Business License ApplicationCITY OF PRATTVILLE, ALABAMA BUSINESS APPLICATION
The City Of Prattville Does Not Impose the Business License Tax in its Police Jurisdiction
(CONFIDENTIAL)
Please Print or Type
SEE REVERSE SIDE FOR INSTRUCTIONS AND FURTHER INFORMATION
Application Type : New ____ Owner Change ____ Name Change _____ Location Change _____
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) (Home Phone)
Name & Phone # for Contact Person __________________________________________________(____)__________________________
Email address for contact: ___________________________________________________
List Following for Owner(s), Partners, or Officers (Attach separate sheet if necessary)
Name Residence Address SSN (if not publicly traded co.) Title
Date Business Activity Initiated or Proposed in Prattville:___________________ # of Employees in Prattville_________________
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.
Date ____________________Signature ___________________________________________________Title _________________________________
THIS AREA FOR MUNICIPAL USE ONLY
ACCOUNT ID # _________________ REVIEWED BY: ___________________
PHYSICAL LOCATION:CITY OUTSIDE CORP LIMITS
ZONING DISTRICT: ____
__________________
FIRE MARSHAL APPROVAL: __________________
Applicant Complete This Box
FEIN ___________________
ST of ALA TAX # ___________________
FORM OF OWNERSHIP (Check One)
Sole Prop. _____ Partnership ______
Corp. _____ Prof Assoc ______
LLC ______ Other ___________
Complete and Mail/Fax/Email To:
CITY OF PRATTVILLE
PO BOX 680190
PRATTVILLE, AL 36068
Email: revenue@prattvilleal.gov
(334)595-0155 OR (334)595-0156Fax (334)361-3608
PLANNING APPROVAL:
__________________
NOTES:
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 city)
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, WITH THE
FOLLOWING EXCEPTIONS:
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 city. 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 and 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 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.