Request For Information Changes - City And County Of San Francisco - California - Office Of The Treasurer & Tax Collector Page 2
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1
2REQUEST FOR INFORMATION CHANGES
5.
NEXUS IN SAN FRANCISCO:
If you answered “NO” to all of the questions below, you are not doing business in the city and your account
will be closed if all tax liabilities have been paid.
YES
NO
DO YOU:
YES
NO
DO YOU:
o
o
o
o
Maintain a fixed place of business within SF?
Employ or loan capital on property within SF?
o
o
o
o
Have employees hired to perform work or
Solicit business on a regular basis within SF
provide service within SF?
within San Francisco for all or part of any
seven days during one year?
o
o
o
o
Own or lease real property within SF
Perform work or render services in SF on a
for business purposes?
regular basis for all or part of any seven days
during one year?
o
o
o
o
Maintain stock of tangible property
Utilize the street within SF in connection with
for sale in SF?
the operation of motor vehicles for business
purposes on a regular basis for all or part of
any seven days during the year?
.
6
OTHER CHANGES:
Please print or write legibly and provide the necessary documentation.
___________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
PLEASE NOTE: LIMITED LIABILITY COMPANIES must check the “Partnership” box on the Business Tax Registration
Certificate Application unless it has elected to be otherwise treated for federal income tax purposes under Treasury
Regulations Section 301.7701-03. A limited liability company that has made such an election shall have the same
classification for San Francisco tax purposes as it has for federal income tax purposes.
NEW or ADDITIONAL DBA/LOCATION:
o
Business Name:___________________________________________________________
Starting Date:______________
o
Business Location:_________________________________________________________
Starting Date:______________
Street Address/Suite
City/State
Zip Code
Describe the nature of business done at the above location:
______________________________________________ $____________________
___________ ___________
_________
Business Description
Est. Payroll
# Employees
Bus. Class
PBC
(12 mos.)
For Apartment Building Owner/Operator: No. of Apt. Units:___________ No. of Commercial Units:______________
I declare under penalty of perjury that the information contained herein is true and complete to the best of my
knowledge and belief. I understand that misrepresentation of information is subject to a penalty of up to $500.
(San Francisco Business and Tax Regulations Code, Section 6.17-3)
________________________________________________
______________________________________________________
Signature
Print Name
________________________________________________
__________________
(_________)____________________
Title or Position
Date
(Area Code)
Telephone No.
Request for Information Changes 1 (rev.1/2005)
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