Form Boe-400-Mt - Application For Seller'S Permit - Temporary
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2BOE-400-MT (FRONT) REV. 9 (1-03)
STATE OF CALIFORNIA
TEMPORARY
APPLICATION FOR SELLER’S PERMIT –
BOARD OF EQUALIZATION
Use additional sheets to include information for more than three individuals.
FOR BOARD USE ONLY
SECTION I: OWNERSHIP INFORMATION
1. PLEASE CHECK TYPE OF OWNERSHIP
TAX
IND
OFFICE
NUMBER
Sole Owner
Husband/Wife Co-ownership
SR
Corporation
Limited Liability Partnership (LLP)
(Registered
to practice law, accounting or architecture)
Limited Partnership (LP)
BUSINESS CODE
AREA CODE
General Partnership
Limited Liability Company (LLC)
Unincorporated Business Trust
APPLICATION PROCESSED BY
VERIFICATION:
Other (describe)
DL
Other
2. ENTER FULL NAME OF CORPORATION, LP, LLP, LLC PARTNERSHIP OR UNINCORPORATED BUSINESS TRUST
3. FEDERAL EMPLOYER IDENTIFICATION NUMBER (FEIN)
4. CORPORATE, LP, LLP, OR LLC NUMBER FROM CALIFORNIA SECRETARY OF STATE
5. STATE OF INCORPORATION OR ORGANIZATION
CHECK ONE
Officer
Manager
Member
Trustee
Beneficiary
Partner
Sole Owner or Co-Owner
6. FULL NAME (first, middle, last)
7. SOCIAL SECURITY NUMBER (corporate officers excluded)
8. DRIVER LICENSE NUMBER (attach verification)
9. RESIDENCE ADDRESS (street, city, state, zip code)
10. RESIDENCE TELEPHONE NUMBER
(
)
CHECK ONE
Officer
Manager
Member
Trustee
Beneficiary
Partner
Sole Owner or Co-Owner
11. FULL NAME (first, middle, last)
12. SOCIAL SECURITY NUMBER (corporate officers excluded)
13. DRIVER LICENSE NUMBER (attach verification)
14. RESIDENCE ADDRESS (street, city, state, zip code)
15. RESIDENCE TELEPHONE NUMBER
(
)
CHECK ONE
Officer
Manager
Member
Trustee
Beneficiary
Partner
Sole Owner
16. FULL NAME (first, middle, last)
17. SOCIAL SECURITY NUMBER (corporate officers excluded)
18. DRIVER LICENSE NUMBER (attach verification)
19. RESIDENCE ADDRESS (street, city, state, zip code)
20. RESIDENCE TELEPHONE NUMBER
(
)
SECTION II: BUSINESS INFORMATION
21. BUSINESS NAME [DBA] (complete if different from entity name)
22. DID YOU INCLUDE A COPY OF YOUR PARTNERSHIP AGREEMENT?
Yes
No
23. BUSINESS ADDRESS (street, city, state, zip code) [do not list P.O. Box or mailing service]
24. BUSINESS TELEPHONE NUMBER
(
)
25. NAME OF CONTACT PERSON (person responsible for filing tax return)
26. MAILING ADDRESS OF CONTACT PERSON (street, city, state, zip code)
27. CONTACT TELEPHONE NUMBER
(
)
28. NAME & LOCATION OF BANK OR OTHER FINANCIAL INSTITUTION (Note whether business or personal)
CHECKING ACCOUNT NUMBER(S)
SAVINGS ACCOUNT NUMBER(S)
continued on reverse
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Parent category: Legal