Form Center

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 seating capacity in the restaurant to be taxed by the City during the preceding twelve months is:
   Notice: To obtain an Oldsmar Business Tax Receipt classified as a restaurant, you must submit an Inspection Report from the Division of Hotels and Restaurants located at 1313 Tampa Road, Tampa, Florida. The phone number is (813) 272-2200. The Division will accept applications for inspections in person, by mail, or by facsimile at (813) 272- 3344.
4. Total Number of Seats*
5. Total Amount Due
7. Division of Hotels and Restaurant license*
   Upload current license issued by division of Hotels and Restaurants
8. NOTICE: To obtain an Oldsmar local business tax receipt you must submit your current license
   licensure search
10. Number of Seats and Corresponding Fees

    1. 0-25 seats: $37.00
    2. 26-50 seats: $50.00
    3. 51-100 seats: $75.00

    1. 101-200 seats: $100.00
    2. 201 an over seats: $250.00
12. Name of Business*
13. Business Address*
15. Email*
17. Signature of Business Owner*
    By typing your name here, you are signing this form electronically. You agree you are submitting this affidavit 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 an 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 Submit and Print

* indicates a required field