Form Center

2. As a basis for the City of Oldsmar to issue a Business Tax Receipt in accordance with the Ordinance 89-10, the undersigned does hereby certify that the amount of average annual stock on hand, stock in storage, and stock held on consignments, such average stock inventory to be based upon the average stock for the preceding twelve months.
4. Enter Amount*
   New businesses can use actual stock or an estimate of average stock anticipated for remainder of the current tax period.
5. Name of Business*
7. Business Address
8. Email*
10. Stock Value

    Business Tax Receipt fee for Building Materials, not specifically classified elsewhere; retail or wholesale stock or inventory value; computation of tax based on stock on hand; affidavit; right of inspection hereof:

    1. Stock value of $5,000.00 or less $62.00
    2. Stock value of $5,000.00 to $9,999.99 $87.00

    1. Stock value of $10,000.00 to $24,999.99 $125.00
    2. Stock value of $25,000.00 to $49,999.99 $150.00

    1. Stock value of $50,000.00 to $99,999.99 $187.00
    2. Stock value over $100,000.00 $250.00
12. Signature of Business Owner*
    By typing your name here, you are signing this form electronically. You agree you are submitting this affidavit for processing and is the legal equivalent of your manual signature on this form. You must be the legal business owner or authorized agent which match our registration records. Note: A notarized Letter of Authorization is required for an agent to sign the application or any other correspondence that calls for an agent signature.
13. Date:
    Date:
Leave This Blank:


16. 1. Receive an email copy of this form.
17. Email address

    This field is not part of the form submission.

18. Submit

* indicates a required field