Town Of Prescott Valley Business License Division

Commercial Rental Application

Jan 22, 2024
submission #136
  • renewal
Business License Application

Business License Status

What would you like to do today: ---

Business Name and Physical Location

Business name or Trade Name STEVE JOANNES INSURANCE AGENCY INC
Amount of properties owned in Prescott Valley: (per parcel #) ---
Location of Commercial Building Rental(s): 8270 E Hwy 69 Ste 102 Prescott Valley, AZ 86314
Building owner's physical location: ---
Nature of Ownership ---
Mailing Address (Street name and number only) 8270 East State Route 69 Ste 101
Mailing Address City, State, & Zip Code Prescott Valley, AZ 86314
Business Phone Number +19287750175
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) ---

Corporation Information

State in which the LLC was legally established ---
Name of the Business (if owned by another entity) ---
1. 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 ---
Initial Application Review

(Internal) Late Fees

Do they need a late fee? ---

Business License Number

Manually Enter Business License Number ---