BUSINESS OR PROFESSIONAL LICENSE APPLICATION

Application and payment for license shall be returned to the office of the town clerk as soon as possible. After April 20th, a 15% penalty plus additional cost will be added.
Town Of Bonneau

Application for BUSINESS or PROFESSIONAL LICENSE
Choose One

AmendmentChange Of OwnershipChange of LocationNew
Business Name*
Business Owner*

First NameLast Name
Federal Identification Number
SSN#
E-mail*
example@example.com
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Business Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Type of Business*
Business Type
Business Phone Number
Please enter a valid phone number.
After Hours Contact/ Emergency contact Number
Please enter a valid phone number.
Others*
Message
New Business Starting Date

MonthDayYear
GROSS RECEIPTS FOR BUSINESS CONDUCTED WITHIN THE TOWN OF BONNEAU $ blanks
DO YOU STORE HAZARDOUS WASTE OR MATERIAL?

YESNO
IF YES, PLEASE LIST ALL MATERIALS STORED ON SITE. blanks
I(WE) DO HEREBY CERTIFY THAT THE AMOUNT RETURNED AS TOTAL GROSS FROM MY BUSINESS OR PROFESSIONAL AS REPORTED HEREIN IS TRUE AND CORRECT AND THAT I HAVE MADE NO DEDUCTIONS FOR DROP SHIPMENT, SALES TO GOVERNMENT AGENCIES, OUT OF CITY OR OTHERWISE, AND THAT I AM FAMILAR WITH THE CITY ORDINANCE PROVIDING FOR PENALTIES AND REVOCATION OF MY(OUR) LICENSE FOR MAKING FALSE OR FRAUDULENT STATEMENTS IN THIS APPLICATION.
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Date

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Town Of Bonneau