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PASCUA YAQUI TRIBE TRIBAL EMPLOYMENT RIGHTS OFFICE (Pascua Yaqui Tribe)

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PASCUA YAQUI TRIBE
TRIBAL EMPLOYMENT RIGHTS OFFICE
7474 S. Camino De Oeste Tucson, AZ 85757 (520)879-5669 FAX (520)879-5670
APPLICATION FOR TEMPORARY BUSINESS LICENSE FOR
THE PASCUA YAQUI RESERVATION/TRIBAL LAND
Date: ______________________________
1. Name of Business: _________________________________Tax ID #:______________________
2. Form of Business:_______________________________________________________________
(Corporation, Partnership, Sole Proprietorship, Other)
3. If Corporation: Where Incorporated____________________________________________
Date of Incorporation____________________________________
4. Business Location(s)__________________________________Phone__________________
City/State/Zip______________________________________FAX____________________
5. Email Address:__________________________________________________________________
6. Type of Business:___________________________________________________________
7. Owner(s):
______________________________________________________________________
Tribal Member: Yes _________No_________ Tribe: ___________________________________
8. Address of Owner(s)_____________________________________________________________
9. Number of employees during prior Calendar Year:______________
Indians ____________ Non-Indians____________
10. Gross Sales for Prior Calendar Year $ ________________________
11. Amount of Anticipated Sales, Contracting Activity or Sub-Contracting Activity Planned for
Current License Year: $____________________________
12. If a Corporation, provide Name, Address, and Phone of Statutory Agent:
Name: ____________________________________Phone: ____________________________
Address_____________________________________________________________________
PASCUA YAQUI TRIBE
TRIBAL EMPLOYMENT RIGHTS OFFICE
7474 S. Camino De Oeste Tucson, AZ 85757 (520)879-5669 FAX (520)879-5670
BUSINESS LICENSE APPLICATION
I UNDERSTAND THAT THE GRANTING OF A BUSINESS LICENSE AND
PAYMENT OF THE LICENSING FEE DOES NOT GRANT ANY PERSON OR
ENTITY THE AUTHORIZATION TO WORK OR CONDUCT BUSINESS ON
THE PASCUA YAQUI INDIAN RESERVATION OR TRIBAL LANDS.
AUTHORIZATION TO WORK OR CONDUCT BUSINESS IS NOT GRANTED
UNTIL THE APPLICANT:
1. Obtains a work permit from the Tribal Employment Rights Office (TERO),
and if necessary, executes a Contractor’s Agreement for Indian Employment
Preference; and
2. Obtains a Tribal and/or State Gaming License for work or services for the
Casino of the Sun/Casino Del Sol.
I hereby certify that the information provided in this application is true and
correct to the best of my knowledge, information and belief.
___________________________________ _________________________
Signature of Applicant Date
d.b.a._____________________________________________________________
FOR PASCUA YAQUI FINANCE OFFICE USE
__________________________________ ________________________
Signature of Finance Official Date
Fee Amount Paid: $______________
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PASCUA YAQUI TRIBE TRIBAL EMPLOYMENT RIGHTS OFFICE (Pascua Yaqui Tribe)

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Completed 20 July 2020

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