Planning & Development Department Business Tax Receipt (BTR)

Planning & Development Department Business Tax Receipt (BTR)

Please complete the form below to apply for your Business Tax Receipt. Do not use this form for Residential Rentals (use this form). For further information about BTRs and for any additional city documents required for this application, click here.

I. Business Information

NOTE: Please take special care to enter and upload information correctly.

Is this an Ownership change or Location transfer?*

Yes

BTR # or physical address from previous location

Is this a Home Based Business?*

If yes, then a Home Based Business Affidavit is required and can be downloaded here.

Yes

Business Name*

DBA or name used in advertising

Fictitious Name Cert # / SUNBIZ Registration #

Only if you are using a business name other than your first/last name

Federal Employer Identification Number (FEIN) #

This field is REQUIRED for all applications except residential rentals.

Proposed Use*

Select the use from this list that is most similar to your business type

Select

Physical Business Address*

Suite #

City*

State*

Zip*

Business Phone Number*

Phone

Minority Status

Choose all that apply.

Does the business exceed 50 full-time employees?

Yes

Do the annual sales exceed the average gross revenues of three (3) million dollars, or do gross revenues exceed eight (8) million dollars for construction service providers?

Yes

II. Owner Information

NOTE: Please take special care to enter and upload information correctly.

Is this a transfer of ownership?*

If transfer of ownership, Bill of Sale required (see documentation upload below)

Yes

Owner/Qualifier Name*

Owner Phone Number*

Phone

Email Address*

Business Mailing Address

If different from business address

Suite/Apt #

City

State

Zip

Date of Business Opening*

Detailed Description of Business*

Number of Employees*

Wholesale cost of annual inventory for “merchant” category only:*

In USD

III. Supporting Documentation Upload

Select all that apply

PLEASE NOTE: Each file must be 30mb or less in size. You can upload multiple files up to 250mb total.

Upload Files Here

Drag and drop files here or

I certify that the information given in this application is complete and accurate, and I understand that to make false or fraudulent statements within this application may result in denial of business tax receipt and possible legal action. If granted a business tax receipt, I agree to operate within the city and state laws, and to notify the City of Clearwater, Planning and Development Department, if any of the information I have given changes. I also certify that I am the business owner or owner’s legal agent.

By checking this box and typing my name below, I am electronically signing my application.*

Type Your Name*

Today's Date*

Send me a copy of my responses

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