Business License Application

Name *

First

Last

Phone

Email

Business Name: *

Business Address *

Address Line 1

Address Line 2

City

State

Zip Code

Business Phone *

Business Hours of Operation *

Missouri State Sales Tax Number

Ownership *

Individual
Partnership
Corporation

If corporation, name of state where incorporated

Do you conduct commercial activities on the premises using names other than which you are applying for? If yes, please list names below: *

Date of last completed fiscal year (calendar year if also fiscal year) preceding the license year beginning July 1st, as established, and used for Federal Income Tax purposes: *

Date Business began operations in City of Clarkson Valley: *

Nature of activity: *

Describe activity in sufficient detail to indicate the type of business. For example, is a product sold, or a service, or both; and what is product or service?

applying Valley corporation,

Number of Employees *

Number of automobiles entering Clarkson Valley daily as a result of this operation *

I hereby certify that I am an owner, partner, or officer of the above-named business, and am familiar with the operations of the business and the facts set out above, and that they are true and correct according to the best of my knowledge, information and belief.

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