BUSINESS LICENSES

CITY OF WILMORE

334 E. MAIN ST.
WILLMORE, KENTUCKY 40390
TELEPHONE:(859)858-4411
FAX:(859)858-3595
Name Of Business or DBA*
Account Number*
Owner(s)*
FEIN*
Social Security Number
Business Address*
City*
State*
Zip/Postal Code*
Consent
Check box if mailing address is the same as above.
Mailing Address*
City*
State*
Zip/Postal Code*
Nature Of Business*
Date Business Started or Will Start In Wilmore*
Date Format: MM slash DD slash YYYY
Phone*
Alternate Phone Number*
Fax*
Email*
Website Address
Form Of Business*
- Individual Owner
- Corporation
- Partnership
- SubS Corp
- Fiduciary
- Non-Profit Corp
- Government
- Other (describe)
Describe*
Was business acquired from previous licensee?*
- Yes
- No
Who?*
Do you have employees working within the city limits?*
- Yes
- No
How Many?*
If working temporarily within the city limits, give dates:*
Date Format: MM slash DD slash YYYY

From
If working temporarily within the city limits, give dates:*
Date Format: MM slash DD slash YYYY

Until
Job Site*
Consent*
I hereby certify that the information provided is true and accurate to the best of my knowledge.*
Please remit $50.00 application fee with this application by January 31st, On February 1st a $25.00 late penalty fee will be added to the Business License Fee.
Signature*
Date*
Date Format: MM slash DD slash YYYY
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Business License Form Download
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City Hall
210 S. Lexington Ave.