OCCUPATION TAX INFORMATION

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OCCUPATION TAX INFORMATION Professional business owners in the City of Thomasville are required to pay an occupation tax based on the type of profession and estimated annual gross receipts or the number of professionals in the business. This tax is pro-rated based on the number of months open the first year and adjusted each year thereafter as the actual gross increases or decreases. If payment per professional is chosen, it is pro-rated the first year and then $400 each year per professional. Occupation tax is due and payable on or before April 15th of each year after the initial opening. Renewal notices are mailed in January. The Planning & Zoning Department must check the zoning of the property to be sure the type of business can be operated at the location you have chosen. A certificate of occupancy inspection, if required, will be scheduled by the Building Inspection Department. You may contact both departments at 229-227-6982 or come to the office located at 415 W. Jackson St. Before issuing the initial occupation tax certificate, the city must require the private employer to: Submit an affidavit that they are registered and using E-Verify or are exempt from the requirement. E-Verify is a partnership between the Department of Homeland Security (DHS) and the Social Security Administration (SSA). All private employers seeking an occupation tax certificate, to operate a business must comply. It applies to all employers with more than 10 employees. Employee is defined as working at least 35 hours per week. The AG s Office Website: http://law.ga.gov/immigration-reports Please contact the City Fire Department for information concerning fire alarms, sprinkler systems and fire safety at 227-7015. The enclosed 2014 occupation tax return and affidavit should be completed and returned to City of Thomasville, P.O. Box 1397, Thomasville, GA 31799. Your tax will be calculated with a statement following by return mail and payment will be due within 30 days. If you have any questions concerning the occupation tax, please call the Tax Department at 229-227- 7001 or 229-227-3250.

TO ALL THOMASVILLE PROFESSIONALS: State of Georgia Law 48-13-5 O.C.G.A., lists certain professional practitioners that counties or municipalities are prohibited from collecting any license, occupation, or professional tax "except at the place where the practitioners maintain their principal office, and "no such levy shall exceed the sum of $400 per year." EXTRACTS FROM CITY ORDINANCE: "Professional: Each individual practitioner or each firm or more than one (1) practitioner of law, medicine, osteopathy, chiropractic, podiatry, dentistry, optometry, psychology, veterinary medicine, landscape architecture, land surveying, massage and physiotherapy, public accounting, embalming, funeral directing, civil, mechanical hydraulic or electrical engineering, or architecture who shall maintain their principal office in the city shall pay the sum of four hundred dollars ($400.00) per year for each professional. Provided, however, any person or firm engaging in the aforesaid professions may elect to be covered under Schedule B of Gross Receipts Schedule, but no such levy shall exceed the sum of four hundred dollars ($400.00) per year for each professional or shall be assessed upon or collected from any practitioner whose office is maintained by and who is employed in practice exclusively by the United States, the state, a municipality or county of the state or instrumentalities of the United States, the state or a municipality or county of the state. Persons not engaged in private practice, but working full time for a single employer shall not be deemed to practice a profession, trade or calling within the meaning of this article." Please consult Schedule B below to aid you in electing to be taxed by gross receipts or by paying the $400.00 flat fee per practitioner as levied by the City ordinance. To determine the class appropriate to your profession, please see the chart below. Class 2 Class 3 Class 4 health services funeral directors architects landscape architecture certified public accountants veterinary medicine engineers land surveyors lawyers Gross Receipts Range Brackets Class 1 2 3 4 5 6 At Least But Less Than 0 5,000 46 46 47 47 47 48 5,001 10,000 48 49 50 51 52 53 10,001 25,000 52 55 57 59 62 64 25,001 50,000 60 66 71 76 81 86 50,001 75,000 71 79 88 96 104 113 75,001 100,000 81 93 105 117 128 140 100,001 150,000 96 114 130 148 164 181 150,001 200,000 117 141 164 189 211 236 200,001 250,000 137 169 198 230 259 290 250,001 500,000 199 251 300 353 401 454 500,001 750,000 301 389 470 558 639 726 750,001 1,000,000 404 526 640 763 876 999 1,000,001 1,250,000 506 664 810 968 1114 1271 1,250,001 1,500,000 609 801 980 1173 1351 1544 1,500,001 1,750,000 711 939 1150 1378 1589 1816 1,750,001 2,000,000 814 1076 1320 1583 1826 2089 2,000,001 2,250,000 916 1214 1490 1788 2064 2361 2,250,001 2,500,000 1019 1351 1660 1993 2301 2634 2,500,001 2,750,000 1121 1489 1830 2198 2539 2906 2,750,001 3,000,000 1224 1626 2000 2403 2776 3179 3,000,001 3,250,000 1326 1764 2170 2608 3014 3451 3,250,001 3,500,000 1429 1901 2340 2813 3251 3724 3,500,001 3,750,000 1531 2039 2510 3018 3489 3996 3,750,001 4,000,000 1634 2176 2680 3223 3726 4269 Occupation tax is adjusted each year as the gross receipts range bracket increases or decreases. We will provide notary services free of charge if signed in our presence. For additional information, call the City Tax Department at 229-227-7001 or 229-227-3250.

