City of Radcliff. No If yes, to avoid complications, be sure they possess a current Radcliff business license.

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Radcliff City Hall 411 W. Lincoln Trail Blvd. Radcliff, KY 40160 New Business License Application Business Information Sole Proprietorship Partnership Corporation Type of Business: Legal Business Name: Location Address: Mailing Address: dba Name:(if app) Local Office Phone: ( ) Corporate Office: ( ) Owner(s) Name(s): Owner(s) Address: DOB: Owner Phone: ( ) Mobile: ( ) E-mail: Social Security #: Federal ID #: Contact Person: City of Radcliff Title: Have you ever had a business license in Radcliff? Yes No If yes, how long ago? Under what name? *A copy is required of any state license that is obtained in order to conduct business in the state of Kentucky* Examples: daycare provider, car dealer, medical/health care professional, etc. Do you/ or will you have employees working in Radcliff? Yes No If yes, the city has a 2% payroll withholding fee, due quarterly, that you need to be aware of. Do you/ or will you have sub-contractors working in Radcliff? Yes No If yes, to avoid complications, be sure they possess a current Radcliff business license. Phone: (270) 351-4714 Fax: (270) 351-7329 www.radcliff.org If you are a contractor involved in a construction project, such as remodeling, pool installation, etc., to determine your business license fee, the finance office requires your estimated gross receipts in advance for the period of the date of the license through the balance of the calendar year ending December 31 st. Estimated Gross Receipts: Per City Ordinance, All Other Businesses Must Pay $25.00 Minimum A business within city limits to be operated out of a home, must acquire a Home Occupation Permit. A business that is operated from a commercial location within the city, must acquire a New Business Location Permit. Applications are available at Planning & Development Dept., 2 nd floor, City Hall or at www.radcliff.org Planning & Development Personnel Signature Comments: I hereby certify that all statements on this application are true and correct to the best of my knowledge. I understand that if there are any changes in my business such as name change, owner change, phone number change, increase/decrease number of employees, move, close, or sell the business that I am required to notify the finance office to maintain up to date records. Signature: : Business will run on: Calendar Year Fiscal Year End

For Office Use Only Finance Office Official Application Received: Cash Check Amount Received: Check #: Comments: Correspondence

Emergency Information Sheet This information is forwarded to the Radcliff Police and Fire Departments for your protection. Please fill it out completely and update as necessary. Business Name: Business Address: Business Information Phone: Owner(s) Name(s): Address: Phone: ( ) Mobile: ( ) Emergency Contacts During Business Hours: After Hours Key Holders: Alarm Information Do you have an alarm? Yes No Alarm Company Name: Alarm Company Phone: ( ) Alarm type? Hold Up Perimeter Burglary FOR OFFICE USE ONLY: Account #: :

Helpful Information Internal Revenue Service (800) 829-1040 Call to inquire about Federal ID # / Tax Exempt # www.irs.gov Commonwealth of Kentucky (502) 564-3306 Revenue Cabinet www.kentucky.gov Perimeter Park West Frankfort, KY 40601 Call to inquire about state requirements Hardin County Clerk (270) 765-2171 14 Public Square www.hccoky.org Call to inquire about Elizabethtown/Hardin Co. requirements Hardin County Environmental Health Services (270) 769-0312 580-C Westport Road Call to inquire about food vending requirements Small Business Developmental Center (270) 765-6737 1105 Juliana Court, Ste 6 Call to inquire about Small Business Information City of Radcliff Planning & Development Department (270) 351-1875 411 W. Lincoln Trail Boulevard www.radcliff.org P.O. Drawer 519 Fax: (270) 351-5846 Radcliff, KY 40159-0519 Call to inquire about new business location and sign and/ or building permits City of Radcliff Finance Office (270) 351-4714 411 W. Lincoln Trail Boulevard www.radcliff.org P.O. Drawer 519 Fax: (270) 351-7329 Radcliff, KY 40159-0519 Call to inquire about business license, payroll withholding fees, commercial rentals, and residential rentals

Notes