Revised 5/9/2017
CITY OF GREENVILLE, ALABAMA BUSINESS LICENSE
APPLICATION
The City of Greenville Does Not
Impose the Business License
Tax in its Police Jurisdiction.
Date rec’d:______________
FEIN #_________________
Sales Tax ID_____________
Application Type: New _____ Owner Change _____ Name Change _____ Location Change _____
Form of Ownership: Sole Prop._____ Partnership_____ Corp._____ Prof. Assoc._____ LLC_____ Other_____
Legal Business Name: ___________________________________________________________________________________________
Trade Name: (If different from above) _________________________________________________________________________________
Business Activities: (Brief description- Retail clothing sales, wholesale food sales, rental of industrial equip., computer consulting, etc)
________________________________________________________________________________________________________________
Physical Address: ___________________________________________________________________________________________
(Street) (City) (State) (Zip)
Mailing Address:
(Street) (City) (State) (Zip)
Telephone: ___________________________________________________________________________________________
(Business) (Fax) (Cell Phone)
Name & Phone # for Contact Person __________________________________________________(____)__________________________
Email address for contact: _________________________________________________________________________________
AFFIDAVIT OF CITIZENSHIP
Under penalty of perjury, I _____________________________________,
(print name)
the undersigned, do hereby declare that I am a United
States Citizen or that I am a lawful alien legally present in the United States.
_________________________________________________ ________________________
Signature Date
THIS AREA FOR MUNICIPAL USE ONLY
ACCOUNT ID # _________________ NAICS CODE#__________________ APPROVED BY: ___________________
PHYSICAL LOCATION: CITY POLICE JURISDICTION OUTSIDE CORP LIMITS & PJ
ZONING CLASSIFICATION: ______________ BUILDING APPROVAL: YES NO N/A FIRE CODE
Tax Types: Sales/Seller’s Use Consumer Use Rental Lodgings Alcohol
Occupational Tobacco Gas/Motor Fuel Business License
Business Type: Retail Wholesale Building Contractor Service Professional
Manufacturer Rental Other _________________________
ALL LICENSE RENEWALS ARE DUE JANUARY 1 AND DELINQUENT AFTER JANUARY 31.
INSURANCE COMPANY LICENSES ARE DUE JANUARY 1 AND DELINQUENT AFTER MARCH 1
This form is intended as a simplified, standard mechanism for businesses to initiate contact with a municipality concerning t heir activities within Greenville. A business license will be required prior
to engaging in business. If a business intends to maintain a physical location within the city, there are normally zoning an d building code approvals required prior to the issuance of a license. In
certain instances, a business may simply be required to register with the city to create a mechanism for the reporting and payment of a ny 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 fo r a
particular type and location of the business must be satisfied prior to licensing.
