Temporary Privilege (Sales) Tax License Application Form - City Of Mesa
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1Revenue Collections Operations
Licensing Office
TEMPORARY PRIVILEGE (SALES) TAX LICENSE APPLICATION
NON-REFUNDABLE $30.00
(Code 0590)
For Office Use Only
_____________________________
_________________________
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Temporary License Number
30 Day License Period
Initials
____________________________________________________________________________
Business/Applicant Name
____________________________________________________________________________
Effective Date of License (will be good for 30 days)
______________________________________________ _____________________________
Name of Event / Name of Promoted
Event Location
____________________________________________________________________________
Mailing Address
____________________________________________________________________________
City
State
Zip + 4
________________________________________
________________________________
Business Phone
Home Phone
________________________________________
_________________________________
Signature
Date
General Information
This is a temporary Privilege (Sales) Tax License that is good for up to 30 days. Upon
payment to the City of Mesa of a Thirty dollars ($30) non-refundable license fee and
completion of this application a business can then, under the City of Mesa Code,
lawfully engage in the event/activity for which this license is issued. Your license/report
form will be mailed to you upon receipt of this application form.
Within ten (10) days of the activity/event the reporting form (bottom portion of the
license) must be completed and returned to us with your payment
City of Mesa sales tax rate is 1.75% of gross income.
You will not be allowed to set-up without your temporary license.
55 N. Center Street
P. O. Box 1466
Mesa, AZ 85211-1466
(480) 644-2316 Tel
(480) 644-3999 Fax
Website:
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