Fillable Greene County Occupational Tax Return 1034 Silver Drive, (Greene County Board of Commissioners)

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Greene County Occupational Tax Return 1034 Silver Drive, (Greene County Board of Commissioners)

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The Greene County Occupational Tax Return 1034 Silver Drive, (Greene County Board of Commissioners) form is 2 pages long and contains:

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BROWSE GREENE COUNTY BOARD OF COMMISSIONERS (GA) FORMS

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Page 1 of 2
Greene County
Occupational Tax Return
1034 Silver Drive, Suite 201
Greensboro, GA 30642
Phone 706-453-7716
Renewal New Business Out of Business
Date closed:_________
**All applications must be filled out completely. Incomplete forms will not be processed.
COMPANY INFORMATION
Business Name
(including DBA
name)
Owner’s Name
Email address
Phone ( ) - Business Home Mobile Fax
Other
Phone/Fax ( ) - Business Home Mobile Fax
Business Address
City
State Zip
Mailing Address
(if different)
City
State Zip
SUB-CONTACTS
(if different from owner and may include operator/manager/etc)
Name(s)
Phone ( ) - Business Home Mobile Fax
Email address
CERTIFICATIONS
Does your business or occupation require
State of Georgia
licensure?
If yes, provide license number here & attach
copy of your State license:
Turn over for page 2 of application
Page 2 of 2
Greene County
Occupational Tax Return
1034 Silver Drive, Suite 201
Greensboro, GA 30642
Phone 706-453-7716
Page 2
BUSINESS INFORMATION
Company Type (sole proprietor, LLC,
Corporation, etc)
Federal Employer Identification Number or
Social Security N
umber
Georgia Sales and Use Tax Number
(if applicable)
Date Business Started (new applications only)
NAICS Code (six-digit number)
You can look it up here by business type:
https://www.census.gov/eos/www/naics/
example- 236115 (single- family house
construction by general contractors)
Business Description
Number of Employees
I certify that the information submitted is true and correct.
Signature of Applicant Title Date
Office Use Only – Please do not fill out
Reviewed by:
___________________
_____________
Zoning:
__________________
Permitted use? _________ List use:_____________________________________________
Other reason for allowing occupancy type:________________________________________
License# Fee Payment Date
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Greene County Occupational Tax Return 1034 Silver Drive, (Greene County Board of Commissioners)

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Completed 9 August 2020

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