Application For Osceola County Local Business Tax Receipt - Short/long Term Rental Form

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PATSY HEFFNER, CFC

OFFICIAL USE ONLY

Osceola County Tax Collector

Date Processed

2501 E. Irlo Bronson Memorial Hwy, P.O. Box 422105

Processor

Kissimmee, Florida 34742-2105

Phone(407)742-4000 Fax (407)742-4009

Account #

APPLICATION FOR OSCEOLA COUNTY LOCAL BUSINESS TAX RECEIPT

SHORT/LONG TERM RENTAL

(formerly known as Occupational License)

(Please Print)

IF YOUR BUSINESS IS LOCATED WITHIN UNINCORPORATED OSCEOLA COUNTY ZONING DEPARTMENT, APPROVAL WILL BE REQUIRED IN

ORDER TO ISSUE THIS BUSINESS TAX RECEIPT

Osceola County Ordinance 95-10, Section 1 states, “No person shall engage in or manage any business, profession or occupation within Osceola County…”

unless exempt by county, state or federal law. Failure to comply with Osceola County Ordinance 95-10 may subject your business to additional costs including

but not limited to court costs, attorney fees, administrative costs and penalties up to two hundred and fifty dollars ($250) per day.

Short Term Application

Long Term Application

(attach a copy of State Hotel License or

(HR-7028)

application)

Hotel/Condo Application

(attach a copy of State Hotel License or

(HR-7028)

application)

Change of :

Management

Owner

Mailing Address

Update

Other

Check as many as apply

Rental Property Address : Enter physical location of the Rental Property

Address ___________________________________________ City ________________________ State _______ Zip _____________

Location Boundary:

In Osceola County and limits of city listed in Section 2

In Osceola County

Check only one

Parcel ID Number: (

________________________________________________________________

provided by the Tax Collectors office)

**RESIDENTIAL RENTAL PROPERTY**

(Please check the appropriate category)

Unit rented for 28 days or less

Unit rented for 29 days to 180

Unit rented for 181 days or more

Owner Name and Address: Enter the applicant’s legal name below

Mail License To This Address

First _____________________________ M. ________ Last _________________________________ Sur. ___________________

Address ___________________________________________ City ________________________ State _______ Zip _____________

Province ___________________________________________ Country ________________________

Telephone: (_______)__________________ Fax : (_______)__________________ Cell Phone: (_______)____________________

E-Mail Address: __________________________________ Bus. Website Address:_______________________________________

Management Company Name and Address:

Mail License To This Address

Name _____________________________________________________________ Contact: __________________________________

Address ___________________________________________ City ________________________ State _______ Zip _____________

Telephone: (_______)__________________ Fax : (_______)__________________ Cell Phone: (_______)____________________

E-Mail Address: __________________________________ Bus. Website Address:_______________________________________

Estimated Original Cost of the Equipment to be used in the Business $________________

Homeowners Social Security Number/TIN # or attached completed copy of a W-7 Form: ________________________________

(The Osceola County Tax Collector is required to collect Social Security numbers for the purposes of identification, and to fulfill reporting requirements in all phases

of Statutory, Administrative, and Local Government Ordinance requirements.)

Homeowners State Sales Tax Number:

-_____________________________________

Other:______________________________________________________________________________________________________

Affidavi

t: Carefully review and sign the following affidavit

(1) I, the undersigned, swear this application (including addendum and all other attachments) is true and correct. (2) I acknowledge and understand that a local

county business tax receipt (previously referred to as an occupational license) is issued pursuant to this application is for the privilege of doing business in Osceola

’

County and does not waive Florida

s licensing, registration, and/or certification requirements, nor does it waive any other such requirements of any city, county,

state or federal authority that must be met prior to engaging in or entering into the activity, business, profession or occupation for which this application is being made.

(3) I specifically acknowledge that a business tax receipt issued pursuant to this application does not indicate that the parcel of land upon which the business intends

to operate is properly zoned for the activities in question and that it is the responsibility of the business to verify same with the appropriate zoning authority prior to

commencing its activities or operations. (4) I also affirm that I, the business owner/principle of record indicated hereon, is in compliance or will comply with all

federal, state and legal requirements.

Owner/Mgmt. Co. Signature: ______________________________________ Date: _____________________ Receipt Fee: ___________________

Once completed, please submit this application with payment to Patsy Heffner, Tax Collector. Use the above listed address when mailing in your application.