Assessor-Recorder-County Clerk
OFFICE OF THE ASSESSOR
BOB DUTTON
222 West Hospitality Lane
San Bernardino, CA 92415-0311
(909) 387-8307 1 (877) 885-7654
www.SBCounty.gov/arc
BUSINESS DIVISION
NOTIFICATION TO THE ASSESSOR OF BUSINESS IN SAN BERNARDINO COUNTY:
Location of Business:
Mailing Address:
Business Type: Retail Wholesale Manufacturer Service-Professional
Ownership Type: Proprietorship Partnership Corporation Other
Full Legal Name:
Partner or Co-Owner:
Doing Business As (DBA):
Street Address
Unit or Suite Number
City
Zip Code
Street Address
Unit or Suite Number
City
Zip Code
Phone Number
Start date at this location
State
APP 144 (06-19)
Last, First, Initial or Corporation Name
Last, First, Initial or Corporation Name
Name in which you are doing business as
Date
( )