Transcription of BUSINESS LICENSE REGISTRATION APPLICATION
1 SDAT BUSINESS NAME AND ACCOUNT NUMBER PHONE # OWNER S NAME BUSINESS ADDRESS ZIP CODE MAILING ADDRESS ZIP CODE TYPE OF LICENSE LICENSE TITLE FEE LICENSE TITLE FEE ANTIQUE DEALER $ BOWLING ALLEY (per lane, $100 min) $ CONSIGNMENT GOODS $ DANCE ACADEMY $ EMPLOYMENT AGENCY $ HALL OR SPORTS CENTER $ JUNK DEALER/SCRAP METAL DEALER $ MOTION PICTURE THEATER $ MUSEUM $ FOR PROFIT THEATER $ MASTERS SECONDHAND DEALER $ MASTERS ANTIQUE DEALER $ MASTER CONSIGNMENT GOODS $ POLES $ RETAIL MOTOR FUEL $ SECOND HAND DEALER $ TICKET AGENCY $ TOWING SERVICE (per vehicle)
2 $ GOING OUT OF BUSINESS $ If you have more than one location that requires a LICENSE you may add that information on the reverse side. WE ARE NOT RESPONSIBLE FOR INCOMPLETE REGISTRATION FORMS FAILURE TO PROPERLY COMPLETE YOUR REGISTRATION FORM WILL DELAY THE PROCESSING OF YOUR LICENSE AND COULD RESULT IN YOUR BUSINESS BEING PLACED IN VIOLATION. If you have any question or need assistance please contact the Miscellaneous Tax/ LICENSE Unit at 410-361-9690. THE SECTION BELOW IS FOR OFFICE USE ONLY Date Received _____ Date Processed_____ Total Fee Paid _____ Initials of Processor _____ Catherine E.
3 Pugh Mayor CITY OF BALTIMORE DEPARTMENT OF FINANCE BUREAU OF REVENUE COLLECTIONS Miscellaneous Tax/ LICENSE Unit 200 Holliday Street, 1st Floor, Rm 3 410-361-9690 Henry Raymond Director of Finance BUSINESS LICENSE REGISTRATION APPLICATION L I C E N S E Y E A R_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
4 A M O U N T E N C L O S E D___ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Please complete this form to register or renew your BUSINESS LICENSE Remit your payment, a self addressed stamped envelope and a copy of your current State Traders LICENSE . P L E A S E P R I N T O R T Y P E I N F O R M A T I O N
