UNIFORM MUNICIPAL BUSINESS LICENSE APPLICATION (CONFIDENTIAL)
City of Troy, Alabama
NOTE: The City Imposes its Business License Tax Within its Police Jurisdiction
Please Print or Type SEE REVERSE SIDE FOR INSTRUCTIONS AND FURTHER INFORMATION
Type: £ New £ Owner Change £ Name Change £ Location Change £ Renewal
Legal Business Name
(Name on Tax Forms):
Trade Name (If different from above):
Business Activities: (Brief description -
example
,
retail clothing sales, wholesale food sales, rental of industrial equipment, computer consulting, etc.)
___________________ ___________________ ___________________ ___________________ ___________________ ___________________
Gross Receipts/Gross Sales: $____________________________________________________
Physical Address: (Street, City, State, Zip)
Mailing Address: (Street, City, State, Zip)
Telephone #’s: Business: Fax: Home:
Email Address:
Name/Phone # for Contact Person ( )
List the Following for Owner(s), Partners, or Officers (Attach separate sheet if necessary)
Name Residence Address SSN (if not publicly-traded company) Title
Title
List in chronological order ALL previous addresses within the last 7 years. (Attach separate sheet if necessary)
Street Address City State Zip
Title
Date Business Activity Initiated or Proposed in Troy, Alabama
#
of Employees in Troy, Alabama
Tax types: £ Sales/Seller's Use £ Consumer Use £ Rental £ Lodgings £ Alcohol £ Occupational
£ Tobacco £ Gas/Motor Fuel £ Business License
Tax Filing Frequency: £ Monthly £ Quarterly £ Biannually £ Annually £ No Account £ Other_____________________
ALL Contractors - Please Fill Out Additional Information / Form On Back Of This Application.
This application has been examined by me and is, to the best of my knowledge, a true and complete representation of the above
named entity, and person(s) listed.
Print Name______________________________ Title________________________ Signature________________________Date________________
THIS AREA FOR MUNICIPAL USE ONLY
ACCOUNT ID # REVIEWED BY: APPROVED BY:
PHYSICAL LOCATION: £ CITY £ POLICE JURISDICTION £ OUTSIDE CORP LIMITS AND PJ
ZONING: APPROVED BY: BUILDING APPROVAL: £ YES £ NO £ N/A
FIRE CODE
Business Type: £ Retail £ Wholesale £ Building Contractor £ Service £ Professional £ Manufacture
£ Rental £ Other
Applicant Complete This Box:
FEIN:__________________________________ SS#_________________________
ST. OF ALA TAX
#:
AL DOR 9501# or LCLR #
:
FORM OF OWNERSHIP (CHECK ONE) £ Sole Prop. £ Partnership
£ Corporation £ Prof. Assoc. £ LLC £ Other -__________________
Complete and Mail or Fax to:
CITY OF TROY
ATTN: LICENSING DEPT.
PO BOX 549
TROY, ALABAMA 36081
(334) 670-6008
PLEASE READ THE FOLLOWING INFORMATION CONCERNING THE COMPLETION OF THIS FORM
PLEASE COMPLETE ALL AREAS OF THE FORM EXCEPT FOR THE SHADED AREA AT THE BOTTOM.
FORM SHOULD BE TYPED OR PRINTED LEGIBLY. FORM SHOULD BE DATED AND SIGNED BY AN
OWNER, PARTNER, OR OFFICER OF THE BUSINESS.
FORM WILL INITIATE THE PROCESS FOR REGISTERING YOUR BUSINESS WITH THE MUNICIPALITY.
IF YOUR BUSINESS WILL HAVE A PHYSICAL LOCATION WITHIN THE MUNICIPALITY, PLEASE USE
THAT ADDRESS ON THE FRONT OF THIS FORM. (Complete separate forms for each physical location in the
municipality, if so required.)
AFTER COMPLETING THIS FORM IT CAN BE MAILED, SENT BY FAX, OR WHERE POSSIBLE, SENT BY
ELECTRONIC MAIL TO THE MUNICIPALITY.
