CITY OF SPRINGFIELD, MISSOURI
BUSINESS/OCCUPATIONAL LICENSE APPLICATION
Application is for new businesses only. If you need to renew a license, please contact the License Division.
Send completed applications to:
City of Springfield, License Division, PO Box 8368, Springfield MO 65801-8368
Contact us: 417-864-1617
A. BUSINESS INFORMATION
Business Name: ________________________________________________________________________________________________
Mailing Address: ________________________________________________________________________________________________
________________________________________________________________________________________________
Local Business Phone: ________________________________________________________________________________________________
Business Address: ________________________________________________________________________________________________
________________________________________________________________________________________________
Category: ________________________________________ (OFFICE USE ONLY)
B. OWNERSHIP TYPE (Check the appropriate box): 1.Sole Proprietor 2.Partnership 3.Limited Partnership 4.Limited Liability Company
5.Corporation: _________________________________________________ ____________________________________________ _______________
Corporation/LLC Name Corporation/LLC Address Corporation/LLC Phone
C. OWNERSHIP INFORMATION: If ownership is sole proprietor, complete line 1 including home adders and home phone. If a partnership or a limited partnership, list all
partners, their home addresses and home phones. If a corporation or limited liability company, list principal officers or members, their home addresses, home phones, and driver’s
license numbers. Attach an additional page if needed.
1.________________________________________________ __________________________________________ _________________
Name & Title Home Phone Home Address
2.________________________________________________ __________________________________________ _________________
Name & Title Home Phone Home Address
3.________________________________________________ __________________________________________ _________________
Name & Title Home Phone Home Address
D. MISSOURI RETAIL SALES TAX NUMBER: _________________________________________________________ Please scan and attach a copy
Enter name here: _________________________________________________________________ Date: ___________________________
ATTENTION: By entering my name on the line below, I certify that the information contained in this application is correct. I understand that a license
category will be assigned to be after the application is reviewed. I also understand that I will be contacted regarding the license fee and may be asked to
provide additional information related to the calculation of the license fee.
E. BUSINESS DESCRIPTION: Please provide a detailed description of the proposed business activity, including information about services
and/or products offered.
_______________________________________________________ Date: _________________________ Fee Paid: ______________
OFFICE USE ONLY BELOW THIS LINE:
Licensing Personnel: Please attach fee calculation worksheet to this application
Licensing Personnel
After completing the application,
save a copy to your computer,
then click UPLOAD to access
the upload link.
