Massage Establishment - Southside Massage Retreat

Home Browse Search

for all municipal business license questions, contact: City of South Bend -Department of Community Investment 227 West Jefferson Blvd • Suite 1400 S -South Bend, Indiana 46601 • 574.235.5912 • F:574.23s.9021 LICENSE APPLICATION FOR - MASSAGE ESTABLISHMENT MUNICIPAL CODE SECTION - 4-3S III, OWNERSHIP A. Type of owner lip (check one): Sole Proprietorship. (If sole proprietorship, proceed to 1). Partnership (If partnership, proceed to 2). Corporation (If corporation, proceed to 3). 1. Sole Proprietor Name: I Address: City: 2. Partnership (List at least two (2) partners) Name #1: Residential Address: City: Name #2: Residential Address: City: 3. Corporation State: a Zip: State: State: Legal name of corporation: Date and state of incorporation: List officers and directors who own 15%or more of stock: Name #1: Title: Zip: Zip: Business Address: City: State: Zip: Residential Address: City: State: Zip: Name #2 Title: Business Address: City: Residential Address: City: State: State: FE Zip: 2