Town Of Prescott Valley Business License Division

Home Occupancy Application

May 26, 2022
submission #117
Business License Application

Business Status

What would you like to do today: ---

Business Name and Physical Location

Business Name or Trade Name Gonzalez Cleaning Services
Business Street Address (Physical location of the business cannot be a PO Box) ---
Mailing Address (Street name and number only) ---
Mailing Address City, State, & Zip Code ---
Business Phone Number +19282773139
Number of Employees ---
Please read trough the list carefully and select the closest description of your business: JANITORIAL CLEANING
Business Description (Please describe in detail the nature of the business) ---
Start of business date 2022-06-06
is the business location: ---
Nature of Ownership ---

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

Name (First and Last) Iliana Gonzalez
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 are accepted) ---

Individual/ Sole Proprietor Owner Information (Eligibility Form)

*Check the box next to the document you are presenting to the Town, indicating lawful presence ---