Town Of Prescott Valley Business License Division

Home Occupancy Application

Aug 25, 2022
submission #275
Business License Application

Business Status

What would you like to do today: ---

Business Name and Physical Location

Business Name or Trade Name Mayer roofing llc
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 +19287101476
Alternate # (Emergency Phone Number) ---
Number of Employees ---
Please read trough the list carefully and select the closest description of your business: CONTRACTOR ROOFING
Business Description (Please describe in detail the nature of the business) ---
Start of business date 2022-06-01
Locations where the business or applicant has operated during the last five (5) years ---
is the business location: ---
Nature of Ownership ---

LLC Ownership Information

State in which the LLC was legally established ---
Name of the Business (if business is owned by another LLC) ---
1. Name (First and Last) ---
Title ---
Telephone Number ---
2. Name (First and Last) ---
Title ---
Telephone Number ---

Federal Tax ID or Social Security Number

Please provide your Federal ID or Social Security Number ---

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

Name (First and Last) Tracy wall
Phone number ---
Date of Birth ---
Social Security Number (Last four (4) digits only) ---