Form 001 - Bl Application - Application For Business License Tax Certificate
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1
2FOR OFFICE USE ONLY
CITY OF SEATTLE
CUSTOMER Number__________________________________
License & Tax Administration
OBL NR ______________________ AMT ________________
700 5th Avenue, Suite 4250
OBL NR ______________________ AMT ________________
P.O. Box 34214
Seattle, Washington 98124-4214
OBL NR ______________________ AMT ________________
(206) 684-8484 fax (206) 684-5170
email address
tax@seattle.gov
Application for Business License Tax Certificate - Annual Fee $110.00
The license is for the calendar year, January through December. For a business that opens July 1 or thereafter, the half-year fee is $55.00*
The Seattle business license tax certificate expires December 31.
*If worldwide annual gross income and/or value of products is estimated as $20,000 or less, the license fee is $55.00 ($27.50 for half-year fee).
PLEASE PRINT OR TYPE - COMPLETE BOTH SIDES OF THE APPLICATION
Your business will be assigned a City of Seattle CUSTOMER NUMBER. Refer to the Customer Number in any future correspondence relating to your
license. Let us know if you have previously registered. The account will be deemed a reinstatement ONLY if it has been closed for at least 12 months.
Please provide the information in the first section if it is available. ID numbers are not required to submit this application.
_
_
State of Washington UBI #
FEIN
UBI (9 numbers)
Business ID (3 numbers)
Location ID (4 numbers)
State of Washington Contractor #
NAICS Code ___ ___ ___ ___ ___ ___ (office use only)
Email Contact
Website Address
PLEASE COMPLETE ALL SECTIONS BELOW and the REVERSE SIDE OF THIS FORM PROVIDING the BUSINESS INFORMATION
Has your business previously registered with Seattle?
YES
NO
TYPE OF BUSINESS
(Check ONE)
Sole Proprietor
Corporation
Partnership
LLC
Other_
Is the business a non-profit organization?
Yes
No (Non-profit organizations are required to be licensed and file tax returns as all other businesses.)
LEGAL NAME OF BUSINESS ENTITY
(If a sole proprietorship, please list your legal name, last name first, and include any middle initial.)
TRADE NAME
or dba (doing business as)
WHAT IS THE
STARTING DATE OF BUSINESS IN SEATTLE?
Month
Day
Year
If the business was operating in Seattle before the current year, prior years' license fees, taxes, penalties and interest may be due.
Zoning Limitations - obtaining this certificate does not authorize the holder to conduct business in violation of any zoning ordinance.
The location of your business should be indicated below. You must list a physical address (a post office box or mail drop is not considered a physical address).
PHYSICAL BUSINESS LOCATION:
Address
City
State
Zip
IS THIS LOCATION BEING ADDED AS A BRANCH ONLY TO AN EXISTING LICENSE? Yes
No
:
Mailing address for LICENSE & RENEWAL
Address
City
State
Zip
SAME AS ABOVE
:
Mailing address for TAX FORMS
Address
City
State
Zip
SAME AS ABOVE
-
-
-
BUSINESS PHONE:
CELLULAR PHONE
FAX
LIST OTHER BUSINESS LOCATIONS IN SEATTLE -
Each BRANCH LICENSE FEE is $10.00 per year (attach a separate sheet, if needed).
TRADE NAME
ADDRESS
SEATTLE ZIP CODE
TELEPHONE
"Separate" tax reporting status?
Yes
No
Yes
No
PLEASE COMPLETE THE BACK SIDE OF THE APPLICATION - ALL INFORMATION AND A SIGNATURE IS REQUIRED TO PROCESS
Form #00 1: - BL Application - revision 12/2014
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Parent category: Financial