Business Tax Renewal Form - California Office Of Finance - 2010
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1
21.
Small Business Exemption - Enter the total of your
CITY OF LOS ANGELES
worldwide gross receipts here: $____________________.
OFFICE OF FINANCE
P.O. Box 53200
2.
Newly Established Business
Los Angeles, CA 90053-0200
3.
Creative Activities Exemption: Check this box only if the
2
0
1
0
2
0
1
0
BUSINESS TAX RENEWAL FORM –
2
0
1
0
worldwide gross receipts attributable to “Creative Activities”
are $300,000 or less. Enter the total gross receipts from
RENEW ONLINE!
DELINQUENT
AFTER
Creative Activities inside the City of Los Angeles
$____________________.
March 1, 2010
4.
Enter the number of persons employed by your business at
this location, if none enter 0: ___________
5.
Do you provide leased parking for employees at this
location?
YES
NO (Check one)
III.
Tax Worksheet
Col. A
Col. B
Col. C
Col. D
Col. E
Col. F
Col. G
Col. H
Business Activity
Fund
Primary
Basis
Tax
Tax
Back
Tax Due
Class
Class
For Tax
Rate
Computation
Tax
Add Columns:
(F + G)
- Refer to
Multiply Column:
- Refer to
Instructions
Instructions
(D x E)
6.
.00
7.
.00
8.
.00
9.
.00
10.
.00
11.
.00
12.
.00
13.
Add Lines 6 through 12 in Column H. Enter result here.
N/A
14.
N/A
15.
Late Payment
16.
Interest (If paid after March 1, 2010) -
See Instruction Sheet
17.
Penalty (If paid after March 1, 2010) -
See Instruction Sheet
Total Amount Due
18.
Add Lines 13 through 17. Enter result here.
I DECLARE, UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF CALIFORNIA THAT TO THE BEST OF
MY KNOWLEDGE THE INFORMATION PROVIDED IN THIS RENEWAL IS TRUE, CORRECT AND COMPLETE.
Signature:
Print Name:
19.
(
)
#
Title:
Phone No.:
20.
area code
daytime phone #
ext. if any
Date:
__________
Email:
_________________________________
21.
Please ensure 4 and 5 above are completed.
All payments of $50,000 or more must be made electronically via Automated Clearing
House (ACH) through your bank.
See instruction sheet for further information.
Account #:
MAKE CHECK PAYABLE TO: Office of Finance City of Los Angeles. Please
write your account number on your check. Checks and money orders must be drawn
on United States banks only. NO SPLIT PAYMENTS.
22.
Payment Type:
Check
MasterCard
Visa
ACH
23.
Name on Credit Card:
Acct#:
24.
Exp. Date:
Amount Paid:
$
Change of Information: Check this box if there are any
Authorized Signature:
changes regarding your taxpayer information. Record the
Fee Disclosure: All Visa Debit Card payments will be assessed a flat fee of $3.95 per
changes on the Information Update section (back of this
transaction with a maximum allowed payment amount of $1,200. All other Credit or
form).
Debit Card payments will be assessed a fee equal to 2.49% of the payment amount
with a minimum fee of $3.95. This fee will be assessed to the same Credit/Debit card
provided above.
PLEASE MAKE A COPY FOR YOUR RECORDS
1000A
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