Company Name:

Entity Type:

Domestic "Home" State:

Please select the State(s) you wish to order a Business License or Permit for:

Describe the type of Business Activity your Company conducts (ie. products and/or services):

Do you have employees working for you?

Yes

No

Number of Employees:

Is this a home based business?

Yes

No

Will you be conducting business under a
name other than your legal business name?

Yes

No

Name:

Is this an existing business?
(if new business choose no)

Yes

No

Please list the licenses and permits you have previously filed:

Select the Industry that best describes the Nature of your Business:

Object reference not set to an instance of an object.