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2. Checklist for Transfer of BTR
   Please include the following with the completed Transfer of Business Tax Receipt (BTR) application, to ensure a smooth and fast process. If any of the following applicable documents are not included, it will create a delay in transferring your BTR.
4. Fictitious Name Reg/Articles of Incorporation*
   Can be found on Sunbiz.org
5. State License/Certification
   (if applicable)
6. Executed lease agreement*
7. Certificate of Liability Ins
   Must list City of Oldsmar as certificate holder
9. Evidence of sale
10. Current active BTR certificate
14. Any Business Tax Receipt (BTR) may be transferred to a new owner when there is a bona fide sale of the business, upon payment of a transfer fee of ten percent of the annual Business Tax, but not less than $3.00 or more than $25.00, and presentation of the original Business Tax Receipt and evidence of sale.
    The original BTR shall be surrendered to and filed with the City Manager or his designee at the time the application for transfer is made, and the transferred BTR shall be of the same force and effect as the original BTR. Both parties involved shall be in agreement with the transfer of the BTR and shall sign a transfer application. At the time any Business Tax Receipt is transferred, the person applying for the transfer shall pay the required fee for the transfer.
16. Previous Business Tax Receipt Number
17. Previous Business Name*
18. New Business Name*
20. Mailing address*
21. Telephone Number
22. FEIN/SSN*
    Federal ID # or Social Security Number Required by F.S. 205.023
24. New Owner Name*
25. New Owner Address
26. New Owner Telephone Number
28. Email*
29. New Manager Name
30. Manager Email
32. I HEREBY CERTIFY THAT ALL OF THE INFORMATION ON THIS FORM IS CORRECT AND TRUE TO THE BEST OF MY KNOWLEDGE. I FURTHER AGREE TO COMPLY WITH ALL APPLICABLE LAND DEVELOPMENT REGULATIONS AND THE CITY CODES. I UNDERSTAND THAT THIS FEE IS NON-REFUNDABLE. I ALSO UNDERSTAND THAT, IF A CHANGE OF OWNERSHIP HAS OCCURRED, I MUST SHOW PROOF OF SAME AND THAT NO OTHER CHANGES, INCLUDING BUSINESS LOCATION, BUSINESS ACTIVITY AND THE LIKE HAVE OCCURRED.
34. Signature of 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.
35. Date:
    Date:
Leave This Blank:


38. 1. Receive an email copy of this form.
39. Email address

    This field is not part of the form submission.

40. Submit

* indicates a required field