Tulalip Tribes Tax & Licensing Division
6406 Marine Drive NW - Tulalip, WA 98271
INSTRUCTIONS FOR TA LICENSE APPLICATION:
SECTION 1 – License Type
Indicate type of application – new, change of ownership, or other and type of transient accommodation
for which you are applying for license.
New/ Renew: Initial application for transient accommodation license or annual license renewal.
Change of Ownership – Legal owner/ operator change resulting from sale or transfer.
Other – Example, change in number lodging units or the name of the transient accommodation.
Business Structure: Check the appropriate box indicating business structure type. For
establishments owned or operated by partnerships, corporations, or cooperatives, please attach a
separate sheet or sheets listing the name, address, and social security number of each person who
owns 10% or more of the outstanding stocks or equity interest in the licensed activity. Also include the
name, address, and social security numbers of each officer, member, manager, or other person who,
in accordance with the rules of the issuing agency, is determined to be able directly or indirectly to
control the operation of the business of the licensed entity.
SECTION 1a – Demographic Information:
Complete this section only in the event of change in ownership. Check appropriate box to indicate
section does not apply.
Name of Previous Legal Owner/ Operator: Enter the previous owner’s name.
Name of Previous Establishment: Enter the previously licensed establishment’s name.
Business mailing address: Updated address for former establishment owner.
Previous License Number: TA License # issued to previous establishment.
Effective Date of Ownership Change: Date the change in ownership is official and in effect.
Check here if section does not apply: Mark the box if a change/transfer in ownership does not
SECTION 2 – Demographic Information:
Legal Owner/Operator Name: individual person or organization that currently owns the
Establishment Name: Enter the establishment’s name as advertised on signs, brochures, or
Physical Address: Enter the physical street location within the Tulalip Reservation.
Phone and Fax Numbers: Enter the phone and fax number at physical location.
Website and Email Address: Enter the agency Website address and owner or contact email
Business Mailing Address: Enter mailing address, if different from physical address. TLD uses the
address provided when mailing all correspondence.
Department / Contact Name: (Optional) Provide routing name if correspondence should be mailed
to a specific person or department other than the owner.
Uniform Business Identifier Number (UBI #): All Washington State businesses must have UBI #’s.
City, county, state, and other government departments also have UBI#’s.
Federal ID Number (FEIN #): Enter your Federal ID Number, if the business has been issued one.