Privilege License Application

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Privilege License Application

Here's How to Apply:

1. Complete the License Application Form below.
2. Click "Continue" and verify that your information is correct.
3. Click "Send" to send us your information.
4. Print out and SIGN the Confirmation Page at the end AND EITHER
   1. Fax it to: (252) 399-2314 OR
   2. Mail it to: City of Wilson, PO Box 10 Wilson, NC 27894.

• Download Full Instructions
• Download Tax Schedule

Printer Required: To complete the enrollment process, you will have to print out and mail or fax the final confirmation page. Make sure you are able to print to a printer before starting this process.

License Application Form

* Required Fields

Business Information
* Business Name:
Business Mailing Address
* Address 1:
Address 2:
* City:
* State:	Select State NC AL AK AZ AR CA CO CT DE DC GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY
* Zip:
Business Street Address (leave blank if same as above)
Address 1:
Address 2:
City:
State:	Select State NC AL AK AZ AR CA CO CT DE DC GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY
Zip:
* Business Phone Number:	(111) 111-1111
* Emergency Phone Number:	(111) 111-1111
* Federal ID Number:
* Business Entity:	Corporation Individual Partnership Other If other, please specify:
* Applicant desires to conduct the following type of business:
* Email Address:
Owner's Information (optional)
First Name:
Middle Name:
Last Name:
Phone Number:	(111) 111-1111
Date of Birth:	mm/dd/yyyy
Driver's License:
Driver's License State:	Select State NC AL AK AZ AR CA CO CT DE DC GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY
Social Security Number:	111-11-1111
Information to Calculate Payment
Does the Applicant fall within any of the following exemption categories?
Exemption Categories:	Charitable Blind Armed Forces/Merchant Marines
If you conduct the following business, enter the gross sales figure used for the North Carolina or Federal Income Tax purposes below in the blanks that apply to your business:
Service Establishment:	$
Retail Merchant:	$
Wholesale Merchant:	$
Manufacturing:	$
Gross sales cover the following period:
Beginning Date:	mm/dd/yyyy
Ending Date:	mm/dd/yyyy
If this business is regulated by a State Occupational Board under North Carolina General Statutes Chapter 93b, give current serial or license number:
Serial or License Number:

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