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2. As a basis for the City of Oldsmar to issue a Business Tax Receipt in accordance with Ordinance 89-10 and subsequent amendments, the undersigned hereby affirms that the total amount of chairs and/or tanning booths on site of the business to be taxed by the City during the preceding twelve months is as follows:
   (New businesses can use an estimate of chairs or tanning booths for the current tax period.)
4. Name of Business*
5. Email:*
7. Business Address*
9. Total Number of Chairs
10. Total Number of Tanning Booths
11. Total Amount Due
13. The Business Tax Receipt fee is $25.00 for the first chair or tanning booth plus $6.00 for each additional chair or booth thereafter.
15. Failure to return this form may delay the issuance of a Business Tax Receipt.
17. Signature of Business Owner*
    By typing your name here, you are signing this form electronically. You agree you are submitting this application for processing and is the legal equivalent of your manual signature on this form. You must be the legal business owner or authorized agent which match our registration records. Note: A notarized letter of authorization is required for an agent to sign the application or any other correspondence that calls for agent signature
18. Date:
    Date:
Leave This Blank:


21. 1. Receive an email copy of this form.
22. Email address

    This field is not part of the form submission.

23. Submit

* indicates a required field