Cash Bond Refund Request

Any person or business entity required to file a $275.00 cash bond shall have a minimum of one (1) year and a maximum of two (2) years from the date of bond payment to request a refund of the bond. Upon receipt of the refund request, if all license fee returns are deemed to be filed and paid in full, a refund of the bond will be issued. If at any time during the two year period a return is not filed or the taxes not paid, the bond shall be retained by the City and no portion shall be eligible for a refund. At the end of the two year period, if no request has been made for a refund, the remaining bond payment shall be forfeited to the City.

City Account Number:

Business Name:

Email:

Phone:

Fed ID: (##-#######)

Social Security Number (Last four digits):

Start Date of Business in Bowling Green: (YYYY-MM-DD)

Please select whether business activity in Bowling Green is ongoing or has ended:

Ongoing: My business has regular or routine visits to an established customer base within the City of Bowling Green. I have produced sufficient evidence of this by filing all the required occupational license fee returns by the required due dates for a period of at least one year.

Ended: All required Occupational License fee returns have been filed with the City by the required due dates. Please close my account with the City as of date below.

End Date of Business in Bowling Green: (YYYY-MM-DD)

Mail the Cash Bond Refund to address below:

Attention of: (Optional)

Street Address:

City:

State:

Zip Code:

I certify, based on information and belief formed after reasonable inquiry, that the statements and information contained in this bond refund application are true, accurate and complete. I further certify that I have all necessary power, authority, and capacity and am authorized to submit this form on behalf of:

By signing this application electronically, I agree that my electronic signature is the legal equivalent of my manual signature and that no certification authority or other third party verification is necessary.

Electronic Signature: Please type your full name:

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City of Bowling Green, Kentucky

Official Municipal Website of Bowling Green, Kentucky

Finance Department

Cash Bond Refund Request

Mail the Cash Bond Refund to address below: