Type Full Name :
Sign With Hand
Business Information
Email *
License Fee
Application for Barbering, Cosmetology, Hairstyling & Manicuring Business
I acknowledge that I am forgoing a notary and certifying I am over the age of 18 and the owner of said business.
I have read and understand the provisions of the Your Town Code.
Applicant Information
State License #
$75.00
$25.00
Certification
Required Documents
Fax
New Application
Renewal
Address *
If applicant is a "Corporation", provide details of all officers, stockholders and the registered agent in the window below
123 Main Ave, Your Town USA 90210
(555) 973-2212
www.yourtown.us
If "Yes," provide the name of the person(s) convicted, the nature of the crime or charge involved and the disposition thereof (the term "officers" as used herein means and includes the president, vice president, secretary, and treasurer of a corporate applicant).
Documents
Amount Due
Lot
Phone *
Your
Town
City *
State *
Number of Years in Business *
If "Other", specify
Block
The following documents are required with every application. Note that this application CANNOT be processed until all documents are submitted.

Renewal Applications

  • Current State Cosmetology License
  • Valid Business License (from the Clerk's Office)
New Applications
  • Current State Cosmetology License
  • Valid Business License (from the Clerk's Office)
  • NJ Sales Tax Certificate
  • Trade Name Certificate
  • Certificate of Occupancy
  • Scale Drawing (Layout) of the Business
  • Certification of Formation/Incorporation (if applicable)
  • EIN # Identification of Shop Owner
Applicant Signature *
Business Name *
Phone *
Have you (the applicant), any partners, officers or stockholders ever been convicted of a crime?
First Name *
Type of Business *
Expiry Date
Address
Type of Applicant *
Is this Application for a New Business or Renewal of Existing Business?
ZIP *
Last Name *