Make remittance payable to “Davidson County Clerk” or use credit card payment form.
MAIL TO: Davidson County Clerk, P.O. Box 196333, Nashville, TN 37219-6333 (615) 862-6254 Fax: (615) 880-2690
DAVIDSON COUNTY CLERK’S OFFICE
For Office Use Only:
Date ______________________
Receipt Number _____________
Business Number ____________
BUSINESS TAX DIVISION
APPLICATION FOR TRANSIENT VENDOR LICENSE (NEW)
AND REPORT TO THE COUNTY CLERK
as required by
PLEASE COMPLETE ALL AREAS OF THIS DOCUMENT BEFORE SUBMITTING
BUSINESS LOCATION: MAILING ADDRESS:
(Advertised Business Name) (Mailing Name)
(Physical Street Address) (Mailing Address)
(City, State, and Zip Code) (City, State, and Zip Code)
(Business Phone Number) (Home Office Phone Number)
(Your E-mail Address)
(Fax Number)
OWNER, OWNERS, OR CORPORATE OFFICERS
Name Address City, State, and Zip Phone
TYPE OF BUSINESS
Is your business:
Check one box only ___ Sales or ___ Service
Check one box only ___ Sole Proprietorship or ___ Partnership or ___ Corporation
Date Event Will Begin (and End) Dominant Product Sold
Location Event Will Take Place Name of Event
BUSINESS DISTRICT
My business will reside in the:
Please check one of the following:
____ County (GSD) only – Minimum tax $50.00
(Please pay this amount)
OR
____ City (USD) and County (GSD) – Minimum tax $100.00
(Please pay this amount)
SIGNATURES
(ALL OWNERS must sign and include photocopy of driver’s license.)
Signature of Owners or Corporate Officer Signature of Owners or Corporate Officer
Signature of Owners or Corporate Officer Signature of Owners or Corporate Officer
