Media, PA · Delaware County

No notary required

Business Privilege / Mercantile Tax Registration Form

Media businesses use this registration form to apply for a Business Privilege / Mercantile Tax license for each business location.

What this form is

This form registers a business location for a Media Borough Business Privilege / Mercantile Tax license. The document says new, seasonal, transient, or itinerant businesses must secure a license before beginning operations, and that a separate license is needed for each location. It asks for business and applicant details, including addresses, contact information, federal EIN, business organization type, and a signed certification.

Who needs it

A new, seasonal, transient, or itinerant business operating in Media needs a separate license and registration for each business location.

How to submit it

The form says to file it with the building permit and enclose a $100 check or money order per location payable to e-Collect. Submit it to the city department named on the form; check the city website for current contact details.

About notarization

This document is signed without a notary; the applicant just signs and dates the certification.

How to submit this form

  1. 1

    Download the Form

    Download the Business Privilege / Mercantile Tax Registration Form.

  2. 2

    Complete the Business Details

    Fill in the requested business, location, contact, EIN, and organization information.

  3. 3

    Sign and Date

    Sign and date the applicant certification.

  4. 4

    Gather the Payment

    Enclose a $100 check or money order per location, payable to e-Collect.

  5. 5

    File with the Building Permit

    File the completed form with the building permit.

Frequently asked questions

Who uses the Media Business Privilege / Mercantile Tax Registration Form?
Businesses registering a location in Media use it to apply for a Business Privilege / Mercantile Tax license. The form says each place of business needs a separate license.
What information does the registration form request?
It asks for business names, addresses, contact information, federal EIN, organization type, business start date, and the applicant’s signed certification.
Do I need a notary for the Business Privilege / Mercantile Tax Registration Form?
No. This document is signed without a notary; the applicant just signs and dates the certification.
How do I submit the Business Privilege / Mercantile Tax Registration Form?
The form says to file it with the building permit and enclose a $100 check or money order per location payable to e-Collect. Check the city website for current contact details.

Need something notarized?

This Business Privilege / Mercantile Tax Registration Form doesn’t need a notary — but if you have another Media form that does, a commissioned online notary can help.