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Business License Application

Steps

1. Step One This section is complete This section is incomplete
2. Business Details This section is complete This section is incomplete
3. Tax Information This section is complete This section is incomplete
4. Property Owner This section is complete This section is incomplete
5. Property/Landlord Information This section is complete This section is incomplete
6. License Fees This section is complete This section is incomplete

Step One

BUSINESS INFORMATION
You must have all required County and State licenses and permits necessary for the operation of your business, and you must be in compliance with all applicable County and State laws and regulations. The items listed must accompany this application. All forms must be completely filled out and signed.
Business Name*
Agent's Names
Business Address*
Agent's Address
Business Contact Number*
Agents Address
Business Email Address*
Agent's Email Address
Emergency Contact Name*
Emergency Contact Number*
Check One*
1. New Business
1. Renewal/Existing Business
Describe the activities of the new business:
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Business Details

1. Is the business currently open?*
2. Will the applicant have a financial interest in the business to be conducted under the license?*
3. Previous year business license paid?*
4. Will other people other than the licensee operate the business under the license for which you are applying? If no, please explain:*
4A. Explain below:
5. Has the applicant ever been denied a license in the Town of Capitol Heights, or elsewhere to operate a business? If yes, explain:*
6. How many employees do you employ at this location?*
7. Does the business sell food or beverages?*
8. Will the business sell already prepared food?*
9. Will the business serve alcoholic beverages? If yes, what type?*
9A. Explain below:
10. Arrangements for trash collection:*
11. Passed physical inspection? (If no, attach detailed description and pictures)*
11A. Describe below:
11B.
Attach picture(s); if applicable
12. Complaints or outstanding issues, etc.? (If yes, attach detailed description and pictures)*
12A. Describe below:
12B.
Attach pictures; if applicable
13. Type of trash that will be generated, and amount each week:*
If you have made arrangments with a private contractor, please attach a copy of your trash collection contract or a notarized statement that you will personally remove the trash.
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Tax Information

14. Expected Annual Revenue:*
15. Is the business currently open? *
16. Previous year, Business Personal Property Tax paid?*
17. Tax Preparer's Name:
First Name*
Last Name*
18. Tax Preparer's Address:
Address1*
Address2
City*
State*
Zip*
19. Tax Preparer's Contact Number:*
20. Tax ID No.:
TERMS OF ACCEPTANCE AND SIGNATURE
I, the tax preparer, warrant the truthfulness of the information provided in this application.
Electronic Signature:*
Please type your First and Last Name
Terms of Acceptance*
1. I understand that checking this box constitutes a legal signature confirming that I acknowledge and agree to the above Terms of Acceptance.
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Property Owner

Property Owner' s Name:
First Name*
Last Name*
Property Owner's Address:
Address1*
Address2
City*
State*
Zip*
Property Owner's Phone No.:*
Email:
Is the business incorporated? *
If yes, the officers of the corporation are:
Name
Office (i.e., President, Treasurer)
Address
Phone
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Property/Landlord Information

Landlord/Agent's Name:
First Name*
Last Name*
Landlord/Agent's Address:
Address1*
Address2
City*
State*
Zip*
Landlord/Agent's Phone No.:*
Email:
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License Fees

Type of business license fee:*
Administration fee:*
TOTAL Business License Fee:*
Banks and Financial Institutions
$500.00
Peddlers, Solicitors
$300.00
Professional Services-Each Professional
$500.00
Real Estate Services-Each Sale/Sign
$250.00
Coin Operated Machines-Each Machine
(i.e., coin-operated pinball, video or other entertainment devices; billiard or pool tables; bowling alleys; gaming tables or boards, when operated for public use)
$150.00
Specify number and types of devices, tables, etc. (such as 2 billiard tables, 5 video games): (write in space below)
All other Businesses-First Year of Operation
$250.00
Gross Receipts under $25,000 to $100,000
$300.00
Gross Receipts $100,000 to $500,000
$400.00
Gross Receipts $500,000 to $750,000
$500.00
Gross Receipts $750,000 to $1,000,000
$600.00
Gross Receipts in excess of $1,000,000
$1,000.00
Non-Profit Organizations, Exclusively Religious, Charitable or Educational
No Fee
Any business whose license fee is based on annual gross receipts shall furnish the Town Administrators a financial statement or such other proof of gross receipts as the Mayor and Council may require at the time of filing application for a license. In the event of failure or inability to furnish proof of gross receipts within 15 days after application for license has been filed, the fee shall be based on the highest gross receipts level.
Business licenses shall be vsild for one year from July 1 through June 30, and must be renewed by August 15, annually. Fees not paid by August 15 with be subject to a 20% late fee for each quarter the fee is late.
I certify that the statements in this application are true and complete to the best of my knowledge. I understand that the Town business license may not be assigned or transferred without prior approval of the Town Administrator. I further understand that the license, if granted, must be prominently displayed on the premises where it will be visible to keep the area immediately surrounding my business neat and clean at all times.
IF THIS IS A RENEWAL APPLICATION, I certify that I have not omitted information that has changed from the previous application. A license will not be approved unless all outstanding fees have been paid and the business is inspected and passes inspection.
TERMS OF ACCEPTANCE AND SIGNATURE
I, the applicant, warrant the truthfulness of the information provided in this application.
Electronic Signature*
Please type your First and Last Name
Terms of Acceptance*
1. I understand that checking this box constitutes a legal signature confirming that I acknowledge and agree to the above Terms of Acceptance.

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1. Receive an email copy of this form.
Email address

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Business License Application

Steps

Step One

Business Details

Tax Information

Property Owner

Property/Landlord Information

License Fees

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