City of Page | Vacation Home Rental/Bed & Breakfast Renewal

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Vacation Home Rental/Bed & Breakfast Business Registration Renewal

(No fee due)

It is time to renew your Vacation Home Rental/Bed & Breakfast Registration. Please enter your business information in the required fields below, denoted with a red asterisk.

Date: *

Legal Business Name: *

DBA Business Name: *

Registration #:

If there have been any changes to your Business Registration information please fill them out in the necessary fields below.

*ONLY FILL FIELDS THAT NEED CHANGING*

*If there are no changes, scroll down to signature and submit*

Business Information:

Legal Business Name:

DBA Business Name (if different):

Physical Address

City:

State:

Zip:

Phone

Email Address:

Business Type:

Sole Proprietorship

LLC

Corporation

S CORP

LLP

Other

Arizona Transaction Privilege Tax Number (TPT):

Employer Identification Number (EIN):

Mailing Address:

City:

State:

Zip:

Type of Business or Goods/Wares/Merchandise/Services to be Sold

Owner Information:

Full Name:

Mailing Address:

City:

State:

Zip:

Phone

Email Address:

On-Site Manager/Emergency Contact

Phone

Alternate Emergency Contact:

Phone

Do You Store Hazardous Materials?

Yes

If Yes, Please Describe

North American Industry Classification System Code (NAICS)

Please confirm your signature by typing your full name in the box below.

I agree this is a legal representation of my signature for all purposes just the same as a pen-and-paper signature.