BUSINESS LICENSE APPLICATION/RENEWAL



|BUSINESS REGISTRATION APPLICATION |

|For the Town Of Star City |

|Please apply for all types of registration needed on this form. |

I hereby apply for a business registration to conduct the types of business noted below in the Town of Star City for the fiscal year of July 1 to June 30

( Attorney $ 5.00 HAWKERS & PEDDLERS

( Auctioneer $15.00 ( On Foot $10.00

( Barber/Beautician/Manicurist $25.00 ( Vehicle up to ½ Ton $15.00

( Hotel/Motel $10.00 ( Vehicle over ½ Ton $50.00

( Insurance Company $50.00 ( Circus/Carnival $10.00

( Physician/Surgeon/Podiatrist $25.00 VENDING MACHINES

( Restaurant $10.00 ( One to 19 Devices $12.50 Each

( Store, General* $15.00 ( 20 or More Devices $250.00

( Store, Special** $5.00 MUSIC/AMUSEMENT DEVICES

( Veterinarian $5.00 ( One to 19 Devices $12.50 Each

( Handyman Contractor $50.00 ( 20 or More Devices $300.00

BEER (non-intoxicating) BILLIARD/POOL TABLES

( Class A/Class B $100.00 ( First Table $25.00

( Distributor $250.00 ( Each Additional $15.00

WINE LAUNDROMAT/CAR WASH

( Distributor (Wholesale) $2500.00 ( 1 TO 5 Devices $15.00

( Retailer (Grocers) $150.00 ( 6 to 9 Devices $3.00 Each

LIQUOR ( 10 or more Devices $30.00

( Fraternal Non-Profit $375.00 OTHER

PRIVATE CLUB (________________________ $________

( Less than 1000 Members $500.00

( More than 1000 Members $1250.00

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|*“General Store” in this case shall mean and include any store/mercantile in which goods, wares, or merchandise of any kind is purchased, ordered, sold, |

|be it retail or wholesale, including tobacco or cigarettes. |

|**“Special Store” in this case shall mean and include any store/mercantile in which goods, wares, or merchandise of any kind EXCEPT cigarettes, tobacco, |

|or soft drinks is purchased, ordered, sold, offered for sale, either retail or wholesale AND which contains no coin-operated devices owned or operated by|

|the store proprietor. Special Store shall also be used for service businesses unless otherwise defined by another category. |

|All VENDING MACHINES (soft drink, gum, cigarette, etc) must be applied for by the proprietor or management at the time the store license is requested. |

|Applicants for BEER LICENSE must have questionnaire including signature and acknowledgement, along with a state beer license to be presented to the |

|business office at the time of application. |

| |

|Failure to secure a new license before July 1st will make you liable to punishment for operating without a license. |

|Failure to apply for a license after July 1st will make you liable to punishment PLUS a penalty of ten percent (10%) of the annual fee for each month or |

|fraction thereof delinquent. |

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|Business Name_____________________________________ Phone Number: ____________________________________ |

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|Business Address______________________________________________________________________________________ |

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|Mailing Address (if different)______________________________________________________________________________ |

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|Contact Name: (please PRINT)___________________________________Signature _________________________________ |

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|Registration Amount $_________________ |

|+ RECORDING FEE $___________.50___ TOTAL DUE $__________________________ |

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|+ Penalty $_________________ |

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