BUSINESS LICENSE REGISTRATION APPLICATION
[Pages:1]CITY OF BALTIMORE DEPARTMENT OF FINANCE BUREAU OF REVENUE COLLECTIONS
Catherine E. Pugh Mayor
Miscellaneous Tax/License Unit 200 Holliday Street, 1st Floor, Rm 3 410-361-9690COBBusinessLicense@
Henry Raymond Director of Finance
BUSINESS LICENSE REGISTRATION APPLICATION
LICENSE YEAR__________________________
AMOUNT ENCLOSED_____________________
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.
PLEASE PRINT OR TYPE INFORMATION
SDAT BUSINESS NAME AND ACCOUNT NUMBER
PHONE #
OWNER'S NAME
BUSINESS ADDRESS MAILING ADDRESS TYPE OF LICENSE
ZIP CODE ZIP CODE
LICENSE TITLE ANTIQUE DEALER CONSIGNMENT GOODS EMPLOYMENT AGENCY JUNK DEALER/SCRAP METAL DEALER MUSEUM MASTERS SECONDHAND DEALER MASTER CONSIGNMENT GOODS RETAIL MOTOR FUEL TICKET AGENCY GOING OUT OF BUSINESS
FEE $50.00 $50.00 $250.00 $475.00 $165.00 $50.00 $50.00 $150.00 $250.00 $100.00
LICENSE TITLE BOWLING ALLEY (per lane, $100 min) DANCE ACADEMY HALL OR SPORTS CENTER MOTION PICTURE THEATER FOR PROFIT THEATER MASTERS ANTIQUE DEALER POLES SECOND HAND DEALER TOWING SERVICE (per vehicle)
FEE $40.00 $50.00 $165.00 $165.00 $165.00 $50.00 $50.00 $50.00 $100.00
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 _______________
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