Business Start Date (Required):
Select a Start Date to continue with form
Business Information
Business name (Required):
Business legal name (Required):
Telephone number (Required):  
Fax number (Optional):
Describe your business activity (Required):
Contact name (Required):
Contact e-mail address (Required):
(This is the control # assigned by the Secretary of State’s office)
Sales Tax Number (Required):
Applied For
Not applicable
Federal Employer ID number (Required):
Applied For
Not applicable
Business Address
Mailing Address
Address line 1 (Required):  
Address line 2 (Optional):  
City (Required):  
State (Required):  
Zip code (Required):  
Location Address (Or Jobsite Address)
Location Address Same As Mailing Address
Address line 1 (Required):  
Address line 2 (Optional):  
City (Required):  
State (Required):  
Zip code (Required):
Owner Information
Owner 1
 
Identification Number (Required):  
First name (Required):  
Middle initial (Optional):
Last name (Required):  
Legal Name (Required):  
Owner 1 Address
Address line 1 (Required):  
Address line 2 (Optional):  
City (Required):  
State (Required):  
Zip code (Required):  
Home phone (Required):  
E-mail address (Required):  
Confirm E-mail address (Required):  

Owner 1 Diversity
Payment Information
Name (Required):  
Payment Address Same As Business Mailing Address
Address line 1 (Required):  
Address line 2 (Optional)  
City (Required):
State (Required):  
Zip code (Required):  
Home phone (Required):  
Work phone (Optional):
E-mail address (Required):  
Confirm E-mail address (Required):  

Your business address is not valid. Are you applying as a contractor?


Are you located out of state?


Please enter a project location address/job site address
that is located in Davidson County.


Your application cannot continue. Please contact the Clerk's Office for more information.
You will now be re-directed to the front page.