1 Opening date of business at this location:
2 Exact business name and location:
Name(give trade name at this location):
Address:
City:
State:
ZIP:
3 Business mailing address:
Name(give trade name at this location):
Address:
City:
State:
ZIP:
4 Business phone number(include area code):
5 Federal Employers ID No.:
Applied forNot required
6 State Sales Tax Number: Applied forNot required
7 Type of Ownership:
Proprietorship
Partnership
Other:
Corporation - Enter date of incorporation or domestication in Tennessee:
Name of corporation:
8 Identify owners, officers and partners (attach additional information on separate sheet)
1 Name:
Phone:
SSN:
Address:
City:
State:
ZIP:
2 Name:
Phone:
SSN:
Address:
City:
State:
ZIP:
3 Name:
Phone:
SSN:
Address:
City:
State:
ZIP:
9 Describe exact business activity at this location, stating major products and/or services sold:
Is this business
Retail
Wholesale
Both
Manufacturer
Amusement
10 Using the business activity code listing available here, enter the code number
that best describes your type of business operation.
11 Do you operate more than one business in Germantown and Tennessee?
Yes
No
If yes, attach additional names and addresses.
12 Have you ever had a City of Germantown Business Tax License prior to now?
Yes
No. If yes, give the name and address of your last business.
Name
Address
Zip
13 Reasons for filing this application
Starting a new business
Change in corporate structure
Change in ownership of, or the purchase of an existing business.
Enter the name and City License Number of the business you are purchasing.
Name
License No.
14 This application must be recieve within 20 days from commencement date of business or penalty and interest apply.
15 The statements made in this application are true to the best of my knowledge and belief. (This application must be signed by the individual/owner or by a partner, or by an officer of the corporation).
By: ____________________ ____________________ ____________________
Mail to: City of Germantown, P.O. BOX 38809, Germantown, TN 38183-0809
Notice - The Eighty-Seventh General Assembly of the state of Tennessee enacted effective June 1, 1971, Public Chapter 307 known as the "Business Tax Act" which in effect imposes a tax on the privilege of conducting various businesses within this state. Each person subject to this tax is required by law to pay usually an initial minimum tax of $15.00 which payment may be credited against subsequent payments of tax required to be paid annually upon a gross report basis.
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For department use only
Date recieved: ______________
Date written: _______________
License no. _________________
Classification:______________
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