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City of Patterson
BUSINESS LICENSE APPLICATION
3507 Williams Street
PO Box 434
Patterson, Georgia 31557
(912) 647-5776

Occupational Tax Return

Business Name

Applicant Owner

Owner Email

Business Address

Mailing Address

Phone Number

Applicant SSN SS# --

Location(s) of Business

Type of Business Conducted


OCCUPATIONAL TAX (BUSINESS LICENSE)


The term "employee" shall mean an individual whose work is performed under the direction and supervision of the employer and whose employer withholds FICA, Federal Income Tax, or State Income Tax from such individual's compensation or whose employer issues to such individual for the purposes of documenting compensation a form IRS W-2 but not a form IRS 1099.

Fifteen dollars ($15.00) from 0-1 employee and each additional employee shall be fifteen dollars ($15.00) not to exceed two hundred fifty-five dollars ($255.00). Total fees including employee fee plus administrative fee is not to exceed two hundred and eighty dollars ($280.00). Beer and Wine Licenses require additional fee.

A. 0-1 Employee (Set Rate) $15.00 *
B. Each Additional Employee ( X $15.00) * How many?
C. Administrative Fee (Set Rate) $25.00 *
D. Beer and Alcohol (Set Rate) $1,000.00 *
E. Your Occupation Tax (Lines A+B+C+D)
** Next page will take you to the payment area.
Total Occupation Tax will need to be entered for payment.


Type in Full Name for Signature of Autorized Person:
Title:
Todays Date:



Your IP Address: 3.235.172.213




You can contact us by phone @ 912-647-5776
Or By Email: cityofpatt@accessatc.net