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JEFFERSON COUNTY, GEORGIA JEFFERSON COUNTY COMMISSIONERS 302 East Broad Street, P. O. Box 811, Louisville, GA 30434 478‐625‐4032—Telephone 478‐625‐0597—Fax { } New license { } Renewal Year: 20 # Section A: ' ' ' Section B—1: ---PAGE BREAK--- ' ' ' Section B—2 Section C: ---PAGE BREAK--- Section D: Section E: Occupation Tax Schedule: Number Of Employees: OCCUPATION TAX (BUSINESS LICENSE) Up To 5 $25 6‐10 $45 11‐20 $60 21‐30 $75 31‐40 $150 41‐50 $250 More than 50 $400 The number of employees includes full‐time and full‐time equivalent working for the business. The fractional working ties of part‐time employees are combined and rounded to provide a more accurate estimate of full‐ time equivalent employees. The owner and other family members working for the business, whether, paid or not, shall be included in this count. Carnivals $300/WEEK Pawnbrokers $150 Massage Parlors $1,000 Auto and racing $500 Fortune Tellers $1,000 Adult Book Store $1,000 Peddlers $50.00/DAY or $500 WEEK I hereby warrant that I fully understand the information requested and/or stated above, and that the information submitted herein is true and factual to the best of my knowledge. I further understand that giving false information on this application, to the Jefferson County Board of Commissioners, County Administrator or his designee, shall constitute grounds for revocation of my business license. X Date: Official Use (Do Not Write Below This Line)