Form Boe-400-Mcl - Application For Certificate Of Registration Lender Account - 2002 Page 2
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2BOE-400-MCL (BACK) (1-02)
SECTION III: BOOKS AND RECORDS
30. PHYSICAL ADDRESS WHERE BOOKS AND RECORDS, SUITABLE FOR AUDIT PURPOSES ARE MAINTAINED
31. NAME, ADDRESS AND TELEPHONE NUMBER OF PERSON MAINTAINING YOUR RECORDS
32. OTHER BOARD ACCOUNT NUMBERS
33.
CALIFORNIA LOCATIONS
FUNCTION
TELEPHONE
INVENTORY
SALES NEGOTIATED
(Address)
(Warehouse, Service, etc.)
NUMBER
FROM LOCATION
34. LIST OF MAJOR ASSIGNEES OF ACCOUNTS
CERTIFICATION
All owners and members must sign below.
I am duly authorized to sign the application and certify that the statements made are correct to the best of my knowledge and belief. I also
represent and acknowledge that the applicant will be engaged in or conduct businesses as a seller of tangible personal property.
NAME (typed or printed)
TITLE
SIGNATURE
DATE
✍
FOR BOARD USE ONLY
Furnished to Taxpayer
REPORTING BASIS
FORMS
PUBLICATIONS
BOE-8
BOE-519
PUB 73
PUB DE 44
SECURITY REVIEW
BOE-162
BOE-598 $
BOE-467
BOE-1009
SECURITY REVIEW MADE BY
BOE-1241-D
RETURNS
REGULATIONS
REG. 1642
REG. 1698
REG. 1700
Permit Issued Date
CLEAR
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