Business License Application
Step 3:
Fill out Business Information Online
CITY OF FAIRFAX
William Page Johnson, II
APPLICATION AND PAYMENT DUE
WITHIN 30 DAYS OF STARTING BUSINESS
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Indicates Required Information
Date Business Began in City
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Federal ID. or Social Security #
*
xx/xx/xxxx
Select ID
Federal ID
Social Security #
No Dashes, hyphens, Spaces
Business Type:
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- - - Choose One - - -
Individual
Partnership
Corporation
Association
Entity Name:
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Trade Name:
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Nature of Business:
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Mailing Address:
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City:
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State:
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Zip Code:
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Business Location:
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(Must be CITY ADDRESS please include Suite/Apt# and Zip Code)
(Contractors with headquarters outside the City write Various Locations)
Business Telephone:
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Business Fax #:
Business E-Mail:
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Do you rent or lease this business location?
Yes
No
If
YES
, please provide name of your landlord and mailing address:
Name:
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Mailing Address:
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City/State/Zip:
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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.
Name:
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Email:
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Phone #:
*
*
Indicates Required Information