Town Of Prescott Valley Business License Division

Commercial Rental Application

Jun 13, 2024
submission #169
Business License Application

Business License Status

What would you like to do today: ---

Business Name and Physical Location

Business name or Trade Name Lupita's Barber & Beauty Salon
Amount of properties owned in Prescott Valley: (per parcel #) ---
Location of Commercial Building Rental(s): 8001 state route 69 #D Prescott valley, Az 86314
Building owner's physical location: ---
Nature of Ownership ---
Mailing Address (Street name and number only) [email protected]
Mailing Address City, State, & Zip Code 3305 n Pima Dr
Business Phone Number +19283509701
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) ---
Email Address [email protected]

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 ---