Town Of Prescott Valley Business License Division

Home Occupancy Application

Jul 29, 2024
submission #1410
Business License Application

Business Status

What would you like to do today: ---

New Application

Is this a: None of the above

Business Name and Physical Location

Business Name or Trade Name Adventure Travel
Business Street Address (Physical location of the business cannot be a PO Box) ---
Mailing Address City, State, & Zip Code ---
Business Phone Number +19287100778
Alternate # (Emergency Phone Number) ---
Number of Employees ---
Start of business date 2024-07-29
Locations where the business or applicant has operated during the last five (5) years ---
is the business location: ---
Nature of Ownership ---

Individual/ Sole Proprietor Owner Information (Eligibility Form)

Name (First and Last) ---
Title ---
Home street address (cannot be a PO Box) ---
Social Security Number (Last four (4) digits only) ---
Phone Number ---
*Check the box next to the document you are presenting to the Town, indicating lawful presence ---
Attach a copy of said document ---

Federal Tax ID or Social Security Number

Please provide your Federal ID or Social Security Number ---