Affidavit - Lake County
local business Tax Receipts Affidavit Box 327 Tavares, FL 32778-0327 Phone 352-343-9602 business Account Number: ________________________. business Name: ________________________. _____ As owner of the above listed business , I state that my business has moved from the original location to the following address: ________________________________________ _____. *Payment of a transfer fee is 10 percent of the annual business tax, but not less than $3 nor more than $25, ________________________________________ _____. lake County Ordinance 2007-1, Section 13-79(b). ________________________________________ _____. Please check here if your mailing address should also be changed to the address shown above.
Local Business Tax Receipts . Affidavit. P.O. Box 327 • Tavares, FL 32778-0327 • Phone 352-343-9602 • www.laketax.com. Business Account Number:
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