Business Tax Registration Form - City Of San Jose
Download a blank fillable Business Tax Registration Form - City Of San Jose in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Business Tax Registration Form - City Of San Jose with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2Reset Form
Print Form
OFFICE USE ONLY
OFFICE USE ONLY
NAICS CODE
Registration Form
Business Tax
EXMP FEE
HB PRIOR
HB CRNT
PLEASE COMPLETE BOTH SIDES.
PLEASE PRINT.
A1
BUSINESS NAME (Max. 30 Characters)
A9
NAME OF BUSINESS OWNER
(COMPLETE ONE)
HB PENALTY
PERSON’S NAME______________________________________
BID PRIOR
A2
BUSINESS ADDRESS
(No PO Box or Mail Drop Addresses)
CORPORATE NAME __________________________________
PARTNERSHIP NAME __________________________________
BID CURRENT
TRUST NAME ________________________________________
BID PENALTY/INTEREST
TYPE OF OWNERSHIP
(CIRCLE ONE)
A10
S = SOLE PROPRIETOR
LLC = LIMITED LIABILITY CO
PRIOR TAX
CITY
STATE
ZIP
P = PARTNERSHIP
T = TRUST
MAILING ADDRESS
(IF DIFFERENT FROM ABOVE)
A3
C = CORPORATION
O = OTHER ____________________
CURRENT TAX
NATURE OF BUSINESS
A11
PENALTY/INTEREST
A12
NUMBER OF OWNERS/EMPLOYEES
IN SAN JOSÉ
CA STATE IMPOSED FEE
NO. OWNER(S), OFFICER(S) ____________________________
$1.00
NO. FULL TIME EMPLOYEES __________________________
CITY
STATE
ZIP
TOTAL DUE
NO. PART TIME ____________ =
A4
BUSINESS PHONE
A5
START DATE IN
SAN JOSÉ
FULL TIME EQUIVALENT ______________________________
TOTAL OWNER(S)/EMP(S)
VERIFIED BY
A6
FEDERAL/STATE IDENTIFICATION NO.
STATE SELLER’S PERMIT NO.
A13
CASH RECEIPT NO.
A7
SOCIAL SECURITY NO.
A14
COUNTY HEALTH PERMIT NO.
MAIL APP. AMT REC’D
A8
STATE CONTRACTOR NO. TYPE
A15
BUSINESS PROPERTY TAX NO.
DATE/INITIALS
A16
PRINCIPAL OWNER
NAME
__________________________________________________________________________________________________________________________________
RESIDENCE ADDRESS ____________________________________________________________________________________________________________________
CITY ________________________________________________________________________________ STATE ________________ ZIP ______________________
DRIVER’S LICENSE NO.
____________________________________________________________ DATE OF BIRTH ____________/ __________ / ____________
EMAIL ADDRESS
________________________________________________________________________________________________________________________
DAY TIME PHONE NO. ______________________________________________________ FAX NO. ____________________________________________________
CELL PHONE NO. __________________________________________________________ RESIDENCE PHONE NO. ____________________________________
ADDITIONAL OWNER / AGENT OF SERVICE
NAME
__________________________________________________________________________________________________________________________________
RESIDENCE ADDRESS ____________________________________________________________________________________________________________________
CITY ________________________________________________________________________________ STATE ________________ ZIP ______________________
DRIVER’S LICENSE NO.
____________________________________________________________ DATE OF BIRTH ____________/ __________ / ____________
EMAIL ADDRESS
________________________________________________________________________________________________________________________
DAY TIME PHONE NO. ______________________________________________________ FAX NO. ____________________________________________________
CELL PHONE NO. __________________________________________________________ RESIDENCE PHONE NO. ____________________________________
REVERSE SIDE MUST BE COMPLETED AND SIGNED
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Financial