(Sample) Business License Registration
Aug 14, 2023
submission
#23
Business Information
General Information
| Business Start Date | 2023-08-18 |
| Business Status | New business |
| Ownership Type | Sole Proprietorship |
Business Information
| DBA: | ClearGov |
| Name of Business | ClearGov |
| Business Address | 2 Mill and Main Pl Ste 630, Maynard MA 01754-2673 |
| Mailing Address | 2 Mill and Main Pl Ste 630, Maynard MA 01754-2673 |
| Phone | +18555532715 |
| Type of Business / Profession (Describe in detail) | Software |
| No of Employees | --- |
| No of Units, if Residential / Commercial Rental | --- |
| Federal Tax Id No or Social Security No | --- |
| State Employer Id No | --- |
| Do you own or rent the property? | --- |
PROPERTY OWNER INFORMATION
| Property Owner Name | --- |
| Property Owner's Phone No | --- |
| Is mailing address same as business address? | Yes |
OWNERS, PARTNERS, OR CORPORATE OFFICERS INFORMATION
| Owner Name | Andy Mathers |
| Title | Owner |
| Owner Address | --- |
| Social Security Number | --- |
| Driver's License | --- |
| Date of Birth | --- |
| Phone | --- |
| Emergency Phone | --- |