Application For Business Operations Tax Certificate (Business License) Form - City Of Seaside, Ca Page 2

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16. Any equipment, materials, or products stored at the business location?
Yes _____________ No ___________
If yes, please describe ___________________________________________________________________________
17. I/We certify that the estimated sales/income for the year ending
June 30, 20______
will not exceed $___________
***ESTIMATE OF GROSS INCOME***
Section 5.04.300 Any Contractor/Real Estate Agent/Broker who does not maintain a fixed place of business within the City of Seaside
is required to obtain a license and pay fees with respect to any contract or work performed in the city.
In order to ascertain the amount of fees due please complete the following:
Job Address: _______________________________________________________
I/We certify that the estimated gross income for the contract or work performed within the City of Seaside for this job will not exceed
$__________________. (Must provide a copy of a valid California State Contractors License)
***ALL APPLICANTS MUST COMPLETE THE BELOW***
Step 1: Fees for Business Operations Tax Certificate:
$____________________
(See fee schedule for license tax rates.)
Is this business physically located within the City Limits of Seaside, CA?
Yes
No
If Yes – You must calculate the applicable fire inspection fee based on the descriptions below.
You must add either Schedule 1.00 or Schedule 1.01 if you are physically located within the City limits of Seaside.)
Step 2: Schedule 1.00 Fire Inspection Fee – Based on Units
(Applicable for Apartments and Hotels/Motels ONLY)
Calculate fire inspection fee based on following:
Four(4) or less units = $ 103.00
Five (5) to twenty (20) units = $ 152.00
Twenty – one (21) to fifty (50) units = $ 201.00
$____________________
More than fifty (50) units = $ 250.00
Schedule 1.01 Fire Inspection Fee –
(All Other Businesses physically located within the City Limits)
Add fee of $103.00 for Schedule 1.01.
$____________________
Step 3: Penalties (If applicable)
$____________________
Step 4: Administration Fee:
$
13.00
Total Fees Due:
$__________________
(License Fee + Fire Inspection Fee (if required) + Penalties (if applicable) + Admin Fee)
(Make check payable to: Tax Trust Account and remit to: MuniServices; P.O. Box 830725; Birmingham, AL 35283-0725)
To be completed by the City of Seaside
**REQUIRED DEPARTMENTAL SIGNATURES**
Business License Department Only:
Payment Method:
Building Department:
___________________Date _____________
Check
Cash
Credit Card
(For Commercial Business)
Code Enforcement:
___________________Date _____________
Payment Method Forwarded to MuniServices?
(For business in your home)
Yes
No
Planning Division:
___________________Date _____________
(For businesses located in Seaside)
Collected By: ___________________________
Police Department:
___________________Date _____________
Date Collected: __________________________
(For Commercial business and peddlers)
****ALL APPLICANTS MUST READ AND SIGN BELOW****
I HEREBY SWEAR UNDER PENALTY OF PERJURY THAT THE INFORMATION CONTAINED HEREIN IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF.
I HEREBY SWEAR THAT THE AMOUNT OF CAPITAL INVESTED OR VALUE OF GOODS, STOCKS, FURNITURE AND FIXTURES OR AMOUNT OF SALES OR RECEIPTS AS REQUIRED FOR
DISLOSURE IN ORDER TO OBTAIN A BUSINESS LICENSE HAS BEEN EXAMINED BY ME AND TO THE BEST OF MY KNOWLEDGE IS TRUE, CORRECT AND COMPLETE. I UNDERSTAND
ISSUANCE OF LICENSE DOES NOT PERMIT BUSINESS OPERATION UNLESS BUSINESS IS PROPERLY ZONED AND/OR IN COMPLIANCE WITH ALL APPLICABLE LAWS/RULES.
Print Name and Title ______________________________________________Signature ______________________________
Business Name __________________________________________Contact # (
) _______________________________
(Required-appears on business license)
PENAL CODE SECTIONS
SECTION 126. PUNISHMENT FOR PERJURY: Perjury is punishable by imprisonment in the state prison for not less than two, three or four years.
SECTION 129. FALSE STATEMENT PURPORTEDLY UNDER OATH THOUGH NOT SWORN TO:
Every person who, being required by law to make any return, statement, or report, under oath, willfully makes and delivers any such return, statement or report, purporting to be under oath,
knowing the same to be false in any particular, is guilty of perjury whether such oath was in fact taken or not.
Yellow-Seaside’s Copy
White-MuniServices Copy
Pink-Business Copy
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