**PLEASE COMPLETE FRONT AND BACK OF APPLICATION**
BUSINESS AND SALES TAX LICENSE APPLICATION
BUSINESS AND SALES TAX LICENSE FEE: $25.00 Annual Renewal Due NOT LATER THAN December 31st
Mail to: For City Use Only
Monthly Sales Tax License
City of Evans Quarterly General Registration
PLEASE COMPLETE APPLICATION IN FULL
(Illegible and/or incomplete forms may be rejected)
1. Type of Ownership: Sole Proprietor Partnership Limited Liability Corp. Other
2. Taxpayer Name (Owner, Partners or Corporate Name):
3. Trade Name ("Doing Business As"):
4. Business Address:
Street City State Zip
5. Mailing Address:
Street/ Post Office Box (If Different than Business Address) City State Zip
6. Business Phone No: First Day of Business in Evans: / /
7. Web Site Address:
8. Nature of Business (Check all that apply): Wholesale Construction Service Retail
Office Only Mail Order Communications/Telecom Finance/Insurance/Real Estate
9. What is your main product/service?
10. Do you sell, distribute, deliver, or grow Medical Marijuana? Yes No
Is this business in a:
Commercial Building Private Residence
(if private residence, fill out Home Occupation Certificate form)
12. If a private residence, do your customer come to your home? Yes No
13. If located in Evans, what are your hours of operation?
14. If located in Evans, approximate sq. ft. of business:
15. If located in Evans, no. of employees (include self): Full Time Part-time
16. Yes No
If "YES", a separate application must be completed per business location.
17. Contact Person:
Address City State Zip Phone
AFTER EXPIRATION DATE, RENEWAL FEES INCREASE TO $50.00
PLEASE TYPE OR COMPLETE IN BLACK INK.
SECTION ONE - All information provided in this section of the application is considered public information and is required to be released upon
Important: Please keep a copy of this application for your records.
BUSINESS AND SALES TAX OFFICE
Do you have other locations in Evans?