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Complete your application online at cityofsacramento.org
Revenue Division | 915 I Street, Room 1201 | Sacramento, CA 95814 | 916-808-8500 | finance@cityofsacramento.org
Form: BOT1
Page 1 of 1 12/12/2019
BUSINESS OPERATIONS TAX APPLICATION No.____________________
Section One: Business Information
BUSINESS NAME
STARTING DATE
PHONE
SECONDARY PHONE
EMAIL
BUSINESS ADDRESS
OWNERSHIP TYPE
☐Sole
☐Corporation
☐Partnership
☐
LLC
IS THIS A HOME ADDRESS?
☐ Yes
☐
No
GOVT ISSUED ID (FEIN/SSN/SEIN/OTHER)
NO OF EMPLOYEES
BUSINESS DESCRIPTION
Section Two: Classification (Please Select One)
☐
Gross Receipts /
Commercial Rental
☐ Gross Payroll
(Administrative Headquarters)
Estimated Gross Payroll
☐
Professional
☐ R
esidential Rental
Number of Rental Units
Section Three: Corporate and Mailing Address
CORPORATE/MAILING ADDRESS:
Section Four: Owner or Corporate Officer Information
OWNER OR CORPORATE OFFICER NAME
RELATIONSHIP TO THE COMPANY
SOCIAL SECURITY NO.
DRIVERS LICENSE NO/EXP
OWNER OR CORPORATE OFFICER NAME
RELATIONSHIP TO THE COMPANY
SOCIAL SECURITY NO.
DRIVERS LICENSE NO/EXP
OWNER OR CORPORATE OFFICER NAME
RELATIONSHIP TO THE COMPANY
SOCIAL SECURITY NO.
DRIVERS LICENSE NO/EXP
Section Seven: Agreement and Signature
I hereby certify under penalty of perjury that the answers I have given are true and correct to the best of my knowledge and belief.
This tax certificate is for revenue purposes only and does not imply conformance with applicable city codes and ordinances. You
are advised to check your proposed business location and structure with the City Planning Division for compliance with building
codes. Please Note: Once you are registered, the City’s Economic Development Department will send you business resource
information via e-mail or mail.
Signature:
Date:
Section Eight: City Staff Only
Received/Entered by:
Date:
NOTES
(HOP/APN# IF APPLICABLE)
VOID IF NOT VALIDATED
TEMPORARY CERTIFICATE
NOT VALID MORE THAN 45 DAYS FROM VALIDATION
DATE.YOUR BUSINESS TAX CERTIFICATE WILL BE
SENT TO YOU IN APPROXIMATELY TWO WEEKS.
CERTIFICATE MUST BE RENEWED ANNUALLY
Amount Due
_________Tax
_________BIA
_________HOP
_________State Fee
_________Total
$4
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Completed 6 August 2021

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