Town Of Prescott Valley Business License Division

Commercial Rental Application

Jan 29, 2024
submission #142
Business License Application

Business License Status

What would you like to do today: ---

Business Name and Physical Location

Business name or Trade Name PINE SIGNATURE GROUP LLC
Amount of properties owned in Prescott Valley: (per parcel #) ---
Location of Commercial Building Rental(s): 1155 N Desert Pines Dr Dewey, AZ 86327
Building owner's physical location: ---
Nature of Ownership ---
Mailing Address (Street name and number only) 697 6th St, Ste 503
Mailing Address City, State, & Zip Code Prescott, AZ 86301
Business Phone Number +19283277100
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) ---