Addendum1 WS505-05 renewal
130 KB Posted
- Attached to
- Utility Bill Printing and Mailing Services
- Solicitation number
- WS505-05
- Issued by
- Dade County, Georgia
About this file
This is an Addendum to a Request for Proposal (RFP) issued by the City of Fayetteville, Georgia for Utility Bill Printing and Mailing Services (Item #WS505-05). The original RFP was due Thursday, June 9, 2022 at 2:00 P.M., with a question deadline of Tuesday, May 31, 2022 at 5:00 P.M. Sealed proposals must be submitted to the Office of Finance & Administrative Services at 210 Stonewall Avenue W, Fayetteville, Georgia 30214. The City Council reserves the right to reject any and all proposals and to waive formalities. All proposals must acknowledge receipt of any written addenda issued by the City to be considered responsive.
The addendum document included is a Business License Renewal form for the City of Fayetteville with License #2472 and Renewal #2022-00000315. This form requires completion and submission to the same address listed for the RFP. The form requests standard business information including ownership details, business address, employee counts, tax identification numbers, and E-Verify information. Full payment of occupational taxes and fees is due January 1st, with penalties applied April 1st. Additional information regarding the RFP can be obtained from Carleetha Talmadge, Assistant Director of Finance & Administrative Services, at 770-719-4161 or ctalmadge@fayetteville-ga.gov.
Text of this file
Business License Renewal
This form must be completed and returned to:
210 Stonewall Avenue West, Fayetteville, GA 30214
Business Name: CITY OF FAYETTEVILLE License Type: General License #: 2472 Renewal #: 2022-00000315
OWNER INFORMATION Ownership Has Changed. Contact the office for new application.
BUSINESS INFORMATION Please Check One
Sole Proprietor Partnership Corporation LLC Non Profit Other
Business Name:
Business Address:
Mailing Address: City State: Zip:
E-mail Address: ________ Phone: ____________________
SS#: ____________________ Federal Tax #: __________________ States Sales Tax #: _______________
# FT Employees: __________ # PT Employees: ________________ E-Verify #: _____________________
Nature or Character of Business:
Computation of Taxes and Fees
Occupational Tax Gross Revenue Method (Report Actual/Estimated Gross Revenue (All information kept confidential)
Gross Revenue Information: $ ___________________________
Total Due: $ ______________________________ (See Enclosed Instructions to Calculate online for Payment Due!)
Rate Table: Tax Class 3
IS APPLICANT U.S. CITIZEN: YES NO
NON-CITIZENS REQUIRED TO COMPLETE SAVE AFFIDAVIT AND PROVIDE PHOTO ID AND SECURE AND VERIFIABLE DOCUMENT. For additional information go to www.fayetteville-ga.gov or call (770) 719-4165
No Longer in business (Check here, sign and return) No Longer Conducting Business in City of Fayetteville (Check here, sign and return) Renewed Online – See Enclosed Instructions!
Check Enclosed; FULL PAYMENT DUE JAN. 1ST; PENALTIES APPLIED APR. 1ST
I DECLARE UNDER PENALTY OF PERJURY AND TO THE BEST OF MY KNOWLEDGE THAT ALL INFORMATION LISTED ABOVE
IS TRUE AND CORRECT. I ALSO UNDERSTAND THAT ALL INFORMATION IS SUBJECT TO AUDIT.
CITY OF FAYETTEVILLE
210 STONEWALL AVENUE
FAYETTEVILLE, GA 30214
Signature
Date http://www.fayetteville-ga.gov/
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