Business License Application
Business License Status
| What would you like to do today: |
---
|
Business Name and Physical Location
| Business name or Trade Name |
Great Western Drive LLC
|
| Amount of properties owned in Prescott Valley: (per parcel #) |
---
|
| Location of Commercial Building Rental(s): |
2485 N. Great Western Drive (Suites A-D) Prescott Valley, Arizona 86314
|
| Building owner's physical location: |
---
|
| Nature of Ownership |
---
|
| Mailing Address (Street name and number only) |
15 Perkins Drive
|
| Mailing Address City, State, & Zip Code |
Prescott, Arizona 86301
|
| Business Phone Number |
+19287101504
|
| 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) |
---
|
| Email Address |
[email protected]
|
LLC Ownership Information
| State in which the LLC was legally established |
---
|
| Name of the Business (If owned by another LLC) |
---
|
| 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) |
---
|
Federal Tax ID or Social Security Number
| Please enter your Federal Tax ID Number |
---
|
Application Affidavit
Initial Application Review
(Internal) Late Fees
| Do they need a late fee? |
---
|
