Business Registration Application Dec 10, 2019 Buisness Registration Application Please Check One New Application Change of Owner or Manager Change of Address Change of Buisness Name The undersigned hereby requests a registration to conduct business in The City of Geneseo Business Name * Corportate Name * Business Location * Mailing Address * Phone * Email * Number of Buildings at Location * Ownership: Corporation Corp-Ltd Liability Partnership Sole Proprietor Trust Hours Of Operations Please type your hours of operation below * Enter below names of owners, partners, or corporate officers 1st Business Owner * Phone * Address * Email * 2nd Business Owner Phone Address Email Building Owner Building Owner (if different from business owner) Phone Address Email Emergency Contact Information Local Contact Name * Phone * Address * Email * Additional Keyholders to Business Keyholder Name Phone Keyholder Name Phone Security Information Is there an alarm system? * Yes No Alarm company name Address Phone number Is the alarm system registered with Police Department? Yes No N/A Are there dogs or other animals on premise after hours? * Yes No What breed and where are they located on the premises? * Are there any hazardous materials on the premises? * Yes No List hazardous materials * Employee Information Please list number of Employee's at location Identification Information State Sales Tax # Federal ID # Are there any apartments above the business? * Yes No Contact information for apartment occupants * Occupancy Load Best way to contact me: Call Text Email Signature of Owners and Date Submit
