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Norfolk Farm or Domestic Product Affidavit

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Norfolk Farm or Domestic Product Affidavit Powered By Docstoc
					                                  AFFIDAVIT


I, __________________________________, whose current legal residence is
__________________________________________, declare that I grow/catch
my own produce/seafood and that I intend to peddle the same in the City of
Norfolk. I have applied to the business tax team of the Commissioner of the
Revenue’s office and have been informed that under State Code 58.1-3719 this
type of business activity is not required to purchase a license.

I further understand that the penalties involved for making a false statement is a Class 1
misdemeanor and is punishable by a fine of nor more than $2,500 and/or confinement in
jail for no more than 12 months (City Code 24.25.3, 1-11).

This affidavit is valid for the person named above during the business license year
________ and will expire on December 31, __________.



__________________________                                  _____________
(Signature of Applicant)                                          (Date)


Subscribed and sworn before me this ________day of ___________, _____, by

______________________________________________.



Notary Public

My commission expires: ____________________________________

				
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