Business Registration Renewal Form - San Francisco
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1
2BUSINESS REGISTRATION RENEWAL
BUSINESS REGISTRATION
RENEWAL FOR
SAN FRANCISCO TAX COLLECTOR
BUSINESS TAX SECTION
7/1/10 - 6/30/11
P.O. BOX 7425
DELINQUENT
SAN FRANCISCO, CA 94120-7425
AFTER FEBRUARY 28, 2010
TAXPAYER ASSISTANCE: (415) 554-4400,
TAX YEAR
CERTIFICATE NUM BER
DO NOT WRITE IN PRE-PRINTED AREAS. USE BLACK INK AND STAY INSIDE BOXES.
10-11
PLEASE COMPLETE A TO F. (See FAQ insert for definitions)
.
Is there taxable business personal property in San
A.
Yes
No
Francisco County?
.
B.
Enter the total number of taxable San Francisco
employees for 2009.
.
C.
Average number of employees per week, including
those employed outside SF, in 2009.
.
D.
For business partnerships, number of equity partners
located in San Francisco.
.
Fill in your primary IRS Business activity code
E.
(NAICS code). /naics
.
2009 Gross Receipts from SF
F.
sources.
I
II
I
INSTRUCTIONS: Complete sections
and
below, sign in the center section, and submit with payment by February 28, 2010. If required to file a
Payroll Expense Tax Statement, submit it together with this form. Please see reverse side for additional information.
REGISTRATION RENEWAL
I
I
Renewing Your Registration: Your current Business Registration Certificate will expire after June 30, 2010. To renew the certificate for the
fiscal year covering July 1, 2010 - June 30, 2011, complete 1. to 4. below.
$
1. Registration Fee Renewal - Pay amount on this line on or before February 28, 2010.
$
.
2. If filing after February 28, 2010, add a registration negligence penalty equal to the fee on Line 1.
3. If filing after February 28, 2010, add a $25 administrative fee if your registration fee is $25.
$
.
Otherwise, add a $55 administrative fee.
4. Total Amount Due (add Lines 1, 2, 3 above). Make check payable to the SF Tax Collector
.
$
OR
Not Renewing Your Registration: If you will no longer be doing business (under this ownership type) in the City & County of San Francisco after
June 30, 2010, please check the appropriate box below and provide the requested information.
Business has ceased in SF, changed ownership type, or been sold.
SF closure date:
See reverse regarding filing final payroll expense tax statement.
/
/
Business will cease in SF,
change ownership type, or be sold on or before June 30, 2010.
See reverse regarding filing final payroll expense tax statement.
I hereby certify under penalty of perjury that the information provided herein is to the best of my knowledge and belief, true, correct, and complete. I
understand this form constitutes a Request for Financial Information pursuant to Section 6.5-1 of the San Francisco Business and Tax Regulations Code.
I am required by law to complete this form in its entirety and understand this statement is subject to audit.
PHONE
NUMBER
PRINT NAME
TITLE
38335
X
SIGN HERE
DATE
B111-11
This form is not valid without signature.
You are required to complete section
II
below.
PAYROLL EXPENSE TAX REPORTING
II
II
All San Francisco businesses must report their taxable San Francisco payroll for the preceding calendar year on or before the annual
deadline (this year, by February 28, 2010). Fill in only one box
below. Do not use X or V.
2009 taxable San Francisco payroll expense was $66.66 or less.
(This includes businesses with no SF Payroll expense.)
Sign and return this renewal form with your payment; no 2009 Payroll Expense Tax Statement filing is required this year.
2009 taxable San Francisco payroll expense was greater than $66.66 but less than or equal to $66,666.33.
Sign and return this renewal form with your payment; no 2009 Payroll Expense Tax Statement filing is required this year.
2009 taxable San Francisco payroll expense was greater than $66,666.33.
Complete BOTH the Registration Renewal form AND a Payroll Expense Tax Statement and return both with your payment. See the
FAQ insert for information on how to obtain a Payroll Expense Tax Statement if you have not received one.
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