Business Tax Application

Business Tax Application

Please review the entire form to ensure that all required information is completed, prior to submittal. Incomplete applications will not be accepted. You may utilize the ‘Save’ button located at the bottom of this page to return back to your application at a later time.
Additional information and/or documentation may be requested during the review process.
Business Information
Opening Date of Location

MonthDayYear
2 digit month, 2 digit day, 4 digit yearEstimated opening date of business at this location
Business Name
Business Address

Street Address

Suite # / Unit #

CityState

Zip Code
Phone Number
Please enter a valid phone number.Format: 000-000-0000.
Business Email
example@example.com
Business Website
Describe Your Business
Business Type
NAICS Code
Click to search for your code.
Enter NAICS Code
Business Entities/Structures

Other
Name of Corporation, Partnership, LLC, or Other
Select Type of Business
Provide detailed description of business
Describe the type of business. Failure to provide accurate information could result in revocation of your business tax receipt and legal action. Failure to comply with City Codes will result in revocation of tax receipt.
Number of employees
Retail Inventory
Indoor number of seats
Outdoor number of seats
Apartments or Hotels Units
Vending Machines
Number of Beds

Home-based Business
Home-based business tax application will require to be printed out and notarized. In addition, it will be reviewed by the Coral Springs Zoning Division and the Police Department. Please be advised that many subdivisions in the city have deed restrictions relating to the conduct of a business in a residential area. Please contact your homeowner’s association if you have questions. Visit Home-Based Business Tax.

Download home-base application, notary form and mail to Business Tax Department.
Fictitious Name Statement: I hereby attest that I am not required to register my business with the Secretary of State of Florida under the Fictitious Name Act (Florida Statute 205.023 requirement to report status of fictitious name registration) for one of the following:
Are you applying for a new local business tax application?
What is changing?

Other
Previous Business Name
New Business Name
Previous Ownership Name
New Ownership Name
Previous Location

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Current / New Location

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Number of Employees
Number of Employees at this Location
Number of Full-Time Employees
Number of Full-Time Employees at this Location
Optional Information
Lease Information for Commercial Locations
Leasing Agent Name

First NameLast Name
Leasing Agent Phone Number
Please enter a valid phone number.Format: 000-000-0000.
Leasing Agent Email
example@example.com
Property Owner Name
Property Owner Phone Number
Please enter a valid phone number.Format: 000-000-0000.
Property Owner Email
example@example.com
Changes to Business Interior Space
Please select one that is applicable:
Are you sharing space with another business?
Name of Business you are sharing with
Total Square Footage
Was or will there be a change of use from previous business?
A permit may be required from the Building department. For more information click here.
Previous use was
Are any alterations being made to the space?
Describe alterations
Owner, applicant and responsible party information
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number
Please enter a valid phone number.Format: 000-000-0000.
Email
example@example.com
Federal Employer Identification
Per Florida Statute 205.0535 (5) federal employer identification number is required.
Is the applicant name different than above owner's name?
Different Applicant Name

First NameLast Name
XIs the designated contact person different than the applicant and/or owner?
XDesignated contact person different than applicant and/or owner
XContact Name

First NameLast Name
XAddress

Street Address

Street Address Line 2

CityState

Zip Code
XPhone Number
Please enter a valid phone number.Format: 000-000-0000.
XEmail
example@example.com
Attachments required if applicable
Articles of incorporation, LLC and or fictitious name

Cancelof
Personal professional license, state or county

Cancelof
Business state registration certificate

Cancelof
Broward County competency certificate

Cancelof
Business state, county or federal license

Cancelof
Health department, state or county license

Cancelof
Lease Agreement

Cancelof
Floorplan with Dimensions

Cancelof
By typing my name in the below space, I am electronically signing this form. By signing this electronic signature certifies the information to be true, accurate, and complete.

First NameLast Name
Should be Empty:

Rows	Normal Hours	Additional Hours
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Other

Business Tax Application

Business Information

Describe Your Business

Home-based Business

Lease Information for Commercial Locations

Changes to Business Interior Space

Owner, applicant and responsible party information

XDesignated contact person different than applicant and/or owner

Attachments required if applicable