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Public Solicitor Form InstructionsBUSINESS NAME ____________________________ REGISTRATION NO. _______________ INSTRUCTIONS FOR COMPLETING THE APPLICATION FOR A LICENSE FOR PUBLIC SOLICITATION OF CONTRIBUTIONS IN ACCORDANCE WITH ORDINANCE 1976-57 COLLIER COUNTY, FLORIDA 1. Please read the entire form and complete in full. The application will be returned unless ALL QUESTIONS have been answered. 2. This application must be filled out and filed with the Clerk of the Circuit Court & Comptroller for all individuals or firms who request to solicit public contributions in Collier County, Florida. 3. A $5.00 Non-Refundable Registration Fee shall be made payable to: Clerk of the Circuit Court & Comptroller or Clerk. 4. Under Question 11, the Clerk’s Office will need a financial statement for the previous three (3) years, paying particular attention to the amount of funds raised and a complete breakdown of all expenses incurred in the disbursements of those funds. **Please note: this MUST BE VERIFIED UNDER OATH and ATTESTED by the Chief Fiscal Officer of the Solicitor. 5. When solicitor is making application, please note that on or before March of each year, the solicitor must file with the Clerk of the Circuit Court & Comptroller a financial statement showing the condition of the public solicitor for the previous calendar year. This statement due on or before March 1 shall be verified by a certified public accountant or submitted under oath by the Executive Officer of the Public Solicitor. 6. Exceptions under this ordinance for public solicitations of contributions include the following individuals/organizations: A. Religious Institutions B. Candidates for political office