Town Of Prescott Valley Business License Division

Commercial Rental Application

May 16, 2022
submission #15
Business License Application

Business License Status

What would you like to do today: ---

Business Name and Physical Location

Business name or Trade Name Zynda Family Trust
Amount of properties owned in Prescott Valley: (per parcel #) ---
Location of Commercial Building Rental(s): 3264 N. Glassford Hill Rd. Prescott Valley, AZ 86314 and 3292 N. Glassford Hill Rd. Prescott Valley, AZ 86314
Building owner's physical location: ---
Nature of Ownership ---
Mailing Address (Street name and number only) 5105 Mocha Ct.
Mailing Address City, State, & Zip Code Oceanside, CA 92056
Business Phone Number +17606221635
Alternate # (Emergency Phone Number) ---
Start of business date ---

Applicant Information (Must be completed by the person filling out this application)

Name (First and Last) ---
Home Address (No PO Boxes) ---
Phone number ---
Driver's License Number ---
Driver's License Expiration Date ---
Date of Birth ---
Social Security Number (Last four (4) digits ONLY) ---

Federal Tax ID or Social Security Number

Please enter your Federal Tax ID Number ---

Application Affidavit

Applicant Affidavit ---
Initial Application Review

(Internal) Late Fees

Do they need a late fee? ---