Town Of Prescott Valley Business License Division

Commercial Rental Application

Dec 28, 2022
submission #66
Business License Application

Business License Status

What would you like to do today: ---

Business Name and Physical Location

Business name or Trade Name Squire Shanty, LLC
Amount of properties owned in Prescott Valley: (per parcel #) ---
Location of Commercial Building Rental(s): 8159 E Manley Drive, Prescott Valley, AZ 86314
Building owner's physical location: ---
Nature of Ownership ---
Mailing Address (Street name and number only) 4896 Butterfly Drive
Mailing Address City, State, & Zip Code Prescott, AZ 86301-5769
Business Phone Number +19282352341
Alternate # (Emergency Phone Number) ---
Start of business date ---
Description of your business: RENTAL COMMERCIAL PROPERTY

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) ---

LLC Ownership Information

State in which the LLC was legally established ---
1. Name of Owner (First and Last) ---
Title ---
Home Street Address of Owner (Cannot be a PO Box) ---
Telephone Number ---
2. Name (First and Last) ---
Title ---
Home Street Address (cannot be a PO Box) ---
Telephone Number ---

Federal Tax ID or Social Security Number

Please enter your Federal Tax ID Number ---

Application Affidavit

Applicant Affidavit ---