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Get LA Application for Occupational License - St. Tammany Parish Tax Collector

APPLICATION FOR OCCUPATIONAL LICENSE ST. TAMMANY PARISH TAX COLLECTOR P. O. Box 1229 Slidell La. 70459 985-726-7790 PLEASE PRINT WHEN COMPLETING THIS FORM Classification of Business Service Retail Contractor Etc. If this is a new business check the block and enter the opening date Date Occupational license tax fee for new business is 50. 00 / becomes 25. 00 on July 1st of application year. Total paid Check Number or Cash Business Name Address and Phone Mailing Address City State Zip Code Business Phone Location of Your Business please do not use your P. O. Box as your location Street Address City/State/Zip Sole Proprietor Owners Name Last Middle Initial First Phone Number Social Security Number Corporations and Limited Partnerships For incorporated and limited partnerships only. If incorporated attach a copy of your State Charter Certificate please list all officers of corporation* OFFICERS 1. Name Title SSN Address Home Phone Description of activity of business I certify to the best of my knowledge the above information is true and correct. 00 / becomes 25. 00 on July 1st of application year. Total paid Check Number or Cash Business Name Address and Phone Mailing Address City State Zip Code Business Phone Location of Your Business please do not use your P. O. Box as your location Street Address City/State/Zip Sole Proprietor Owners Name Last Middle Initial First Phone Number Social Security Number Corporations and Limited Partnerships For incorporated and limited partnerships only. O. Box as your location Street Address City/State/Zip Sole Proprietor Owners Name Last Middle Initial First Phone Number Social Security Number Corporations and Limited Partnerships For incorporated and limited partnerships only. If incorporated attach a copy of your State Charter Certificate please list all officers of corporation* OFFICERS 1. If incorporated attach a copy of your State Charter Certificate please list all officers of corporation* OFFICERS 1. Name Title SSN Address Home Phone Description of activity of business I certify to the best of my knowledge the above information is true and correct. 00 / becomes 25. 00 on July 1st of application year. Total paid Check Number or Cash Business Name Address and Phone Mailing Address City State Zip Code Business Phone Location of Your Business please do not use your P. O. Box as your location Street Address City/State/Zip Sole Proprietor Owners Name Last Middle Initial First Phone Number Social Security Number Corporations and Limited Partnerships For incorporated and limited partnerships only. If incorporated attach a copy of your State Charter Certificate please list all officers of corporation* OFFICERS 1. O. Box as your location Street Address City/State/Zip Sole Proprietor Owners Name Last Middle Initial First Phone Number Social Security Number Corporations and Limited Partnerships For incorporated and limited partnerships only. If incorporated attach a copy of your State Charter Certificate please list all officers of corporation* OFFICERS 1. Name Title SSN Address Home Phone Description of activity of business I certify to the best of my knowledge the above information is true and correct. .

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