Taxpayer Information Update Form (Los Angeles, California) - 2016
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1TAXPAYER INFORMATION UPDATE FORM
ACCOUNT NUMBER ____________________
LEGAL NAME _______________________________________
PLEASE COMPLETE APPROPRIATE INFORMATION
YOU MUST CALL (844) 663-4411 for further instructions if you have any change in ownership /
legal name or a change on the police or fire permit. You may use this form to cancel an Alarm
Police Permit or a Fire Permit.
(a) DBA (DOING BUSINESS AS)
________________________________________________ DATE____________
(b) BUSINESS ADDRESS ______________________________________________________ DATE ____________
IF YOUR BUSINESS ADDRESS HAS CHANGED, PLEASE CHECK AND COMPLETE BOX (B) IF YOU CONTINUE TO
BE SUBJECT TO THE TAX. PLEASE NOTE THAT IF YOU HAVE MOVED OUTSIDE THE CITY OF LOS ANGELES
AND SOLICIT OR PROMOTE BUSINESS ACTIVITIES WITHIN THE CITY OF LOS ANGELES, YOU ARE REQUIRED
TO PAY TAX IF YOU CONDUCT BUSINESS IN THE CITY SEVEN OR MORE DAYS IN A CALENDAR YEAR. IF YOU
RELOCATED ALL OR PART OF YOUR BUSINESS OUTSIDE THE CITY OF LOS ANGELES, WHETHER OR NOT YOU
ARE SUBJECT TO THE TAX, STATE REASON(S) FOR THE RELOCATION AND NEW PHONE NUMBER. _________
________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
(_____)_______________
______________________________________________________________ PHONE NO
) MAILING ADDRESS
DATE
(c
__________________________________________________________
_____________
__________________________________________________________
c/o
_________________________________________________________________________
d) ENTIRE BUSINESS SOLD OR DISCONTINUED WITHIN THE CITY OF LOS ANGELES
DATE _____________
(
PLEASE PROVIDE, IF APPLICABLE, NEW OWNER’S NAME, ADDRESS, PHONE NUMBER AND LOCATION OF
BUSINESS PROPERTY(S) SOLD
_____________________________________________________________________________
___________________________________________________________________________________________________________
(e) CLASSIFICATION DISCONTINUED
BUSINESS AND/OR USERS TAX
POLICE ALARM PERMIT (P)
__ __ __ __
DATE
__ __ __
_________
CLASS CODE(S)
DATE
_________
FIRE PERMIT
(F)
__ __ __ __ DATE
DATE
__ __ __
_________
_________
PLEASE PROVIDE, IF APPLICABLE, NEW OWNER’S NAME, ADDRESS, PHONE NUMBER AND LOCATION FOR
THE BUSINESS TAX CLASSIFICATION SOLD
________________________________________________________________
___________________________________________________________________________________________________________
PLEASE INCLUDE YOUR EMAIL ADDRESS: ___________________________________________________________
SIGNATURE_____________________________________________
DATE___________________________
PLEASE RETURN SIGNED FORM TO: OR
OFFICE OF FINANCE, SPECIAL DESK UNIT, 200 N. SPRING ST. ROOM 101, LOS ANGELES, CA 90012
REV. 05/16
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