Application for Business Privilege License

Township of Springfield, Delaware Co., PA - (610) 544-1

Application is hereby made for a BUSINESS PRIVILEGE LICENSE for 2015 as required by Ordinance No. 1024, dated January 8.

Note that this form is for permanent business operating in Springfield. Outside Contractors must fill out the Contractor's Business Privilege License Application here.

Date *

Applicant Information

Applicant First Name

Applicant Last Name

Applicant Phone *

Applicant Email *

Business Information

Name Under Which Business is Conducted *

Business Phone *

Business Email *

Address Under Which Business is Conducted *

Question text *

Business State *

Business Zip *

Business is: *

Incorporated Partnership Individual

Number of Employees at this location: *

Nature of Business (describe fully): *

Mailing Address for sending of all future correspondence and tax forms

Same as Business Address? *

Yes No

Mailing Address *

Question text *

Business State *

Business Zip *

Application for Business Privilege License

Township of Springfield, Delaware Co., PA - (610) 544-1

Owner Information

Please Provide Names, Addresses, Phone Numbers, and Email Addresses for all True Owners. To list an additional owner, click 'Add

First Name *

Last Name *

Phone Number *

Email Address *

Address *

Question text *

Business State *

Business Zip *

Cardholder First Name *

Cardholder Last Name *

Application for Business Privilege License

Township of Springfield, Delaware Co., PA - (610) 544-1

Applicant Information

Business Information

Application for Business Privilege License

Township of Springfield, Delaware Co., PA - (610) 544-1

Owner Information

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