| Important: An application for a Business License my not be considered PRIMA FACIE that the applicant(s) is/are entitled to a license. All payments and fees must be in the form of a personal check, corporate check, money order, cashier's check, or certified check made payable to: The Town of Capitol Heights. No cash accepted. Please answer the following questions: |
| Owner Name(s) : (*) |
Please enter your first and last name. |
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| Home Telephone Number : |
Please enter a valid phone number (###-###-####). |
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| Mailing Address : (*) |
Please enter a valid mailing address. |
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| City and State : (*) |
Please enter your city and state. |
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| Type of Business : (*) |
Please enter the type of your business. |
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| Business Name : (*) |
Please enter the address of your business. |
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| Business Telephone Number : (*) |
Please enter a valid phone number (###-###-####). |
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| Expected Annual Revenue : (*) |
Please enter a valid number. |
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| Will the applicant have a financial interest in the business to be conducted under this license, if issued? (*) |
Please select an option. |
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| Is the business to be conducted under the license tied in any manner to a franchise agreement, a chain store operation or supermarket? (*) |
Please select an option. |
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| State whether the applicant has ever been convicted of a felony, or has been adjudged guilty of violating the laws of the State of Maryland or adjudged guilty of any offense against the laws of the United States. (*) |
Please select an option. |
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| If yes, please explain : |
Invalid Input |
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| Will people other than the licensee operate the business under the license for which you are applying? (*) |
Please select an option. |
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| If yes, please explain : |
Invalid Input |
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| Has the applicant ever been denied a license in the Town of Capitol Heights, or elsewhere to operate a business? (*) |
Please select an option. |
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| If yes, please explain : |
Invalid Input |
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| Please indicate your days of operation. Check all that apply. (*) |
Please check at least one day. |
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| Please indicate your hours of operation : (*) |
Please enter your hours (#:##-#:##) |
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| How many employees will your company hire? (*) |
Please enter a valid number. |
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| Do you presently have a use and occupancy license? (*) |
Please select an option. |
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| If yes, please attach a copy. If not, please give an indication as to when you will obtain one. A Use and Occupancy License is necessary for the operation of a business. |
Invalid Input |
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| Attach your Use and Occupancy License. |
Invalid Input |
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| If your business is a food establishment, have you applied for and obtained a Health Permit? (*) |
Please select an option. |
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| If not, please give an indication as to when you will obtain one. |
Invalid Input |
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| Please attach a copy of last year's income tax statement certified by your public accountant or financial advisor. In lieu of this you may provide a copy of your business Federal or State Tax Return for the previous year. (*) |
Please attach your document. |
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| Please enter the characters : |
 RefreshPlease enter the characters above. |
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| You cannot submit your application without agreeing! |
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