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SPECIAL EVENT PREPARED FOOD & BEVERAGE TAX
CHOOSE THE APPROPRIATE ENTITY
APPLICANT INFORMATION
APPLICANT INFORMATION
AGENT INFORMATION
AGENT INFORMATION
PHYSICAL ADDRESS OF BUSINESS
PHYSICAL ADDRESS OF BUSINESS
If Mailing Address is different than business/physical address, enter it here:
OTHER CONTACT INFORMATION
OTHER CONTACT INFORMATION
GROSS RECEIPTS INFORMATION
GROSS RECEIPTS INFORMATION
VENDOR TYPE
VENDOR TYPE
Description of Business Activity (Work performed, services provided, products sold, peddler, amusement machines, itinerant merchant)
EVENT INFORMATION
EVENT INFORMATION
*By typing your name, you are certifying that you have read and agree with the following statement in its entirety. I agree that my typed name on this document is the legally binding equivalent to my handwritten signature. I will not, at any time in the future, repudiate the meaning of this signature or claim that this signature is not legally binding.

*By typing your name, you are certifying that you have read and agree with the following statement in its entirety.

I agree that my typed name on this document is the legally binding equivalent to my handwritten signature. I will not, at any time in the future, repudiate the meaning of this signature or claim that this signature is not legally binding.