Application For Exemption From Business, Professional And Occupational License Tax And/or Business Personal Property Tax For Non-Profit Charitable, Educational, Or Recreational Organizations

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A
E
PPLICATION FOR
XEMPTION FROM
B
, P
O
L
T
USINESS
ROFESSIONAL AND
CCUPATIONAL
ICENSE
AX
/
B
P
P
T
AND
OR
USINESS
ERSONAL
ROPERTY
AX
F
N
-
C
, E
,
R
O
OR
ON
PROFIT
HARITABLE
DUCATIONAL
OR
ECREATIONAL
RGANIZATIONS
====================================================================
Organization Name:
_____________________________________________________
_____________________________________________________
Mailing Address:
_____________________________________________________
_____________________________________________________
_____________________________________________________
Fairfax Location:
_____________________________________________________
_____________________________________________________
_____________________________________________________
Contact Person:
_____________________________________________________
Contact Title:
_____________________________________________________
Contact Telephone:
_____________________________________________________
1.
What is the organization's purpose?
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
2.
What is the organization's federal tax designation? (Circle one)
501(c)(3)
501(c)(4)
501(c)(6)
501(c)(7)
Other: 501(c)( ) (please insert #)
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