Business Start Date (Required):
Select a Start Date to continue with form
Business Information
Business name (Required):
    Business legal name (Required):
      Telephone number (Required):  
        Fax number (Optional):
          Describe your business activity (Required):
            Contact name (Required):
              Contact e-mail address (Required):
                (This is the control # assigned by the Secretary of State’s office)
                  Sales Tax Number (Required):
                    Applied For
                    Not applicable
                    Federal Employer ID number (Required):
                      Applied For
                      Not applicable
                      Business Address
                      Mailing Address
                      Address line 1 (Required):  
                        Address line 2 (Optional):  
                        City (Required):  
                          State (Required):  
                          Zip code (Required):  
                            Location Address (Or Jobsite Address)
                            Location Address Same As Mailing Address
                            Owner Information
                            Owner 1
                             
                            Identification Number (Required):  
                              First name (Required):  
                                Middle initial (Optional):
                                Last name (Required):  
                                  Legal Name (Required):  
                                    Owner 1 Address
                                    Home phone (Required):  
                                      E-mail address (Required):  
                                        Confirm E-mail address (Required):  
                                          Payment Information
                                          Name (Required):  
                                            Payment Address Same As Business Mailing Address
                                            Home phone (Required):  
                                              Work phone (Optional):
                                                E-mail address (Required):  
                                                  Confirm E-mail address (Required):  

                                                    Your business address is not valid. Are you applying as a contractor?


                                                    Are you located out of state?


                                                    Please enter a project location address/job site address
                                                    that is located in Davidson County.


                                                    Your application cannot continue. Please contact the Clerk's Office for more information.
                                                    You will now be re-directed to the front page.

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