2018 PROFESSIONAL OCCUPATION TAX RETURN PLEASE COMPLETE THIS FORM AND MAIL TO: CITY OF THOMASVILLE PO BOX 1397, THOMASVILLE GA 31799 NAME OF BUSINESS/PROFESSION: LOCATION OF BUSINESS/PROFESSION: MAILING ADDRESS, IF DIFFERENT FROM LOCATION: CONTACT PERSON: TELEPHONE NO: CHECK ONE: CORPORATION ( ) PARTNERSHIP ( ) SOLE PROPRIETOR ( ) OTHER ( ) NAME OF CORPORATION OR OWNER(S): **You must provide/attach a copy of your current state license from the Secretary of State Applicable to business type** SOCIALSECURITY OR FEDERAL ID NUMBER: E-VERIFY NUMBER: TYPE OF BUSINESS/PROFESSION: OPENING DATE: ESTIMATE ANNUAL GROSS RECEIPTS, THIS INCLUDES THE AMOUNT OF THE GROSS SALES, RECEIPTS, PREMIUMS, COMMISSIONS OR OTHER FORM OF MEASURABLE RETURNS FROM THE TRADE, BUSINESS, OR PROFESSION FOR THE YEAR 2017. CHECK CORRECT BRACKET IF YOU CHOOSE TO PAY BY SCHEDULE B. 0-5,000 ( ) 500,001-750,000 ( ) 3,000,001-3,250,000 ( ) 5,001-10,000 ( ) 750,001-1,000,000 ( ) 3,250,001-3,500,000 ( ) 10,001-25,000 ( ) 1,000,001-1,250,000 ( ) 3,500,001-3,750,000 ( ) 25,001-50,000 ( ) 1,250,001-1,500,000 ( ) 3,750,001-4,000,000 ( ) 50,001-75,000 ( ) 1,500,001-1,750,000 ( ) 4,000,001-4,250,000 ( ) 75,001-100,000 ( ) 1,750,001-2,000,000 ( ) 4,250,001-4,500,000 ( ) 100,001-150,000 ( ) 2,000,001-2,250,000 ( ) 4,500,001-4,750,000 ( ) 150,001-200,000 ( ) 2,250,001-2,500,000 ( ) 4,750,001-5,000,000 ( ) 200,001-250,000 ( ) 2,500,001-2,750,000 ( ) 5,000,001-5,500,000 ( ) 250,001-500,000 ( ) 2,750,001-3,000,000 ( ) 5,500,001-6,000,000 ( ) I/We elect to pay $400 per professional practitioner. or, I/We elect to be covered under Schedule B. (STRIKE OUT INAPPROPRIATE LINE) Signature: Printed Name: Date: Title: (owner, partner, manager, officer, etc) Please list all professionals in firm (attach additional sheet if necessary.)

AFFIDAVIT VERIFYING STATUS FOR CITY OF THOMASVILLE PUBLIC BENEFIT APPLICATION By executing this affidavit under oath, as an applicant for a City of Thomasville, Georgia, public benefit as referenced in O.C.G.A. 50-36-1, I am stating the following with respect to my application for the following public benefit: X Occupational Tax Certificate Business license or permit Alcoholic Beverage sales license or permit Taxi license or permit Other public benefit or permit Name of natural person applying on behalf of individual, business, corporation, partnership, LLC, or other private entity OR 1) I am a United States citizen 2) I am a legal permanent resident 18 years of age or older, OR I am an otherwise qualified alien or non-immigrant under the Federal Immigration and Nationality Act 18 years of age or older, AND lawfully present in the United States* In making the above statement under oath, I understand that any person who knowingly and willfully makes a false, fictitious, or fraudulent statement or representation in an affidavit shall be guilty of a violation of Code Section 16-10-20 of the Official Code of Georgia. Signature of applicant Printed name Date *Alien registration number for non-citizens SWORN AND SUBSCRIBED BEFORE ME ON THIS THE DAY OF 2 NOTARY PUBLIC My commission expires on: *O.C.G.A. 50-36-1(e)(2) requires that aliens under the Federal Immigration and Nationality Act, Title 8, U.S.C. as amended provide their alien registration number. Because legal permanent residents are included in the federal definition of alien, legal permanent residents must also provide their alien registration number. Qualified aliens who do not have an alien registration number may supply another identifying number below: Other identification number:

Private Employer Affidavit Pursuant To O.C.G.A. 36-60-6(d) By executing this affidavit under oath, the undersigned private employer verifies one of the following with respect to its application for a business license, occupational tax certificate, or other document required to operate a business as referenced in O.C.G.A. 36-60-6(d): Section 1. Please check only one: (A) On January 1 st of the below-signed year, the individual, firm, or corporation employed more than ten (10) employees 1. *** If you select Section 1(A), please fill out Section 2 and then execute below. (B) On January 1 st of the below-signed year, the individual, firm, or corporation employed ten (10) or fewer employees. *** If you select Section 1(B), please skip Section 2 and execute below. Section 2. The employer has registered with and utilizes the federal work authorization program in accordance with the applicable provisions and deadlines established in O.C.G.A. 36-60-6. The undersigned private employer also attests that its federal work authorization user identification number and date of authorization are as follows: Name of Private Employer Federal Work Authorization User Identification Number Date of Authorization ---------------------------------------------------------------------------------------------------------------------------------------------------- I hereby declare under penalty of perjury that the foregoing is true and correct. Executed on,, 201 in (city), (state). Signature of Authorized Officer or Agent Printed Name and Title of Authorized Officer or Agent SUBSCRIBED AND SWORN BEFORE ME ON THIS THE DAY OF, 201. NOTARY PUBLIC My Commission Expires: 1 To determine the number of employees for purposes of this affidavit, a business must count its total number of employees company-wide, regardless of the city, state, or country in which they are based, working at least 35 hours a week.