OUT OF TOWN BUSINESS LICENSE APPLICATION

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OUT OF TOWN BUSINESS LICENSE APPLICATION BUSINESS LICENSE FEES MUST ACCOMPANY APPLICATION For questions pertaining to this application, please call (520) 316-6851 Please Read Carefully, Incomplete Applications Will Not Be Processed Please type or print. Answer each question. If questions are not applicable, put N/A in the appropriate space. Attach a copy of your Arizona Transaction Privilege (Sales) Tax (TPT) License, if your type of business is required to collect and remit sales tax. If the City of Maricopa is not included as a Program City on your current TPT License, you must contact the Arizona Department of Revenue at (602) 542-4576. The business license will not be issued until the Applicant has updated their TPT License with the State. Contractors must submit a copy of their Arizona State Registrar of Contractor s License. If you are a corporation or limited liability company, please provide a copy of your Certificate of Good Standing and a copy of your Federal Employer Identification Number. If registered trade name, please submit a copy of your Certificate of Trade Name. If liquor is involved, you must apply with the Arizona Department of Liquor Licenses and Control. The fee for your business license will be an additional $100.00 per year. The owner shall inform the City of Maricopa of any changes in his/her business activities or uses thirty (30) days prior to such change. If the business becomes inactive, you are responsible to notify the City in writing that you are no longer conducting business in the City. Attach a copy of the Pinal County Health Card if you are selling edible foodstuffs. The business license must be on display in the licensee s place of business. A business license must be issued within 45 days from receipt of Application. A license must be issued before you can lawfully engage in business in Maricopa. Issuance of a Business License by the City of Maricopa shall in no way be construed as permission to operate a business activity in violation of any other law or regulation to which such activity may be subject. ATTENTION APPLICANT: Issuance of a business license by the City of Maricopa does not permit full occupancy of the proposed location. The applicant is required to contact building safety for necessary permits/inspections. City of Maricopa Business License Fee Schedule: The annual Business License Transaction Fee is $50.00. The fee is prorated to ½ a year. All licenses after June will be $25.00. All licenses expire December 31 st of each year. The license renewal fee is $50.00 and must be paid prior to January 15 th to avoid a penalty fee. January $50.00 February $45.83 March $41.67 April $37.50 May $33.34 June $29.17 July-December $25.00 In addition to the $50.00 renewal fee, every person or entity applying for a spirituous liquor license, shall tender to the City a fee of $100.00. Any person applying for a new pawnbroker license shall pay an additional application fee of $1,000.00. Pawnbrokers shall pay an additional business license renewal fee of $500.00. For information regarding a Transactional Privilege Tax License please visit the Arizona Department of Revenues website at www.azdor.gov or you may contact them at (602) 542-4576.

REGULATORY BILL OF RIGHTS This past legislative session (Fiftieth Legislature, First Regular Session), the Arizona Legislature passed Senate Bill 1598. This Regulatory Bill of Rights went into effect on July 20, 2011 (with full implementation on December 31, 2012). The rights afforded private regulated parties under the new law are provided below. A.R.S. 9-832: REGULATORY BILL OF RIGHTS TO ENSURE FAIR AND OPEN REGULATION BY CITIES, A PERSON: Is eligible for reimbursement of fees and other expenses if the person prevails by adjudication on the merits against a city in a court proceeding regarding a city decision as provided in A.R.S. 12-348. Is entitled to receive information and notice regarding inspections as provided in A.R.S. 9-833 (effective June 30, 2012). Is entitled to have a city not base a licensing decision in whole or in part on licensing conditions or requirements that are not specifically authorized as provided in A.R.S. 9-834. May have a city approve or deny the person s license application within a predetermined period of time as provided in A.R.S. 9-835 (effective December 31, 2012). Is entitled to receive written or electronic notice from a city on denial of a license application (effective December 31, 2012). o That justifies the denial with references to the statute, ordinance, regulation, Delegation Agreement or authorized substantive policy statement on which the denial is based as provided in A.R.S. 9-835. o That explains the applicants right to appeal the denial as provided in A.R.S. 9-835. Is entitled to receive information regarding the license application process at the time the person obtains an application for a license as provided in A.R.S. 9-836. May inspect all ordinances, regulations, and substantive policy statements of a city, including a directory of documents, at the offices of the city as provided in A.R.S. 9-837. Unless specifically authorized, may expect cities to avoid duplication of other laws that do not enhance regulatory clarity and to avoid dual permitting to the maximum extent practicable as provided in A.R.S. 9-834. May file a complaint with the City Council concerning an ordinance regulation or substantive policy statement that fails to comply with A.R.S. 9-832.

