Get City Of Chandler Privilege Tax Form

City of Chandler License Application Transaction Privilege Use Tax APPLICANT USE For Office Use Only AMOUNT DUE Telephone 480-782-2280 Mailing Address MS 701 PO Box 4008 Chandler AZ 85244-4008 Location address 175 S. Arizona Ave Suite A Chandler AZ 85225 Check one New Business New Owner of Existing Business Former Owner if applicable Name Change Only Location Change Current City License FEE 15. 00 Previous City License Check any that apply APPLICATION Date of Change LICENSE FEE SEE FEE SCHEDULE SECTION I. BUSINESS INFORMATION Business Name Individual Company or DBA first name first TOTAL PAYMENT Business Location Address City State Zip Code 4 Start Date in Chandler BUSINESS START DATE IN CHANDLER IS MANDATORY Business Phone Including Area Code E-mail address Federal ID State Tax License FEES ARE NOT REFUNDABLE SECTION II. MAILING ADDRESS PHONE NUMBER Enter Name if Different from Section I above or Enter Care-Of Name Prior Year License Late Fees May Apply Phone Including Area Code For Office Use Only Ownership Individual Owners Partners LLC Members or Officers For Additional Names Please Attach List LLC Corp* - State Inc* Gen* Partnership Ltd. Partnership Business Class Codes Other Name Title Home Address Social Security NAICS Code Filing Freq. M City State Q A C Phone No* Master Lic* Entered By Zoning Appr* Date LAWA Approved By Corporate or LLC Statutory Agent Location Where Business Records Are Kept Address Retail Sales Business Type Manufacturer ZIP Code Restaurant/Bar Commercial Rental Describe Nature of Check method you will use in submitting reports Landlord/Property Manager Name Amusement Accrual Use Tax Hotel/Motel Wholesaler Contractors Number of Employees If yes is this your residence Do you rent a portion of the business premises to another entity Construction Contracting Residential Rental of Units Cash Receipts Do you own your business location Yes No If no complete Landlord/Property Manager information Date Phone I certify that the statements made in this application are true and complete to the best of my knowledge. I accept the permit authorized and issued in response to this application with the condition that I report timely and pay any and all taxes due by me to the city. Incomplete forms may not be processed* IF APPLICABLE BE SURE ALL SALES TAX HAS BEEN PAID BY FORMER OWNER* BY LAW YOU MAY BE LIABLE FOR ANY UNPAID TAX. 00 Previous City License Check any that apply APPLICATION Date of Change LICENSE FEE SEE FEE SCHEDULE SECTION I. BUSINESS INFORMATION Business Name Individual Company or DBA first name first TOTAL PAYMENT Business Location Address City State Zip Code 4 Start Date in Chandler BUSINESS START DATE IN CHANDLER IS MANDATORY Business Phone Including Area Code E-mail address Federal ID State Tax License FEES ARE NOT REFUNDABLE SECTION II. BUSINESS INFORMATION Business Name Individual Company or DBA first name first TOTAL PAYMENT Business Location Address City State Zip Code 4 Start Date in Chandler BUSINESS START DATE IN CHANDLER IS MANDATORY Business Phone Including Area Code E-mail address Federal ID State Tax License FEES ARE NOT REFUNDABLE SECTION II. MAILING ADDRESS PHONE NUMBER Enter Name if Different from Section I above or Enter Care-Of Name Prior Year License Late Fees May Apply Phone Including Area Code For Office Use Only Ownership Individual Owners Partners LLC Members or Officers For Additional Names Please Attach List LLC Corp* - State Inc* Gen* Partnership Ltd.