Business Registration Application

2. A separate Business Registration form must be completed for each business prior to a Business License being issued by the City. There is a $35.00 fee for each Business and Location that has a separate Tax ID #. Those owners who own various businesses under different Tax ID #s will require a separate application with the City for each Business. All registrations expire December 31st of the current calendar year and must be renewed on or before March 15th of the New Year. A surcharge of $10.00 will be assessed to each late registration.

   A separate Business Registration form must be completed for each business prior to a Business License being issued by the City. There is a $35.00 fee for each Business and Location that has a separate Tax ID #. Those owners who own various businesses under different Tax ID #s will require a separate application with the City for each Business. All registrations expire December 31st of the current calendar year and must be renewed on or before March 15th of the New Year. A surcharge of $10.00 will be assessed to each late registration.

4. Type*
   -- Select One --Initial ApplicationRenewal

   Choose whether this is an initial application or a renewal.

6. Name of business:*

8. Business location:*

10. Mailing address (if different from above):

12. Phone number(s)*

14. City

15. State

16. Zip

18. Applicant is:*
    -- Select One --IndividualPartnershipCorporation

20. Individual

22. Business owner

24. Address

25. Phone number

27. City

28. State

29. Zip

31. Partnership

33. Name of partner

35. Address

36. Phone number

38. City

39. State

40. Zip

42. Corporation

44. President / CEO

46. Address

47. Phone number

49. City

50. State

51. Zip

53. Registered agent

55. Address

56. Phone number

58. City

59. State

60. Zip

62. Home Occupation (business conducted from or out of owner’s home)*
    -- Select One --YesNo

    This requires an additional $35 and a Home Occupation Application to be filed with our ceo / planning and zoning.

64. Nature of business

66. New Mexico contractor's license number (if applicable)

67. Type of construction

69. List all names under which the business is known

71. List address of each location, outlet, branch, etc. of the business

73. Current New Mexico Taxpayer Identification Number (CRS #)

    Applicants are responsible for ensuring that business activity complies with all relevant State, Federal, and local regulations. Issuance of this Business Registration does not imply that all such requirements have been met. Applicant hereby confirms that statements on this application are true and correct.

75. Your electronic signature below indicates your agreement with the following statements: By typing my name in the following box and clicking submit button I certify the above statements to be true and correct, to the best of my knowledge, and that this information can be used for the purpose of processing my employment application and information.

77. Applicant signature*

78. Title*

79. Date*
    Date

81. Make checks payable to:
    City of Raton<BR> P.O. Box 910<BR> Raton, NM 87740

    City of Raton
    P.O. Box 910
    Raton, NM 87740

82. Questions?
    Please contact our office for additional information at 575-445-9551.

    Please contact our office for additional information at 575-445-9551.

Leave This Blank:


83. 1. Receive an email copy of this form.
84. Email address

    This field is not part of the form submission.

85. Submit Submit and Print

* indicates a required field