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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
