Home Occupancy Application

Business Status

What would you like to do today:

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New Application

Is this a:

None of the above

Business Name and Physical Location

Business Name or Trade Name	Red Rock Home Monitoring and Pet Services
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	+17023434385
Number of Employees	---
Please read through the list carefully and select the closest description of your business:	PROFESSIONAL SERVICES
Business Description (Please describe in detail the nature of the business)	---
Start of business date	2024-12-02
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

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Transaction Privilege Tax (Sales Tax)

Transaction Privilege Tax (TPT) Number

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Applicant Information (Must be completed by the person filling out this application)

Name (First and Last)	Kristi Anderson
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]

Application Affidavit

Applicant Affidavit

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Conditional Home Occupation Permit

Will you need to apply for a Conditional Home Occupation permit?

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Prohibited Home Occupations Disclosure

I hereby declare that in the conduct of my Home Occupation at the above address, I will comply with the requirements pertaining to such occupations as set forth in the Prescott Valley Town Code mentioned above.

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Late Fee

Do they need a late fee?

No

Business License Number

Manually Enter Business License Number

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