Business License Application
Business Status
| What would you like to do today: |
---
|
Business Name and Physical Location
| Business Name or Trade Name |
T-Mobile West LLC
|
| Business Street Address (Physical location of the business cannot be a PO Box) |
---
|
| Mailing Address (Street name and number only) |
---
|
| Mailing Address City, State, & Zip Code |
---
|
| Business Phone Number |
+16308572106
|
| Number of Employees |
---
|
| Please read trough the list carefully and select the closest description of your business: |
COMMUNICATIONS
|
| Business Description (Please describe in detail the nature of the business) |
---
|
| Start of business date |
2017-03-17
|
| Locations where the business or applicant has operated during the last five (5) years |
---
|
| is the business location: |
---
|
| Nature of Ownership |
---
|
LLC Ownership Information
| State in which the LLC was legally established |
---
|
| Name of the Business (if business is 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) |
---
|
Federal Tax ID or Social Security Number
| Please provide your Federal ID or Social Security Number |
---
|
Transaction Privilege Tax (Sales Tax)
| Transaction Privilege Tax (TPT) Number |
---
|
Applicant Information (Must be completed by the person filling out this application)
| Name (First and Last) |
Hannah Downs
|
| Home Address (No PO Boxes) |
---
|
| Mailing Address |
---
|
| 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]
|
Application Affidavit
