CITY OF WILSON PRIVILEGE LICENSE/RENEWAL APPLICATION

Business Name: ______

Business Address: ______

Mailing Address: ______

Business Phone: ______Emergency Phone: ______

Federal ID Number or SSN: ______

Owner’s Driver License # ______Owner’s Date of Birth______

Type of Business: ______

Type of Entity: ( ) Individual ( ) Partnership ( ) Corporation

Exemption: 501c3#______( ) Charitable ( ) Blind ( ) Armed Forces/Merchant Marine

Instructions

·  Schedule A, Business Exemptions-The following business are exempt from licensure by either North Carolina General Statute or Wilson City Ordinance. Do not include revenue from these business activities when calculating gross receipts for Schedule D.

SCHEDUEL A EXEMPTIONS
Accountants / Chiropodist / Home Appliance Sales/Rental / Opticians / Real Estate Rentals
Alarm Dealers / Chiropractors / Insurance Company / Optometrists / Savings and Loan Associations
Alarm Monitoring / Computer Hardware Sales/Rental / Internet Admission Ticket Resellers / Osteopaths / Telecommunications
Architects / Cooperative Associations / Land Surveyors / Pest Control Applicators / Telephone Companies
Attorneys / Cooperative Marketing Associations / Landscape Architects / Photographers / Trucking Companies
Auctioneers / Dentist / Morticians/Embalmers / Physicians / Veterinarians
Banks / Engineers / Motor Fuel Wholesale Distributor / Private Detective/Investigator / Vending Machines (5 or more)
Bail Bondsmen / Film Manufacturer/Distributor / Natural Gas (Piped) / Railway Companies / Wineries
Breweries / Healers / Oculists / Real Estate Agents
Bus Companies / Home Inspectors / Office Equipment Sales/Rental / Real Estate Appraisers

·  Schedule B, Flat Fee License- Based on type of business activity. Businesses conducting these activities are taxed under this Schedule in addition to Schedules C and D if applicable. Do not include revenue from these business activities when calculating gross receipts for Schedule D. Check all that apply. Please provide the following numbers were applicable: Barber/Beauty/Nail Salon # of Operators _____, Boardinghouse/Hotel # of Rooms_____, Bowling Alley # of Lanes_____, Day Care # of Children_____, Movie Theater # of Theaters_____, Restaurant # of Chairs_____. Please provide NC Occupational License number where applicable______. For a description of the license types, go to www.wilsonnc.org or call Business Services at (252)399-2762.

Schedule B License Activities
Advertising(Outdoor) / _____ / Directories / _____ / Loan Agency/Check Cashing / _____ / Sundries / _____
Amusements / _____ / Dry Cleaner / _____ / Motorcycle Dealers / _____ / Telegraph Companies / _____
Auto Repair / _____ / Electrician / _____ / Motor Vehicle Dealers / _____ / Tobacco Warehouse / _____
Auto Accessories at Retail / _____ / Elevator/Sprinkler System / _____ / Movie Theaters / _____ / Vending Machines / _____
Auto Accessories at Wholesale / _____ / Employment Agency / _____ / Music/Video Machines / _____ / Video Movies / _____
Barber/Beauty/Nail Salon / _____ / Express Delivery / _____ / Oil Dealers / _____ / Weapons Dealers / _____
Beer Dealer / _____ / Flea Market / _____ / Packinghouse / _____ / Wine Dealers / _____
Bicycles and Accessories / _____ / Fortune Teller/Palmist / _____ / Pawnbroker / _____
Boarding House/Hotel / _____ / General Contractor / _____ / Phonograph/Tape Recorders Dealers / _____
Campground/Trailer Park / _____ / HVAC / _____ / Piano/Organ Dealers / _____
Casket Dealers / _____ / Ice Cream Manufacturer / _____ / Peddlers / _____
Chain Store/Branch / _____ / Ice Cream at Retail / _____ / Plumbers / _____
Collection Agency / _____ / Itinerant Merchant / _____ / Radio/TV Dealers / _____
Daycare / _____ / Laundries / _____ / Restaurants / _____

·  Schedule C, License Limited by City Ordinance- Based on type of business activity. Businesses conducting these activities are taxed under this schedule in addition to Schedules A and B if applicable. Do not include revenue from these business activities when calculating gross receipts for Schedule D.

Schedule C
AG Large Equipment / ____
Ice Cream Vendors / _____
Push Carts / _____
Special Occasion Vendor / _____
Sweepstakes/Internet Café / _____ / # of Machines_____
Taxicabs / _____ / Certificate #______

·  Schedule D, Gross Receipt License Fee-Retail, Wholesale, Service and Manufacturing activities. Enter gross revenue amounts as reported to the Internal Revenue Service on you most recent income tax return. If you have been in business for less than 12 months, please estimate gross receipts for a 12 month period.

Retail $______Wholesale $______Service $______Manufacturing $______

Reported amounts cover the following period: ______to ______.

·  Late Penalty- All accounts without a completed application are subject to be billed the maximum amount allowed. License invoices will be mailed by June 1st. Renewals received after May 28th may not reflect any needed changes and will be subject to any additional applicable charges.

The City of Wilson Director of Finance shall refuse to issue a license or shall revoke a license for any of the following reasons. (A) The applicant misrepresents a fact relevant to the amount of tax due or his/her qualifications for a license, (B) the applicant is not or ceases to be qualified for the license, or (C) the applicant refuses to provide information necessary to compute the amount of tax due. (Section 16-31-Wilson City Code.)

A licensee or his assignee shall report a change in the information contained in this application to the City of Wilson Director of Finance within (10) days after the change occurs. If the information shown on the license itself is affected thereby, the licensee or his assignee shall surrender the license to the Director of Finance when reporting the change. (Section 16-39-Wilson City Code.)

Each person who conducts business taxed hereunder shall keep all records and books necessary to compute his/her tax liability and shall permit the City of Wilson Finance Director to inspect the business conducted and to examine the books and records to determine the nature and amount of business transacted. (Section16-55, 56-Wilson City Code.)

I______, HEREBY ACKNOWLEDGE THAT I HAVE READ THE FOREGOING APPLICATION AND THAT THE INFORMATION SUBMITTED IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE, THAT I HAVE ACCURATELY DESCRIBED THE BUSINESS TO BE CONDUCTED, AND THAT I SHALL CONDUCT SUCH BUSINESS IN FULL COMPLIANCE WITH ALL LOCAL, STATE, AND FEDERAL LAWS AND REGULATIONS APPLICABLE TERETO. I FUTHER ACKNOWLEDGE AND AGREE, AS EVIDENCED BY MY SIGNATURE BELOW, THAT BY ISSUANCE OF A PRIVILEGE LICENSE FOR MY BUSINESS THE CITY OF WILSON MAKES NO REPRESENTATION OR ACKNOWLEDGE THAT MY BUSINESS IS IN COMPLIANCE WITH SAID LAWS AND REGULATIONS.

Signature______

Title or Position______

Date______

Complete and mail or fax to;

City of Wilson

Accounting/Privilege License

PO Box 10

Wilson, NC 27894

Phone: (252) 399-2762

Fax: (252) 399-2183

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