Form Boe-245-Cor-1 - Corporate Officer Registration Update
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1BOE-245-COR-1 (1-09)
STATE OF CALIFORNIA
Corporate offiCer registration Update
BOARD OF EQUALIZATION
BUSINESS NAmE
BOE ACCOUNT NUmBER
CORpORATE ID NUmBER
FEDERAL EmpLOYER IDENTIFICATION NUmBER (FEIN)
BUSINESS TELEphONE NUmBER
FAx NUmBER
CONTACT pERSON
(
)
(
)
EmAIL ADDRESS (of your corporate officer designated to handle tax matters)
Use additional sheets to include information for more than three individuals.
Corporate offiCer
NAmE
TITLE
DRIVER LICENSE NUmBER
hOmE ADDRESS (street, city, state, zip code)
hOmE TELEphONE NUmBER
(
)
Corporate offiCer
NAmE
TITLE
DRIVER LICENSE NUmBER
hOmE ADDRESS (street, city, state, zip code)
hOmE TELEphONE NUmBER
(
)
Corporate offiCer
NAmE
TITLE
DRIVER LICENSE NUmBER
hOmE ADDRESS (street, city, state, zip code)
hOmE TELEphONE NUmBER
(
)
north ameriCan indUstry ClassifiCation system (naiCs)
pLEASE LIST YOUR pRImARY BUSINESS ACTIVITY OR NAICS CODE
TYpE OF BUSINESS ARE YOU ENgAgED IN (please check appropriate box)
Retail
Wholesale
Construction Contractor
manufacturer
Service
Leasing
Repair
WhAT DO YOU SELL?
CertifiCation
(All Corporate Officers 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 business as a seller of tangible personal property.
pRINTED NAmE
SIgNATURE
DATE
✍
pRINTED NAmE
SIgNATURE
DATE
✍
pRINTED NAmE
SIgNATURE
DATE
✍
Return this form to your
local BOE office.
CLEAR
PRINT
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Parent category: Financial