Fillable EQUEST FOR INTERNET ACCESS ANNUAL SUBSCRIPTION R TO (Constitutional Tax Collector)

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EQUEST FOR INTERNET ACCESS ANNUAL SUBSCRIPTION R TO (Constitutional Tax Collector)

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LBTR Internet Access Annual Subscription
Rev: 02/2016
Governmental Center • 301 N. Olive Avenue, 3rd Floor • West Palm Beach, FL 33401
Mailing Address • Post Office Box 3715 • West Palm Beach, FL 33402-3715
www.pbctax.com • Tel (561) 355-2264 • Fax (561) 355-4123
R
EQUEST FOR INTERNET ACCESS ANNUAL SUBSCRIPTION
TO DAILY LISTINGS OF NEW LOCAL BUSINESS TAX RECEIPT ISSUANCES
A
ccess to daily listings of new Local Business Tax Receipt issuances is available for an annual subscription
fee of $120.00. Payment of the annual fee will permit:
• Login access to download a text (.txt) file of new LBTR issued the previous business day.
• File is date specific and will be ready for access by 12:00 p.m. daily.
I
nternet address for access to site is www.pbctax.com
Complete the following information and submit payment of the annual fee to obtain access to these
listings. A user name and password will be issued upon receipt of funds (certified check, money order,
bank draft) via email address on file.
P
alm Beach County Local Business Tax Receipt: ________________________________________
Business Name: _________________________________________________________________
Contact Name: __________________________________________________________________
Business Address: _______________________________________________________________
City, State, Zip: _________________________________________________________________
Mailing Address: ________________________________________________________________
(If Different from Business Address)
City, State, Zip: _________________________________________________________________
E-Mail Address: _________________________________________________________________
Phone Number: _______________________ Fax Number: ___________________________
____
__________________________________ Title: ____________________________
(Signature of Owner/Principal/Officer) Date: ____________________________
*Certified funds (non-refundable) are required and payable to: Tax Collector, Palm Beach County
Mail agreement and payment to:
Tax Collector, Palm Beach County
Batch Payment Processing
PO Box 3715
West Palm Beach, FL 33402-3715
For questions or difficulty accessing website: Contact (561) 355-2264
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EQUEST FOR INTERNET ACCESS ANNUAL SUBSCRIPTION R TO (Constitutional Tax Collector)

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Completed 22 December 2020

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