Business License Application
Business License Status
| What would you like to do today: |
---
|
| Is this a: |
---
|
| If you are are applying for or renewing a PV liquor License, please select which Series you are applying for |
---
|
Business Name and Physical Location
| Business name or Trade Name |
|
| Nature of Ownership |
---
|
| Business Street Address (Physical location of the business (cannot be a PO Box) |
|
| is the business location: |
---
|
| Mailing Address (Street name and number only) |
|
| Mailing Address City, State, & Zip Code |
|
| Business Phone Number |
|
| Alternate # (Emergency Phone Number) |
---
|
| Number of Employees |
---
|
| Please choose the most applicable to your business: |
---
|
| Please read carefully through the following list and choose the closest description of your business: |
RETAIL BUSINESS
|
| Will your business be selling or serving alcohol? |
---
|
Individual/ Sole Proprietor Owner Information (Eligibility Form)
| Name (First and Last) |
---
|
