OFFICE USE ONLY 
                                                                                                          Sales Tax (MQO)    Y N 
                                                                                                          Lease/Rental Tax    Y N 
                              CITY OF HOOVER, ALABAMA                                                     Lodgings Tax        Y N 
                                                                                                          Residential Rental  Y N 
                                       REVENUE DEPARTMENT                                                 Location Code 
                                       2020 Valleydale Road P.O.      Box 360628                         Schedule Number  
                                          Hoover, Alabama 35236-0628 
                                              Phone :     (205) 444-7516  
                                       Email: revenue@hooveralabama.gov 
                                            www.hooveralabama.gov 

              APPLICATION FOR CITY BUSINESS LICENSE & TAXES 

                            (Name and address of application is Public Record) 
SELECT THE TYPE OF BUSINESS: 
MANUFACTURER                    FINANCIAL, INSURANCE, REAL ESTATE                         HEALTH SERVICES 
WHOLESALER                      TRANSPORTATION                                            PROFESSIONAL SERVICES 
RETAILER                        PUBLIC UTILITY                                            RESTAURANT 
CONSTRUCTION                    INTERNET GAMING                                           OTHER 

DESCRIBE BUSINESS: 

NAICS CODE : ______________ LOOK UP AT https://www.census.gov/eos/www/naics/          
Sales Representative:       Yes        No                 Delivery:    Common Carrier             Own Vehicle 
DATE BUSINESS BEGAN IN HOOVER: 
ESTIMATED ANNUAL GROSS RECEIPTS:                          FOR CALENDAR YEAR: 

SELECT THE TYPE OF ORGANIZATION: 
CORPORATION                     LIMITED LIABILITY COMPANY (LLC)                           PROFESSIONAL ASSOCIATION 
PARTNERSHIP                     SOLE PROPRIETORSHIP                                       OTHER (Specify) 
LEGAL BUSINESS NAME: 
TRADE NAME (D/B/A/) 
LOCATION OF BUSINESS: 
STREET NUMBER:                  NAME OF STREET, RD., etc. _ 
SUITE NUMBER:          CITY:                              STATE:                     ZIP: 
*Name of shopping center located in Hoover, if applicable:
PHONE NUMBER (local) ( )                                  FAX NUMBER ( ) 
CONTACT PERSON                                            PHONE NUMBER (emergency) (   ) 
                                          EMAIL ADDRESS 
MAILING ADDRESS (IF DIFFERENT): 
STREET NUMBER:                  NAME OF STREET, RD., etc. 
SUITE NUMBER:          CITY:                              STATE:                     ZIP: 
GIVE INFORMATION BELOW, WHERE APPLICABLE: 
SHELBY CO. HEALTH PERMIT #:                               FEDERAL I.D. TAX  #: 
JEFFERSON CO HEALTH PERMIT #:                             SOCIAL SECURITY # 

ELEC MASTER CARD #            PLUMBERS MASTER CARD #                   HVAC CARD # 
HOME BLDR CERT #:                           STATE GENERAL CONTRACTOR #: 

THE ISSUANCE OF THIS BUSINESS LICENSE SHOULD NOT BE CONSIDERED AS APPROVAL BY THE CITY 
OF THE LICENSEE’S LOCATION FOR ZONING PURPOSES. 
                                                          (OVER) 

COMPLETE THE SECTION THAT APPLIES TO THE TYPE OF ORGANIZATION OF YOUR BUSINESS. 

CORPORATION (Attach additional sheet if necessary) 
NAME/ADDRESS OF ALL OFFICERS OF CORPORATION                                TITLE           PHONE NO. 

LOCATION DATE OF INCORPORATION: 
OF INCORPORATION:  STATE:                                  COUNTY: 

PARTNERSHIP OR LLC (Attach additional sheet if necessary) 
                                                                                           SOCIAL SECURITY NO. 
                                                                                           OR 
         NAME/ADDRESS OF ALL PARTNERS                      TITLE                 PHONE NO. FEIN 

DATE OF FORMATION OF PARTNERSHIP OR LLC: 

SOLE PROPRIETOR 
         NAME/ADDRESS OF OWNER                             TITLE                 PHONE NO. SOCIAL SECURITY NO. 

COMPLETE AND ATTACH ADDITIONAL INFORMATION SHEET IF IS BUSINESS IS  LOCATED IN THE CITY OF HOOVER 

I hereby certify that all information is true and correct. 

DRIVER’S LICENSE #              STATE WHERE DRIVER’S LICENSE IS HELD 

         SIGNATURE                                                               DATE 

         TYPE OR PRINT NAME 

Comments 

                                                           OFFICE USE ONLY 

CLASS    AMOUNT           CLASS       AMOUNT                               PENALTY 

                                                                           ISSUANCE FEE 

                                                            CARD TRANSACTION FEE 

                                                                            TOTAL           _______________ 

REQUIRED ADDITIONAL INFORMATION FOR BUSINESSES LOCATED IN THE CITY OF HOOVER ONLY 
               BUSINESS LICENSE APPLICANTS 

1. TOTAL NUMBER OF EMPLOYEES_______________
2. NON-TAXABLE INTERNET SALES  YES_______NO_____ EST AMOUNT$________________

               Requested Local Contact Information 

This information may be used by a public safety official to contact a business representative when 
there is an incident that warrants their immediate attention. Examples include a fire incident, 
activation of a fire alarm or other fire protection system, or a public emergency. Local contact 
information (excluding home address information) may also be used for communications 
from the City of Hoover's Revenue or Economic & Community Development departments. 
**Home address information will only be used by public safety officials when there is an urgent 
incident at the business location or area and attempts to make contact by telephone are 
unsuccessful** 

Name (Last, First): _________________________________________Title:_____________________________________  

Business E-mail Address: ______________________________________________________________________________ 

Daytime Telephone #_______________________ After-Hours Telephone #:_____________________________________ 

Home Address: _______________________________________________________________________________________      

______________________________________________________________________________________________________ 
BUSINESS TRADE NAME(DBA) ON LICENSE APPLICATION 

_______________________________________       ______________________________ 

  SIGNATURE OF OWNER OR REPRESENTATIVE DATE