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- Account Close Individual

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BAYCOUNTYTOURISTTAX
REQUESTTOCLOSEACCOUNT(INDIVIDUALORHOTEL)
TouristTaxAccountNumber:
EffectiveDate:
AccountName:
RentalPropertyAddress:
Pleasecheckthereasonaccountisbeingclosed.
Mypropertywassold.

MypropertyisbeingmanagedbyamanagerandInolongerhavesel
f
‐
rentals.
NameofManager PhoneNumber:

Mypropertyisrentedlongterm(attachacopyoflease).

Mypropertyisnolongeravailableforvacationrental,itisforpersonal
useonlyorforsale.
Declaration:Pleasenotethatanypersonwhoisrequiredtocollect,truthfullyaccountfor,andpayany
taxandwillfullyfailstodososhallbeliableforpenaltiesundertheprovisionsofSection213.29,Florida
Statute(FS).Allinformationprovidedbytheapplicantisconfidentialasprovidedinsection213.053FS
andisnotsubjecttoFloridaPublicRecordsLaw,Section119.07FS.Byprovidingane‐mailaddress
above, you consent to electronic communication, reporting and filing. Under penalty of perjury, I
declarethatIhavereadtheforegoingdocumentandthefactsstatedaretrue.
Signature:_______________________________
PrintedName:____________________________
Date: ___________________________________
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- Account Close Individual

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Completed 1 January 2021

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