Privilege License Application

About the Business

A license will not be issued to a retail business without a State of Mississippi Sales Tax Number Registered in Diamondhead, MS.

About the Owner/Applicant

Type of ownership:

If your business is a partnership or corporation, provide the name of each partner or office:

Is the application for new location?

Does your business have any of the following? (If so, how many?)

Is your business selling/serving beer?
Is your business selling food?

I do solemnly swear that the information given above is true and correct to the best of my knowledge. The total number of full-time employees (30 hours or more in a 7-day week) & partners, including myself as owner for the previous 12 month is . I am compliant with and agree to remain in compliance with all City of Diamondhead ordinances. This information is subject to audit by the City of Diamondhead and any person who willfully makes any false statement on an application for a Privilege License shall be guilty of a misdemeanor. (§27-17-453 Miss. Code). I understand that a Privilege License does make legal any act declared illegal by the State of Mississippi.

Applicant's Signature

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