Local Occupational License: Intake Form

Please submit the following information via this online form, which is encrypted with SSL to help ensure the data you enter is secure.

Name*
Prefix First Middle Last Suffix
Email*
Enter Email Confirm Email
Phone*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Business Information
Business Name*
Please include the full legal business name including punctuation and the entity suffix (LLC, Inc., etc.)
Business DBA ("Assumed Name")
The name the business goes by other than its legal name, if applicable.
Business Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Business County*
Relative Business Location*
Is the business located within its city limits? A business is typically within the city limits if it is in the downtown business area or nearby.
- Yes, it is within the city limits.
- No, it is outside the city limits.
- I do not know whether it is within the city limits.
Business Phone Number*
Business Fax Number
Business Email Address*
Business EIN
Federal tax ID number.
An EIN must be obtained before the business may obtain a county business license. If an EIN has not yet been obtained, our firm can obtain an EIN for your business for $100.
Your Business Title(s)
Examples: President, CEO, Director, Member, etc.
Method of Federal Taxation*
If the business is a LLC and you did not file an election to change the method of federal taxation, it is taxed as a Sole Proprietorship if there is only one owner and a Partnership if there are multiple owners.
- Sole Proprietorship
- Partnership
- Corporation
- S-Corporation
Business Activities*
General description of what the business does, or which industry it is in.
Date Business Started*
Approximate date the business started or will start at this location.
Date Format: MM slash DD slash YYYY
Status of Employees*
Does the business have employees?
- Yes
- No
Date Employees First Paid*
Approximate date the first employee was paid.
Date Format: MM slash DD slash YYYY
Zoning Registration*
Have you registered with the local building or zoning inspector?
- Yes
- No
Existing Business*
Did you acquire the business from a previous owner?
- Yes
- No
Date Business Acquired*
Approximate date the business was acquired from the previous owner.
Date Format: MM slash DD slash YYYY
Other Businesses*
Do you have other businesses in the jurisdiction (city or county)?
- Yes
- No
Other Businesses Owned*
Please include the full legal business name(s) - including punctuation and the entity suffix (LLC, Inc., etc.) - of the other business(es) you own in the same jurisdiction.
Additional Information
Please include any additional information you would like our attorneys to know.
Disclaimer*
Our attorneys may review the information you submit for the purposes described on this website. The use of this form for communication with our firm does not establish an attorney-client relationship. Our review of the information sent to us will not preclude us from representing any other client if confidential information is sent through this form.
- I agree
- I do not agree
Name
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Business Information