coin-operated amusement permit application
TRANSCRIPT
TAX RATE SCHEDULE FOR EACH COIN‐OPERATED MACHINE PLACED ON LOCATION FOR THE 1ST TIME Quarters Months Machine Totals Tax Rate Per Machine Total Amount 1st Quarter January – March X $15.00 = $
2ndQuarter April – June X $11.25 = $
3rd Quarter July – September X $7.50 = $
4th Quarter October – December X $3.75 = $
Name of Business:
Address of Business:
Business Phone #: E‐Mail Address:
Owner’s Name:
Owner’s Address:
Owner’s Phone #: E‐Mail Address:
A=Video Games B=Pool Tables C=Pinball Games D=Darts E=Music F=Amusement Redemption G=Other Machine Serial #/ Inventory ID #
Machine Make orManufacture
Machine Type Code Use Letter Code Above
Machine Used by O=Owner L=Lessee
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Each coin‐operated machine must have a serial number that is clearly visible on the OUTSIDE of the machine. If a machine is manufactured without a serial number, the machine owner must assign a serial number and stamp or engrave the number on the machine.
An Occupation Tax Permit sticker issued by the City of Corpus Christi MUST be affixed to each registered machine when it is placed on location. Occupation Tax Permit sticker must be securely attached to the machine.
Any person who intentionally removes a current Occupation Tax Permit from a machine is subject to criminal prosecution.
Each address location must have its own permit application.
Development Services Department 2406 Leopard St. Corpus Christi, TX 78408 | Phone: 361.826.3240 | Fax: 361.826.4375 | [email protected]
Coin-Operated Amusement Machine
Permit Application
City of Corpus Christi | Form No: DSD-1021 Rev. 9/5/19 | Page 1 of 2
A=Video Games B=Pool Tables C=Pinball Games D=Darts E=Music F=Amusement Redemption G=Other Machine Serial #/ Inventory ID #
Machine Make or Manufacture
Machine Type Code Use Letter Code Above
Machine Used by O=Owner L=Lessee
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40 The following machines are exempt from this tax: stamp vending, service machines vending, gas meters, food vending, cigarette
vending, confection vending, beverage vending, and merchandise vending.
Development Service Office Use Only:
Occupation Tax Permit stickers expire on December 31st of each year.
Occupation Tax Permit sticker #’s issued to
Issued by: Date:
Rev. 9/5/19 | Page 2 of 2City of Corpus Christi | Form No: DSD-1021