Home▸Business Tax Receipt Application▸Form (Zoning Required)

Business Tax Receipt Application

"*" indicates required fields

Select Your Request Below*

Business Name*

Ficticious/DBA/Trade Name (if different than Business Name)

Owner/Professional/Applicant Name*

Email Address*

Federal Employer ID/SS #*

Business Address*

Street Address City State ZIP Code

Mailing Address (if different than Business Address)

Street Address City State ZIP Code

Start of Business Date at This Location*

Business Tax Receipt Number

Business Phone Number*

Type of Business/Profession*

Number of Employees*

Number of Machines (if applicable)

Number of Rooms (if applicable)

Number of Restaurant Seating (if applicable)

Please upload your zoning approval below*

Max. file size: 100 MB.

Upload a copy of any State licenses (if business/profession is regulated by the State)

Max. file size: 100 MB.

If a fictitious name is used, upload a copy of the registration from the State.

Max. file size: 100 MB.

If transferring ownership, please upload a copy of the bill of sale.

Max. file size: 100 MB.

By submitting this online application for Local Business Tax Receipt you attest that all information provided is accurate to the best of your knowledge and meets all requirements as set forth in Florida Statute Section 205 and Palm Beach County Ordinance 17-17

Applicant Name*

Date*

Business Tax Receipt Application

Address

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