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Business License
FEIN
ALA TAX #
Form of ownership
Sole Prop.
Corp.
LLC
Partnership
Prof. Assoc.
Other
Application Type
New
Owner Change
Name Change
Location Change
Legal Business Name
Trade Name (If different from above)
Brief Description
Physical Address
Street
City
State
Zip
Mailing Address
Street
City
State
Zip
Telephone
Business
Fax
Home Phone
Name/Phone # for Contact Person
Email
Date Business Activity Initiated or Proposed in Fayette
# Of Employees In Fayette
I Agree that all information above is accurate and true.
This document requires payment.
Amount
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