Short Term Rental Certificate Of Registration - The City Of Portsmouth printable pdf download

Short Term Rental Certificate Of Registration - The City Of Portsmouth

SHORT TERM RENTAL CERTIFICATE OF REGISTRATION

This application is being submitted for the following business:

Applicant Name: _______________________________________________________

Trading-As Name: ______________________________________________________

Start Date of Business: __________________________________________________

Business Type: (Circle One) Individual – Partnership – Corporation - LLC

Telephone Number: (_____) ______- ______

Fax Number: (_____) _____-______

Business Location Address: __________________________________________________

City & State: __________________________ Zip Code: ________________

Mailing Address: ___________________________________________________________

City & State: __________________________ Zip Code: _________________

Total Gross of Business in Calendar Year 20___ :

$ ___________________________

What Percent of the Gross is your business rental:

_____________%

What percent of your rental would qualify as SHORT TERM RENTAL: _____________ %

(80% Rental for 92 days or less)

What type of merchandise/equipment do you rent? ________________________________

If rented on contract, what is the average length of contract? ________________________

______________________________________________________________________________

I, the undersigned, do hereby swear (or affirm) that the information supplied herein is true

and complete, to the best of my knowledge and belief.

_____________________________________________

Signature (Must be signed by Owner, a partner or in

case of corporation an executive officer)

Acknowledge and sworn before me this _____day of __________________, 20____.

___________________________________: Deputy

Franklin D. Edmondson • Commissioner of the Revenue

City of Portsmouth

801 Crawford Street • Portsmouth, VA 23704-3870 • (757) 393-8771 • Fax: (757) 393-8604

Short Term Rental Certificate Of Registration - The City Of Portsmouth