Schedule B - License Notice For New Business
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1CITY OF JACKSONVILLE
320 Church Avenue SE
Jacksonville, Alabama 36265-2651
(256) 435-7611
FAX (256) 435-4103
Schedule B/
DATE:
License Notice for New Business
TO:
Customer #
Code
NAICS
License #
This is to notify you that your business license for the year 2009 for engaging in the business of
within the City of Jacksonville, Alabama, or within the Police
th
Jurisdiction thereof, is due. The City License is delinquent after the 15
day of business. A
th
penalty of 15% is levied after the 15
day of business (provided for in Section 2 of Ordinance
454).
Each person or entity classified as Schedule B shall pay a license in the amount as follows:
The license fee will be $125.00 plus a sum of money equal to seventy-five cents ($0.75)
per one thousand dollars ($1,000.00) of estimated gross annual receipts for a 12-month
period. Additionally, there is a $10.00 issuance fee.
Please complete the following statement and submit it together with your payment based
on the above schedule.
TO:
City of Jacksonville
DATE:
320 Church Ave SE
Jacksonville, Alabama 36265
Based on an estimated gross annual receipts of $__________________, I hereby
enclose my payment of $ ________________ (based on the above schedule) plus the
issuance fee of $10.00.
Base fee
$
125.00
Owner or Authorized Signature
Issue fee
$
10.00
Please Print
$0.75 X Gross/1000 $
TOTAL
$
Name of Company
Mailing Address
City, State & zip code
(
)
Telephone
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