License Information

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19-
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Gross Receipts

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Your Contact Information

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Upload Supporting Documents

The following documents are required in PDF format to be uploaded in one file.
REQUIRED: Completed renewal form with contact information and signature of the owner, officer, partner or W-2 employee completing the form. All documents must be signed by the same person.
REQUIRED: Private Employer Affidavit to be signed and notarized (with visible notary stamp)
Additional documents required if applicant has not previously provided proof of U.S. Citizenship:
REQUIRED: Citizenship Affidavit to be signed and notarized (with visible notary stamp)
REQUIRED: Secure and verifiable document, i.e. driver’s license, passport and immigration documents, if required (I-551 or I-766 (copies of front and back ), Visa with I-94 unexpired foreign