HomeMy WebLinkAboutExhibit 8City of Miami
APPLICATION FOR BUSINESS TAX RECEIPT.
444 SW 2"° Avenue 6"' Floor, Miami , FL 33130, (305) 416-1918
Florida Statutes require that all Businesses operating under a Fictitious Name must submit State Registration documents.
1. Business Name: 2, Telephone #:
W1 ri u rZ.V (r. COY P./AD/Zip/9 'TA)� •(„. $ ;300
3. Business address/ location:
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4. FEI #: or SSN:
5. FL Sales Tax #:
6. Mailing Address (if different from business address):
City State ZIP Code Responsible Party
7. Has the Applicant ever had a City of Miami Business Tax Reciept or Occupational License suspended or revoked? O Yes irrNo
If yes, please explain:
8. Nature of Business activity/Service(s) provided:
9. For Special Events (Fairs, Circus, etc.) enter: I
A)/4 Start Date: 1 and End Date:
10. If applicable to Business, please fill-in the appropriate space(s) below: N1 k
Amount of: Seals:
Rooms: Employees: Sq. Ft. # of machines:
restaurant apartments manufacturing parking lot
vending machine
11. Inventory value: $ Other:
retail, wholesale, drug store, grocery, cigar & tobacco products Iv/ -.
12. List name(s) of personnel that are licensed by the State of Florida and submit copy of State License. Attach additional sheets if necessary.
Name and Social Security Number Name and Social Security Number
/ /
73. Florida Statutes require you to fist three individuals who are able to arrive at the Business location within 15 minutes of notification of tire,
burglary or other emergency. Ideally these Individuals should have access to door locks and alarms.
Name Address City/State Telephone #
his Information Is given freely and voluntarily and rill the facts, figures, and statements contained in this Application are true and correct.
REMARKS:
Applicant to print Name
Date
Signature of Applicant
D
FN/AD 003 Rev. 12/06 Distribution: white - copy for City; Yellow - copy for Business Entity; Pink - copy for NET; Goldenrod - copy for Cash Receipts.