IMPORTANT: Please read the instructions carefully.

Enter Gross Receipts:

Select A Business Class Contractor Retail Business/Personal Service Barber Shop Beauty Shop Utility - Electric Co. Utility - Gas Co. Utility - Water Co. Telephone Co. Real Estate Appraiser Real Estate broker Installment Paper Loan Company Professional Services Wholesale (Enter Gross Purchases)

Projected Tax:

Enter Gross Receipts:

Select A Business Class Contractor Retail Business/Personal Service Barber Shop Beauty Shop Utility - Gas Co. Utility - Water Co. Telephone Co. Real Estate Appraiser Real Estate broker Installment Paper Loan Company Professional Services Wholesale (Enter Gross Purchases)

Projected Tax:

Enter Gross Receipts:

Select A Business Class Contractor Retail Business/Personal Service Barber Shop Beauty Shop Utility - Gas Co. Utility - Water Co. Telephone Co. Real Estate Appraiser Real Estate broker Installment Paper Loan Company Professional Services Wholesale (Enter Gross Purchases)

Projected Tax:

Enter Gross Receipts:

Select A Business Class Contractor Retail Business/Personal Service Barber Shop Beauty Shop Utility - Gas Co. Utility - Water Co. Telephone Co. Real Estate Appraiser Real Estate broker Installment Paper Loan Company Professional Services Wholesale (Enter Gross Purchases)

Projected Tax:

Enter Gross Receipts:

Select A Business Class Contractor Retail Business/Personal Service Barber Shop Beauty Shop Utility - Gas Co. Utility - Water Co. Telephone Co. Real Estate Appraiser Real Estate broker Installment Paper Loan Company Professional Services Wholesale (Enter Gross Purchases)

Projected Tax:

Special Classifications: "Alcoholic Beverages", "Real Estate Agent" and "Coin Machine Operator"

Enter Gross Receipts:

Coin Machine Operator

Projected Tax:

Real Estate Agent $15.00 Beer (On Premises Only) $80.00 Beer And/Or Wine (On And/Or Off Premises) $120.00 Mixed Beverages seating 50 - 100 $160.00 Mixed Beverages seating 101 - 150 $280.00 Mixed Beverages seating 150 - Plus $400.00 Mixed Beverages Private Club $280.00 Peddler $50.00 Itinerant Merchant $50.00 Itinerant Merchant $500.00 Flat Fee Total:

Total Gross Receipts:

Total Projected Tax: