Fillable Business Tax Certificate Application PDF (Inglewood, CA)

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Business Tax Certificate Application PDF (Inglewood, CA)

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The Business Tax Certificate Application PDF (Inglewood, CA) form is 1 page long and contains:

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  • 26 check-boxes
  • 77 other fields

Country of origin: US
File type: PDF

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CITY OF INGLEWOOD
ONE MANCHESTER BOULEVARD
INGLEWOOD, CA 90301 - (310) 412-5500
www.cityofinglewood.org
APPLICATION FOR
BUSINESS TAX REGISTRATION
OFFICE USE ONLY
Customer
No.
Activity No.
Zoning
Zoning
Sign-off
It is the business owner's responsibility to renew the Business Tax Certificate each calendar year. All Gross Receipt taxe s are delinquent
if not paid by the last day of February. All Flat Rate taxes are delinquent if not paid by the last day of January.
PLEASE TYPE OR PRINT CLEARLY
New Business
Change of Owner
Change of Address
Change of Bus. Name
Home Occupation
Business Name/DBA
Business Location
(Cannot be P. O. Box )
City
State
Zip
Start
Date
in
City
/
/
Mailing Address
for Service of Process
Web Address
Email Address
City
State
Zip
Bus. Phone ( )
Bus. Fax ( )
Description of Business Activity in Detail
CHECK ALL APPROPRIATE BOXES
Retail Sales
Wholesale
Professional Services
Government Agencies Non-Profit Organization
New Merchandise
Buidling Contractor
Restaurant
Vending Machine
Booth Rental Only
Used Merchandise
Manufacturing
Office Only
Storage/Warehousing
Educational/Institutional
No. of Employees
Square Feet Occupied
No. of Parking Spaces
Former Use of Business Address
Ownership:
Corporation
State of Incorporation
Corp-Ltd Liability
Partnership
Sole Proprietor
Trust
Resale No.
Federal ID No.
State ID No.
State Lic. No.
State Lic. Type
Date Expires
Enter below names of Owners, Partners, or Corporate Officers (attach additional sheet, if
necessary)
Owner Name
Title
CDL or Other ID#
Home Address
Phone No. ( )
Cell Phone ( )
(Cannot be P. O. Box )
Email Address
Owner Name
Title
CDL or Other ID#
Home Address
Phone No. ( )
Cell Phone ( )
(Cannot be P. O. Box )
Email Address
In case of emergency, please contact (attach additional sheet, if
necessary)
Name
Title
Phone No. ( )
Address
Cell Phone ( )
Alarm Company (if applicable)
Name
Phone No.
Address
I hereby certify, under penalty of perjury, under the laws of the State of California,
that the information in this application is true, correct and complete.
AMOUNT DUE
Gross Receipts
$
Date:
/
/
Title:
No. of Rentals Units
#
Amount of Tax Due
$
Signature:
Penalty % _______
$
Return Entire Application form to above address and
make check payable to the City of Inglewood.
Fire Inspection Fee
$
State Disability Access Fund
1
$4.00
(1) Under federal and state law, compliance with disability access laws is a serious and significant responsibility that
applies to all California building owners and tenants with buildings open to the public. You may obtain information
about your legal obligations and how to comply with disability access laws at the following agencies:
The Division of the State Architect at www.dgs.ca.gov/dsa/Home.aspx.
The Department of Rehabilitation at www.rehab.cahwnet.gov.
The California Commission on Disability Access at www.ccda.ca.gov.
TOTAL DUE
$
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Business Tax Certificate Application PDF (Inglewood, CA)

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Completed 31 January 2021

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