New Business License Form

NEW BUSINESS LICENSE FORM

CITY OF DANVILLE, OFFICE OF COMMISSIONER OF THE REVENUE
TRADE NAME*
NATURE OF BUSINESS *
FED TAX ID OR SS #*
ESTIMATED GROSS UNTIL YR END*
MAILING ADDRESS *
LOCAL BUSINESS ADDRESS *
LOCAL BUSINESS PHONE *
BUSINESS EMAIL
CONTACT PERSON *
CONTACT TITLE *
CONTACT PHONE *
CONTACT EMAIL
CHECK APPLICABLE OPTION and supply information relating to ownership*

INDIVIDUALPARTNERSHIPCORP OR LLC
ARE YOU USING A BUSINESS NAME?*

YesNo
ENTITY ID #
NAME*
If Corporation, enter corporation or LLC name; otherwise enter individual or partner name
PARTNER NAME
ADDRESS
If different from mailing address shown above
PARTNER ADDRESS
PHONE
If different from business phone number shown above
PARTNER PHONE
THIS SECTION - CONTRACTORS ONLY
LICENSE TYPE

CLASS ACLASS BCLASS CN/A
STATE LICENSE #
TYPE OF CONTRACTOR
ATTACH ALL SUPPORTING DOCUMENTATION. CLICK HERE FOR INFORMATION ON REQUIREMENTS.
Cancelof
START DATE *

MonthDayYear
Date business started in Danville
SIGNATURE*

Clear
PARTNER SIGNATURE

Clear
DATE*

MonthDayYear
Select "yes" if you want to print a blank copy of this form to be manually filled out later.

YesNo
Should be Empty:

NEW BUSINESS LICENSE FORM