City Of Green Cove Springs Local Business Tax Exemption Form
Download a blank fillable City Of Green Cove Springs Local Business Tax Exemption Form in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete City Of Green Cove Springs Local Business Tax Exemption Form with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2City of Green Cove Springs
FOR OFFICE USE ONLY
□ Approved
Local Business Tax
□ Approved with conditions listed below
□ Denied
Exemption Form
Please be sure to read and complete this exemption form in full. Incomplete submittals will not be accepted.
The exemption form must be signed and notarized.
1.
Applicant Name:
Telephone: (
)
FAX: (
)
e-mail:
2.
Business/ Institution Name:
3.
Physical Address:
City:
State:
ZIP:
Telephone: (
)
FAX: (
)
e-mail:
4.
Business/Institution Mailing Address:
City:
State:
ZIP:
I,
, DO HEREBY CERTIFY THAT I OR THE
BUSINESS FOR WHICH I AM APPLYING MEETS THE FLORIDA STATE STATUTE REQUIREMENTS FOR LOCAL
BUSINESS TAX EXEMPTION AS INDICATED BY CHECKING THE SPECIFIC EXEMPTION BELOW. I
ACKNOWLEDGE THAT ANY FRAUDULENT CLAIM(S) MAY RESULT IN REMEDIAL ACTION, UP TO AND
INCLUDING PROSECUTION.
INDIVIDUAL EXEMPTIONS:
I am a physically disabled person incapable of manual labor AND I do not have more than one (1)
employee AND I use my own capital only, which does not exceed one thousand dollars ($1,000.00) AND I do not sell
intoxicating liquors or malt and vinous beverages (Chapter 205.162, F.S.) AND I am a resident of the State of Florida.
Physician Certificate of Disability from performing manual labor AND proof of residency in the State of Florida are
required.
I am a widow with minor dependent children AND I do not have more than one (1) employee AND I use my
own capital only, which does not exceed one thousand dollars ($1,000.000) AND I do not sell intoxicating liquors or
malt and vinous beverages (Chapter 205.162, F.S.) AND I am a resident of the State of Florida.
I am sixty-five (65) years of age or older AND I do not have more than one (1) employee AND I use my own
capital only, which does not exceed one thousand dollars ($1,000.000) AND I do not sell intoxicating liquors or malt
and vinous beverages (Chapter 205.162, F.S.) AND I am a resident of the State of Florida. Florida Driver’s License
OR other proof of age AND proof of residency in the State of Florida required.
I am an honorably discharged wartime veteran AND I am disabled from performing manual labor AND I am
a permanent resident elector of the State of Florida, AND I carry on my own business or occupation mainly by my
personal efforts as my means of livelihood AND I do not sell intoxicating liquors or malt and vinous beverages. Such
persons are entitled to an exemption to the extent of fifty dollars ($50.00) on any local business tax to engage in any
business, profession, or occupation which may be carried on mainly through the personal efforts of the receipt holder
as a means of livelihood. A copy of Honorable Discharge Certificate AND Government-produced Certificate of
Disability OR Physician Certificate of Disability AND proof of residency in the State of Florida required.
City of Green Cove Springs Development Services Department ♦321 Walnut Street♦Green Cove Springs, FL 32043♦(904) 297-7500
Page 1 of 2
Revised 12/31/12
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Financial