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... APPLICATIQNFQRBUSINESS TAX RECEIPT . P.ASCOCQUNfYFDCIRID.A · TAX YEAR: ACCOUNT NUMBER: SIC CODE: OUR FILES CURRENTLY REFLECT THE FOLLOWING INFORMATION RELATING TO THE BUSINESS IDENTIFIED BELOW. PLEASE CHANGE INCORRECT INFORMATION. . Business Name Or Fictitious Name: If Fictitious Name, Registration Number: Expires: . Corporate Name (If Different From Above): . Owner/Manager's Name: Home Phone: . Date Business Opened In Pasco County: . Physical Location Of Business: . Mailing Address: . Federal Employer ID Or Social Security Number: . Sales Tax Registration Number: . State Or County Regulatory License Number: . Property Parcel Number: Business Phone: . Fees: Tax $ . Number Of Penalty $ Expires: Tangible Tax Account Number: Other $ *SQG $ (*Small Quantity Generator of Hazardous Materials) If "Number Of' Changed, See Fee Schedule Below: A IT ACH COPIES OF: RETURN THIS FORM INTACT WITH APPROPRIATE FEE AND COPIES OF ABOVE DESCRIDED DOCUMENTS. BUSINESS TAX RECEIPTS EXPIRE SEPTEMBER 30TH. OCTOBER THROUGH JANUARY AMOUNTS INCLUDE A LATE RENEWAL PENALTY. DO NOT DETACH - RETURN ENTIRE FORM INTACT BUSINESSiTAXNO"IiCE.-PASCOCOUN1Y FLORIDA 2007-2008 L.ICENSE YEAR ACCOUNT 071867 SIC CODE 1761 I I I I PAYABLE TO: Mtl(E OL.SON, TAX COLLEC'TORl P.O.lBOX 276, DADE CITY, ..FL.33526-0276 SIGNHE:RE~ I CERTIFY THAT ALL INFORMATION PROVIDED IN THE ABOVE APPLICATION FOR THIS BUSINESS TAX RECEIPT IS TRUE AND CORRECT. Tk.JCONSTRUCTIONCO/"lPANYINC 87606 MARCLIFF.TERRACE ZEPHYRHIL.LS FL 33541-3818 AUTHORIZED SIGNATURE DATE PAID 32.38 10'18/07 TEMPDRARY> RECEIPT :~~V~~r~~~~Q7 TEMP RCPT NZLO 10/18/07 RAT