________________________ 

       AUBURN—BASED BUSINESSES MUST RETURN COMPLETED PAGE 3 
                                             TO OBTAIN BUSINESS LICENSES 

       Mail Completed Form To:  City of Auburn-Revenue Office at 144 Tichenor Avenue ∙Suite 6∙Auburn, AL  36830 
Email                                           Office:  (334) 501-7239 ∙ Fax: (334) 501-7297 ∙ Website:  www.auburnalabama.org