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Business License Application

Instructions:

1. All municipalities are required to obtain a copy of individual / entities board certifications / permits prior to issuance of a business license. For a list of certifications, please visit our website here

2. To determine license fee due see a full schedule listing at www.revds.com or email our Business License Department at bizlicensesesupport@revds.com with any questions or call 800-556-7274. Fax documentation toll free to 844-528-6529

Federal Employer Identification No.(FEIN): *

Social Security No: *

No of Employees: *

Describe business conducted:

Legal Business Name:

Trade Name/DBA:

Email: *

Mailing Address: *

City: *

State: *

Zip: *

Physical Address:

City:

State:

Zip:

Telephone Numbers

Business:

Home

Cell:

Fax:

Contact Person Name:

Phone

Title:

Business License Calculation Grid(online filing available at https://rds.bizlicenseonline.com/)

Police Jurisdiction Definition: The area outside of the incorpated municipality limits as defined by local ordinance. Businesses physically located
in the police jurisdiction are subject to purchase a business license per the municipality's ordinance at one-half the normal rate, if applicable.
Please check the box if you are in the police jurisdiction but not in the incorporated city limit.

Column A	Column B	Column C	Column D	Column E	Column F	Column G
Report all types of business conducted		Units Required if Fee is based upon a "number" of units ie. days, machine, etc		Add Column E & F. Enter Total in Column G and then add down for Total Due
laSchedule No.#/ Code	Type of license	Gross Receipt	Unit Amount	Flat/Base Fee	Additional Amount Due Based On Calculation	License Fee Due

Penalty Information: 15% penalty due February 1st plus 1% interest. Additional 15% penalty due March 2nd plus interest according to Section 40-1-44

Calculate Penalty (if applicable):
Calculate Interest (if applicable):
Issuance Fees:
Total Due:

Make Check Payable To: Tax Trust Account Mail To: Avenu Business License Dept. PO Box 830900 Birmingham, Alabama 35283-0900

Sworn Statement: I hereby swear that the amount of capital invested or value of goods, stocks, furniture and fixtures or amount of sales and receipts as required for disclosure in order to obtain a business license has been examined by me and to the best of my knowledge is true, correct, and complete. I understand issuance of license does not permit business operation unless business is property zoned, and/or in compliance with all applicable laws/rules.

Signature:

Date:

Telephone No: *

Print Name:

Title

Email: *

Returned Check Disclaimer: Effective July 1, 2010, each returned item received by Avenu due to insufficent funds will be electronically represented to the presenters' bank no more than two times in an effort to obtain payment, Avenu is not responsible for any additional bank fees that will be accrue due to the resubmission of the returned item. Please see the full returned chech policy at www.revds.com/taxpayer/return-check-disclaimer.