Application For Business Operations Tax Certificate (Business License) Form - City Of Seaside, Ca
ADVERTISEMENT
1
2City of Seaside, CA
Application for Business Operations
Tax Certificate (Business License)
**New Businesses Only**
Contractors Must Use Form Specified for
“Contractors Only”
Fiscal Year 07/01/20___ – 06/30/20___
___________________________________________________________________________________
P.O. Box 830725 • Birmingham, AL 35283-0725 • Phone (866) 240-3665 • Fax (205) 423-4097
Email:
**PLEASE PRINT INFORMATION AND COMPLETE ALL SECTIONS****PLEASE RETURN ORIGINAL WITH LICENSE FEES**
Your license may require you to submit proof of certification and/or permit with your payment. Failure to submit a proof of
certification/permit, pay your license in full, or report your gross receipts as required will result in a delay of the release of your license.
1.
Description of Business: __________________________________________________________________________
2.
Business Name: ____________________________________Business Phone: (
) _________________________
(Required-appears on business license)
(Area Code)
3.
Application Date: ________/_______/_________ Date Business Started in Seaside: _________/_______/_________
4.
Location of Business: ______________________________________/__________________/_______/____________
(Address – do not use P.O. Box)
(City)
(State)
(Zip Code)
5.
Contact Name/Title:________________________________________ Contact Phone #:________________________
6.
Contact Fax: ________________________Contact Email: ________________________________________________
7.
Name of Business Owner or Corporation Name: _______________________________________________________
(Required-appears on business license)
Business Owner’s Home or Corp. Address:_____________________________/___________/___/______________
8.
(Address – do not use P.O. Box)
(City)
(State)
(Zip Code)
9.
Mailing Address: __________________________________________/______________________/___/____________
(Address)
(City)
(State)
(Zip Code)
10. State Contractor’s License #: _____________________________________Class: ____________________________
11. Business is owned and operated by:
a) Individual ____ b) Corporation _______ c) Partnership _______
12. Social Security #:________________________Federal ID #: ___________________Sellers Permit #: ____________
(Individual)
(Corporation/Partnership)
(For Collection of Sales Tax)
13. If item 9 (b) or (c) applies, list name of corporate president or names of partners:
NAME
TITLE
_________________________
_______________________
_________________________
_______________________
14. If corporation, the following must be completed:
a.
Exact corporation name is _________________________________________________________________
b.
Date of Incorporation ______/_____/_______ Incorporated in State of _____________________________
c.
Name of officer authorized to accept service of legal process ___________________________________
15. Are you a REAL ESTATE AGENT/BROKER who DOES NOT maintain a fixed place of business within the City of
Seaside?
Yes (Questions 16 and 17 not required –
Skip to “Estimate of Gross Income” Section)
No (Required to answer Questions 16 and 17)
***If yes, you are REQUIRED to obtain a license and pay fees with respect to any contract or work performed in the
City and REQUIRED TO COMPLETE THE ESTIMATE OF GROSS INCOME SECTION BELOW. ***
Yellow-Seaside’s Copy
White-MuniServices Copy
Pink-Business Copy
Page 1 of 2
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Financial