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Greene CountyOccupational Tax Return1034 Silver Drive, Suite 201Greensboro, GA 30642
Phone (706) 453-7716
All applications must be filled out COMPLETELTY. In complete forms will NOT be processed.
COMPANY INFORMATION
SUB-CONTACTS
(If different from owner. May include operator/manager, etc.)
CERTIFICATIONS
A copy of your state license must be attached to the application packet.
BUSINESS INFORMATION
Sole Proprietor, LLC, Corporation, etc.
If applicable
Look up your NAICS code by business type.
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: ___________________
* indicates a required field