Application for Mercantile License

Application is hereby made for a MERCANTILE LICENSE for the year 2015 as required by Ordinance No. 850, dated November 24, 1970.

To complete the paper form instead, click here.

1. Name and Address (Springfield) under which business is conducted:

Business Name *

Business Phone Number *

Address *

City *

State *

Zip *

Is this address also to be used as the mailing address for all future correspondence and tax forms? *

Yes No

2. Check whether business is:

Incorporated Partnership Individual

Application is hereby made for a MERCANTILE LICENSE for the year 2015 as required by Ordinance No. 850, dated November 24, 1970.

3. Give Name / Names and Addresses of True Owners:

To add an Owner, click 'Add Owner'.

First Name *

Last Name *

Phone Number *

Email Address *

Address *

City *

State *

Zip *

Application is hereby made for a MERCANTILE LICENSE for the year 2015 as required by Ordinance No. 850, dated November 24, 1970.

4. Nature of Business (Describe fully), including what products you sell: *

5. Number of Employees at this Location: *

6. Mailing Address for all future correspondence and tax forms:

Address *

City *

State *

Zip *

Application is hereby made for a MERCANTILE LICENSE for the year 2015 as required by Ordinance No. 850, dated November 24, 1970.

Applicant First Name *

Applicant Last Name *

Applicant Email Address *

Applicant Signature

Application Date *

Payment Amount Due