Business License Application
Step 3:
Fill out Business Information Online
CITY OF FAIRFAX
William Page Johnson, II
APPLICATION AND PAYMENT DUE BY MARCH 1
OR WITHIN 30 DAYS OF STARTING BUSINESS
*
Indicates Required Information
Period Beginning
Period Ending
Date Business Began in City
*
Federal ID. or Social Security #
*
xx/xx/xxxx
xx/xx/xxxx
xx/xx/xxxx
Select ID
Federal ID
Social Security #
No Dashes, hyphens, Spaces
Business Type:
*
- - - Choose One - - -
Individual
Partnership
Corporation
Association
Applicant's Name:
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Trade Name:
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Mailing Address:
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City:
*
State:
*
; Zip Code:
*
Business Address:
*
Business Telephone:
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Business Fax #:
E-Mail:
Do you rent or lease these business premisis?
Yes
No
If
yes
, Please fill out the following:
Mailing Address:
City:
State:
; Zip Code:
Business Address:
Amount of Annual Rent $:
- - -
Yes
*
Oath: I, the undersigned applicant do swear (or affirm) that the foregoing figures and statements are true, full and correct to the best of my knowledge and belief.
Applicant First Name:
*
Applicant Last Name:
*
Applicant Phone Number:
*
*
Indicates Required Information