UPON RECEIPT OF THE COMPLETED FORM, THE MUNICIPALITY WILL PROVIDE ANY ADDITIONAL
FORMS AND INFORMATION REGARDING OTHER SPECIFIC REQUIREMENTS TO YOU IN ORDER TO
COMPLETE THE LICENSING PROCESS.
ALL LICENSE RENEWALS ARE DUE JANUARY 1 AND DELINQUENT AFTER JANUARY 31 (OR FEBRUARY
15), WITH THE FOLLOWING EXCEPTION:
INSURANCE COMPANY LICENSE DUE JANUARY 1, DELINQUENT AFTER MARCH 1
This form is intended as a simplified, standard mechanism for businesses to initiate contact with a municipality
concerning their activities within that municipality. A business license will be required prior to engaging in
business. If a business intends to maintain a physical location within the municipality, there are normally zoning
and building code approvals required prior to the issuance of a business license.
In certain instances, a business may simply be required to register with the municipality to create a mechanism for
the reporting and payment of any tax liabilities. If that is the case, you will be provided the materials for that
registration process.
The completion and submission of this form does not guarantee the approval or subsequent issuance of a license to
do business. Any prerequisites for a particular type and location of the business must be satisfied prior to licensing.
SHOULD THERE BE ANY QUESTIONS CONCERNING THE COMPLETION OF THIS FORM OR THE
LICENSING AND/OR REGISTRATION PROCESS, PLEASE CALL THE NUMBER ON THE FRONT OF THIS
FORM TO OBTAIN MORE DETAILED EXPLANATION.
For Contractor’s Use Only
All contractors must complete the following:
State Home Builders #
State General Contractors #
State Electrical License #
State Plumbers License #
State HVAC License #
If bonded, please attach a copy to this application. Insurance Company
Is this a one-time job? ¨ Yes ¨ No If yes, location?
Total Contract Amount:
Do you give the City of Troy permission to release your name, address, and contact information to
individuals and/or companies requesting information on Contractors working within the City of Troy?
¨ Yes ¨ No Initials
Please list any additional conditions?
If you are a General Contractor, remember that the General Contractor is responsible for ALL Sub-Contractors,
scheduled to work on a project site, to be licensed before power is turned on at said project site.
P.O. Box 549 · 301 Charles W. Meeks Avenue · Troy, Alabama 36081
Phone: 334.670.6008
BUSINESS REGISTRATION FORM
TROY-BASED BUSINESSES MUST RETURN THIS COMPLETED FORM TO OBTAIN BUSINESS LICENSES
Mail or Deliver Completed Form to: City of Troy Licensing Department
Physical Location: 301 Charles W. Meeks Avenue · Troy, Alabama 36081
Mailing Address: PO Box 549 · Troy, Alabama 36081
Business Name:
Physical Address:
Contact Name: Contact Number:
Business Activities: (Brief description -
example
,
retail clothing sales, wholesale food sales, rental of industrial equipment, computer consulting, etc.)
Application Type: New Renewal New Location Renewal Existing Location
This form has been examined by me and is, to the best of my knowledge, a true and complete representation of the above
named business.
Signature of Applicant Date:
THE AREAS BELOW ARE TO BE COMPLETED BY RESPECTIVE CITY DEPARTMENT
SECTION 1: PLANNING DEPARTMENT 301 Charles W. Meeks Ave, Troy, AL 36081 · (334) 670-6058
Physical Location: Within Corporate Limits of the City Police Jurisdiction Outside Corp Limits and PJ
Zoning: Permitted Use in District: No Yes
Is this a residence: No Yes NA If yes, determined Tier of Home Occupation: 1 2 3 NA
Is this a commercial/industrial property: No Yes NA
Board of Adjustment approval required: No Yes Date of Board Approval:
Approved by: Date:
Comments:
SECTION 2: BUILDING DEPARTMENT 301 Charles W. Meeks Ave, Troy, AL 36081 · (334) 670-6010
Life/Fire/Safety Inspection required: No Yes If yes, date passed:
Certificate of Occupancy required: No Yes If yes, date issued:
Meets Applicable Codes & Regulations: No Yes If no, date corrected:
Approved by: Date:
Comments:
The City of
TROY
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