Town Of Prescott Valley Business License Division

Commercial Rental Application

Mar 15, 2023
submission #93
Business License Application

Business License Status

What would you like to do today: ---

Business Name and Physical Location

Business name or Trade Name Peak Rentals
Amount of properties owned in Prescott Valley: (per parcel #) ---
Location of Commercial Building Rental(s): 10111 east Durham rd.Dewey 86327
Building owner's physical location: ---
Nature of Ownership ---
Mailing Address (Street name and number only) 14155 E June Ln
Mailing Address City, State, & Zip Code Dewey AZ 86327
Business Phone Number +19282376696
Start of business date ---
Description of your business: RENTAL COMMERCIAL PROPERTY

Individual/ Sole Proprietor Owner Information (Eligibility Form)

Name (First and Last) ---
Title ---
Home street address (cannot be a PO Box) ---
Social Security Number (Last four (4) digits are accepted) ---
Phone Number ---
*Check the boxes next to the document you are presenting to the Town, indicating lawful presence ---
Attach a copy of said document ---

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 ---