OUT OF TOWN BUSINESS LICENSE APPLICATION Check One: ( ) New Business ( ) Existing Business ( ) Change of Ownership ( ) Location Change ( ) Business Name Change ( ) Other: SECTION I. BUSINESS INFORMATION Business Name: Physical Address: City: State: Zip Code: Mailing Address: City: State: Zip Code: Name of Contact: Title: Phone Number: ( ) Email Address AZ Transaction Privilege Tax License Number*: Contractor s License No.*: Business Type: ( ) Retail Sales ( ) Wholesaler ( ) Amusement ( ) Construction Contracting ( ) Restaurant/Bar ( ) Manufacturer ( ) Commercial Rental ( ) Residential Rental (# of units ) ( ) Hotel/Motel ( ) Service Describe Nature of Business which includes a narrative description of the goods or services to be provided: *Must include a copy of the License(s). SECTION II. APPLICANT INFORMATION: Owners, Partners, LLC Members and Officers, Corporate directors and Officers (For Additional Names, Please Attach List) Owner or Corporate/LLC Name and Title Home Address City, State Zip Code Name Title Home Address City, State Zip Code Check One: Do you own your business location? ( ) Yes ( ) No; If no, complete Landlord/Property Manager information. Landlord/Property Manager: Name Address Phone No. I certify that the statements made in this application are true and complete to the best of my knowledge. I accept the license authorized and issued in response to this application with the condition that I report timely and pay any and all taxes due by me to the City. I understand that incomplete applications may not be processed. Print Name Signature Title Date FOR OFFICE USE ONLY License Fee Receipt# License# Zoning Fire Dept. Building Comments

Non-Sole Proprietors Only REQUIRED SUPPLEMENTAL INFORMATION Licensing Eligibility Verification Form Non-Sole Proprietor Complete and return with your City of Maricopa Business License Application A.R.S. 41-1080 requires as a condition of issuing a business license verification of legal immigration status of the applicant through the production of identification listed in the statute. To satisfy the requirements of A.R.S. 41-1080 in situations where the applicant is not a sole proprietor, you must verify the applicant s compliance with the requirements of A.R.S. 41-4401 (E-Verify). By completing and signing this form, applicant shall attest that it meets all conditions contained herein. Failure to complete and submit this form on or before the requested date to the above cited address and/or the falsification of any information provided herein shall subject the applicant to revocation of the business license. Business License # (if for renewal): Name (as listed on the business license): Street Name and Number: City: State: Zip Code: I hereby attest that the applicant complies with the Federal Immigration and Nationality Act ( FINA ), all other federal immigration laws and regulations, and A.R.S. 23-214 related to the immigration status of its employees. Signature of Applicant or Authorized Designee: Printed Name: Title: Date (month/day/year):

Individuals and Sole Proprietors Only REQUIRED SUPPLEMENTAL INFORMATION Licensing Eligibility Requirement (A.R.S. 41-1080) Full Name (Last, First, Middle): Business Address (as shown on license or application): City: State: Zip Code: On May 1, 2008, Governor Napolitano signed Laws 2008, Ch. 152 (House Bill 2745) into law. The new law contains a licensing eligibility section (A.R.S. 41-1080) preventing a state/city agency from issuing a (new or renewed) license to an individual unless the individual has provided the agency with one of the forms of identification listed in the law. To become or remain eligible for a license, complete this form, staple or photocopy showing both sides of your identification to the back, and return with your City of Maricopa Business License Application. Failure to complete and submit this form (and attached form of identification) to the cited address and/or the falsification of any information provided herein shall subject applicant to denial, cancellation, or revocation of the business license. Only provide one of the following forms of identification (check the box next to the one you are submitting): 1. An AZ driver s license issued after 1996 or an AZ non-operating identification license. 2. A driver s license issued by a state that verifies lawful presence in the U.S. (licenses from HI, IL, ME, MD, NM, TX, UT and WA are not acceptable). 3. A birth certificate or delayed birth certificate issued in any state, territory or possession of the U.S. 4. A U.S. certificate of birth abroad. 5. A U.S. passport. 6. A foreign passport with a U.S. visa. 7. An I-94 form with a photograph. 8. A U.S. citizenship and immigration services employment authorization document or refugee travel document. 9. A U.S. certificate of naturalization. 10. A U.S. certificate of citizenship. 11. A tribal certificate of Native American blood. 12. A tribal or Bureau of Indian Affairs affidavit of birth. By my signature below, I hereby certify, under penalty or perjury, that the copy of the document I am providing is a true and accurate copy of the original document and that I am legally authorized to be present in the United States. Full Signature of Licensee Date

Completion Checklist for Out of Town Business License Applications Yes No n/a Did you complete all the Out of Town Business License Application page questions? Did you sign the Out of Town Business License Application page? Is a copy of your Arizona Transaction Privilege (Sales) Tax ( TPT ) attached? Did you attach supplemental documents (i.e. ROC License, Certificate of Good Standing, Federal EIN? For NON-SOLE Proprietors, did you complete the Licensing Eligibility Verification Form Non Sole Proprietors? For INDIVIDUALS AND SOLE Proprietors, did you complete the Licensing Eligibility Requirements Form? Do you have payment for the correct fee? Items to Submit: 1. Completion Checklist; 2. Out of Town Business License Application; 3. Licensing Eligibility Verification Form for EITHER a) Non-Sole Proprietor OR b) Individuals & Sole Proprietors; 4. Arizona Transaction Privilege (Sales Tax ( TPT ) License, if your type of business is required to collect and remit sales tax; 5. Supplemental documents (i.e. Arizona State Registrar of Contractor s License, Certificate of Good Standing, Federal EIN, etc.); and 6. Payment.