Oakdale-Occupational License

CITY OF OAKDALE
P.O. Box 728
Oakdale, LA 71463
1. Date of Application

MonthDayYear
Date
2. APPLIATION FOR AND/OR REQUEST FOR (Check one or more squares)

A. Sales Tax CertificateB. Occupational License TaxB2. New BusinessB3. Renewal
FOR OFFICE USE ONLY
C.R.N.
3. Class (OLT)
4. SIC (Sales)
5. Federal Employer ID Number:
Select for "None":

None
6. LA Sales Tax Number:
Select for "None":

None
7. Local Sales Tax Number:
Select for "None":

None
8A. Taxpayer Name:
8B. Area Code- Phone Number:
Please enter a valid phone number.Format: (000) 000-0000.
8C. Trade Name:
8D. Mail Address:
8E. City, State, Zip Code:
8F. Locatoin-Street, City, State, Zip Code:
8G. Parish Location:
9. Type of Organization:

A. IndividualD. GovernmentalB. PartnershipE. Non-ProfitC. CorporationF. Other (Specify)

10. If corporation or partnership: Name, Title, Soc. Sec. No., Resident Address & Phone of Officers or Partners.

11. If Sole Owner (individual):

Rows	Name:	Resident Address:	Phone #:	SSN:
1.

12. Ending Month of Accounting (Fiscal Year):
13. Name and Address of Agent for Service of Process:
14. Location of Accounting Records Are Maintained- Check One as Noted in Item 8. (If other, show other street, address, city & state)

DFOther (Street, addresses, city & state)
15. If Corporation, State of Incorporation:
16. Reason for Applying:

A. Started New BusinessB. Purchased Going BusinessC. Other (Specify)
If purchasing, Name of previous owner:
17. Date Business Started / Acquired at THIS LOCATION:

MonthDayYear
Date
18. Have you registered with the Secretary of State for Louisiana as a foreign corporation?

YesNo
19. EXCLUDING this one, how many other business locations do you have in this parish or municipality?
20. Nature of Business | Description of Sales or Activity:
________________________________________
If applying for Occupational License complete Schedule A (next page). If transferring License, complete only Line 32 on the next page.

_________________________________________

I affirm that the information given on this application and attached schedules is true and correct.
Signature:
Title:
Signature of Preparer if different from above: