Bloomington, MN · Hennepin County
Therapeutic Massage Enterprise License Application Part II – Personal History
This four-page personal history form gathers applicant and, when applicable, spouse information for people seeking a Bloomington therapeutic massage enterprise license.
At a glance
- Issued by
- City of Bloomington · Bloomington, Hennepin County, Minnesota
- Notarization
- Required: sign this form in front of a notary before filing it.
- Official source
- bloomingtonmn.gov
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
- licensed online notary
- ~15 min average
- Notarized PDF emailed
What you’ll need
- Government-issued photo ID
- Webcam-enabled device (laptop or phone)
- This form, ready to upload as a PDF
What this form is
Bloomington’s Therapeutic Massage Enterprise License Application Part II collects personal, residence, employment, business, and history information from people involved in the licensed premises or with an ownership or control interest over 5 percent. Applicants who are married also complete the spouse section. The form includes an applicant statement authorizing verification of the information and a signature that must be sworn before a notary.
Who needs it
The sole owner, partners, officers, directors, managers, proprietor, agents in charge, and individuals with more than a 5 percent ownership or control interest complete this form.
Why it needs a notary
The applicant signs the sworn statement in the final-page jurat, subscribed and sworn before a notary public; the form also asks for the notary’s signature and commission expiration.
How to get this notarized
- 1
Download The Form
Get the Therapeutic Massage Enterprise License Application Part II from Bloomington.
- 2
Complete The Required Sections
Provide the applicant’s personal history, complete the spouse section if married, and answer the history questions.
- 3
Book An Online Notary
Arrange a remote session with a commissioned online notary before signing the sworn statement.
- 4
Sign On Video
Sign the applicant statement on page 4 during the notarial video session.
- 5
Submit To The City
Send the notarized form with your license application as directed by Bloomington.
Preview the form
The blank PDF straight from Bloomington. Look it over, then upload your filled copy to start the notary session.
You’ll need ID and a webcam.
A licensed online notary will join you on video, verify your government-issued ID, witness your signature, and apply their seal. You’ll receive the notarized PDF by email when the session ends.
Frequently asked questions
- How do I notarize the personal history form online?
- Complete the form, then book a session with a commissioned online notary. Minnesota law authorizes remote online notarization, and you sign the sworn statement during the video session.
- Do I need to complete the spouse section?
- The form says to complete Section 2 if you are married; otherwise, proceed to question 18. The applicant completes the other required sections.
- Who must complete this application part?
- The form lists the sole owner, partners, officers or directors, managers, proprietor, agents in charge of the licensed premises, and people with more than a 5 percent ownership or control interest.
- Where do I sign and what does the notary complete?
- Sign the applicant statement on page 4 before the notary. The jurat includes the date, notary signature, and commission expiration.
- How do I submit the completed form to Bloomington?
- The form identifies the City Clerk Division Licensing Section in Bloomington. Ask the city how to submit this part with the rest of your license application; confirm with the city if unsure.
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