Indian River County Florida Tourist Development Tax
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1INDIAN RIVER COUNTY, FLORIDA
TOURIST DEVELOPMENT TAX COLLECTION REGISTRATION FORM
TYPE OF BUSINESS ORGANIZATION:
PROPERTY INFORMATION
£ Corporation
£ Partnership
Unit Name _______________________________________________
£ Trust
£ Government
Street
£ Individual
£ Professional Association
Address _________________________________________________
City__________________________State_________Zip___________
TYPE OF RENTAL:
£ Apartment
£ Mobile Home Park
Parcel No. ________/________/_____________/________/________
£ Boarding / Rooming
£ Property Management
£ Campground
£ Recreational Vehicle Park
In city of Vero Beach? £ Yes
£ No
£ Condominium
£ Residence
£ Hotel / Motel
£ Time Share
NUMBER OF RENTAL UNITS: ____________________________
DEALER INFORMATION
Currently remitting Sales / Tourist Tax:
(please check one)
Name ___________________________________________________
£ Monthly
£ Quarterly
£ Annually
Address _________________________________________________
City__________________________State_________Zip___________
Federal ID No. or Social Security No. __________________________
Sales Tax Account No. _____________________________________
Phone Number: (______) ____________________________________
Contact Person: ___________________________________________
Contact Phone Number: (______) _____________________________
Where should your tax returns be mailed? £ Dealer
£ Owner
OWNER INFORMATION
(If different from dealer information.)
Name ___________________________________________________
Applicants Signature
Date
____________________________________
_______________
Address _________________________________________________
City__________________________State_________Zip___________
Phone Number: (______) ____________________________________
Return completed form to: Jeffrey K. Barton, Clerk of Circuit Court,
Attn: Richard Woodard, P.O. Box 1028, Vero Beach, FL 32961
Office use only
Account No.:
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Parent category: Financial