New Business License Tax Application Form - City Of Sacramento
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1City of Sacramento ▪ Revenue Division
NEW BUSINESS LICENSE
915 I Street ▪ Sacramento, California 95814
TAX APPLICATION
916.808.8500 ▪ Fax 916.808.1935
PLEASE PRINT OR TYPE
NO ________________________
BUSINESS ACTIVITY INFORMATION
BUSINESS NAME (DBA NAME USED TO IDENTIFY YOUR BUSINESS)
NEW OR CHANGES?
STARTING DATE
NEW
CHANGES
BUSINESS PHONE NO.
OWNER/CORPORATION PHONE NO.
OWNERSHIP TYPE
SOLE
LLC
EMAIL ADDRESS
WEB SITE ADDRESS
CORPORATION
TRUST
PARTNERSHIP
OTHER_______________
STATE CERT./LICENSE NO.
EXP. DATE
FEDERAL ID NO.
STATE EMPLOYER ID NO.
NO. OF EMPLOYEES
BUSINESS DESCRIPTION
BUSINESS LOCATION ADDRESS
BUSINESS ZONED:
COMMERCIAL
OR
RESIDENTIAL HOME OCCUPATION PERMIT # _________________________________ (CHECK ONE)
OWNER/CORPORATION ADDRESS (STREET NAME AND NO., SUITE NO., CITY, STATE, ZIP CODE)
IF CORPORATION: NAME/ADDRESS TO RECEIVE LEGAL DOCUMENTS
MAILING ADDRESS (WHERE YOU WANT US TO MAIL THE BUSINESS TAX CERTIFICATE OR OTHER CORRESPONDENCE)
CONTACT INFORMATION
OWNER OR CORPORATE OFFICERS’ NAME & TITLE (STATE CONTRACTOR, SEE BELOW*)
RELATIONSHIP TO COMPANY
SOCIAL SECURITY NO.
CA DRIVER’S LICENSE
1)
2)
3)
*STATE CONTRACTOR LICENSE NO.
BUSINESS LICENSE TAX CALCULATION
RESOURCE INFORMATION
GROSS RECEIPTS – estimated for the first year or
$
actual for renewal
Please note: Once you are registered, the City’s
GROSS PAYROLL – estimated for the first year or
$
Economic Development Department will send you
business resource information by e-mail or mail.
actual for renewal
# OF YEARS LICENCED WITH THE STATE
# OF RENTAL UNITS (IF APPLICABLE)
# OF PROFESSIONAL EMPLOYEES
I declare under penalty of perjury that to my knowledge all information contained on this application is true and correct. This tax certificate is for revenue purposes
only and does not imply conformance with applicable city codes and ordinances. You are advised to check your proposed business location and structure with the
City Planning Division for compliance with zoning codes and the Building Inspections Division for compliance with building codes.
SIGN HERE ______________________________________________________ DATE __________________________________________________
TEMPORARY CERTIFICATE
FOR OFFICIAL CITY USE ONLY
VOID
Not valid more than 45 days from validation date
TAX
$
Your Business Tax Certificate will be sent to you
BIA
$
IF NOT
approximately two weeks.
HOP
$
This certificate must be renewed annually
VALIDATED
DUP/PEN
$
TOTAL
$
BY
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