City Of Green Cove Springs Local Business Tax Exemption Form Page 2
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1
2I am the un-remarried spouse of a deceased, honorably discharged wartime veteran who was disabled from
performing manual labor AND I am a permanent resident of the State of Florida AND I carry on my 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 a business, profession, or occupation. A copy of spouse’s Honorable Discharge Certificate
AND Government-produced Certificate of Disability OR Physician Certificate of Disability from performing manual
labor AND Marriage Certificate AND Death Certificate of spouse are required.
I am a college or high school student selling pennants, badges, insignia, and novelties of my school. A
letter authorizing student participation from the athletic association or other proper school authority is required.
ORGANIZATION EXEMPTIONS:
Charitable Institution: Nonprofit corporations operating physical facilities in this state (city) at which are
provided charitable services, a reasonable percentage of which are without cost to those unable to pay (Chapter
205.022, F.S., Chapter 205.192, F.S.). Documentation establishing status as a nonprofit corporation required.
Educational Institution: State tax-supported or parochial, church and nonprofit private schools, colleges,
or universities conducting regular classes and courses of study required for accreditation by or membership in the
Southern Association of Colleges and Schools, the Department of Education, or the Florida Council of Independent
Schools. Nonprofit libraries, art galleries, and museums open to the public are defined as educational institutions and
eligible for exemption (Chapter 205.022, F.S.).
Documentation establishing status as a nonprofit corporation
required.
Religious Institution: Churches and ecclesiastical or denominational organizations or established physical
places for worship in this state at which nonprofit religious services and activities are regularly conducted and carried
on, and also means church cemeteries (Chapter 205.022, F.S., Chapter 205.171, F.S.). Documentation establishing
status as a nonprofit corporation required.
Signature of Applicant or Agent
Typed or printed name and title of Applicant or Agent
***********************************************************************************************************************************************
State of
County of
The foregoing application is acknowledged before me this ______ day of ______________, 20__, by
__________________, who is personally known to me, or who has produced
________
as identification.
NOTARY SEAL
___________________________________
Signature of Notary Public, State of
Office Use Only:
Review Date:
Development Services Director Signature:
City of Green Cove Springs Development Services Department ♦321 Walnut Street♦Green Cove Springs, FL 32043♦(904) 297-7500
Page 2 of 2
Revised 12/31/12
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