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TOWN OF FLOYD 138 WILSON STREET FLOYD, VA 24091 5407452565 TRANSIENT OCCUPANCY TAX FORM DUE 20TH OF EACH MONTH REPORT FOR THE MONTH OF, 20 BUSINESS NAME Principal Owners or Agent: Phone # Federal
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FLOYD 20TH Annum OCCUPANCY COMPUTED certify payable LODGING Unpaid TRANSIENT MAILING

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