When working with dollar amounts, I would recommend converting everything into cents. So multiply everything (except the tax rates, of course), by 100, then do any arithmetic on it, and finally convert it back to a float. Also, tax_rate and total_tax_rate are equivalent, so just use one. I would change the above to:
county_tax_rate = 0.02
state_tax_rate = 0.04
tax_rate = county_tax_rate + state_tax_rate
item_price = float(input("Please enter the price of your item: "))
item_price = int(100 * item_price) # Item price in cents
total_price = item_price * (1 + tax_rate) # Total price in cents
print("Your Total Sales Cost is ${:0.2f}".format(total_price / 100.0))
print("Your Purchase Amount was ${:0.2f}".format(item_price / 100.0))
print("Your County Tax Rate was {}%".format(int(county_tax_rate * 100)))
print("Your State Tax Rate was {}%".format(int(state_tax_rate * 100)))
print("Your Total Tax Rate was {}%".format(int(tax_rate * 100)))
The {:0.2f}
format string takes a float and displays it out to 2 decimal places.
Note: I'm not sure why you were displaying tax rates as dollar amounts, so I changed those to percentages instead.