Basic Business License Application

Page 1 of 2 DC Department of Consumer & Regulatory Affairs Helpline 202. 442. 4400 dcra.dc.gov Basic Business License Application Purpose: Apply for a Basic Business License with the District of Columbia If you need help in your language, please call 202-442-4400. | 202-442-4400 | Si necesita ayuda en Espa361ol, por favor llame al 202-442-4400-le 202-442-4400. |202-442-4400| ? : 202-442-4400| Nu qu375 v cn gi372p bng ting Vit, xin gi 202-442-4400. Step 1 : Get your Corporate Registration & Employer ID Number business.dc.gov/startbusiness If you are applying as a Sole Proprietor with no trade name, you can skip this step. Step 2 : Get your Certificate of Occupancy or Home Occupancy Permit business.dc.gov/startbusiness Step 3 : Get your New Business Tax Registration MyTax.dc.gov Step 4 : Sign Here Clean Hands Statement: The District G overnment will not issue or reissue any license or permit if the applicant owes more than $100.00 in outstanding debt to the District of Columbia. I do not owe $100 or more to DC Government. I understand that anyone who makes a false statement on this form can be criminally prosecuted and fined under D.C. Official Code 22-2405. understand that DCRA may conduct an investigation to ascertain the veracity of theinformation contained herein. I further understand that if I knowingly provide false and/or misleading information on thisapplication, DCRA may immediately revoke each license and/or permit obtained as well as issue me a fine. Signature: Date : Print Name: Federal EIN or SSN: Step 5 : Complete Sections A D To complete this form online: mybusiness.dc.gov Section A: License Type Check all that apply. A full list and description of licenses is online at: bit.ly/DCRABBL . One - Family Rental Two - Family Rental General Contractor General Business Restaurant Delicatessen Other: Apartment Section B : Applicant Sole Proprietor Partnership Limited Liability Co. Corporation (For - Profit) Corporation (Non - Profit) Trust Owner or Entity Name: Registered Trade Name of Business applicable): : American LegalNet, Inc. www.FormsWorkFlow.com Page 2 of 2 DC Department of Consumer & Regulatory Affairs Helpline 202. 442. 4400 dcra.dc.gov Section C : Addresses Not in DC In my home Not in my home Home Occupancy Permit #: Certificate of Occupancy #: Date Issued : Date Issued : s Physical Address Address: City: State: ZIP: Phone: Email: My billing address is the same as my business location . If not, please provide your billing address . Billing Address: City: State: ZIP : Phone: Email: Section D : Point of Contact All businesses must have an Agent who can receive legal documents for your business. This person must be a DC resident. You may serve as your own Agent. Address : Washington, DC ZIP : Phone: Email: Step 6 : Submit your a pplication Visit the DCRA Business License Center with this form and payment (cash, check credit card, or money order)payable to DC Treasurer; Amex not accepted. You can find fees for each license by going to bit.ly/DCRABBL. A DCRA Business Center representative will calculate the final amount you owe during your visit. 1100 4th Street, SW, 2nd Floor, Washington, DC 20024 | Hours: M T W F, 8:30am - 4:00pm; TH, 9:30am - 4:00pm DC INSPECTOR GENERAL HOTLINE: If you are aware of corruption, fraud, waste, abuse or mismanagement involving any DC Government agency, official or program, contact the Office of the Inspector General (OIG) at 202-727-0267 or 800-521-1639 (toll free). All reports are confidential and you may remain anonymous by law. Government employees are protected from reprisals or retaliation by their employers for reporting to the OIG. The information you provide may result in an investigation leading to administrative action, civil penalties, or criminal prosecution in appropriate cases. NOTICE OF NON-DISCRIMINATION: In accordance with DC Human Rights Act of 1977, as amended, DC Code Section 2.1401.01 et seq., , age, marital status, sexual orientation, family responsibilities, matriculation, political affiliation, disabilities, source of income, or place of residence or business. Discrimination in violation of this act will not be tolerated. Violators will be subject to disciplinary action. American LegalNet, Inc. www.FormsWorkFlow.com