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San Mateo Business License Application - Building Contractor

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San Mateo Business License Application - Building Contractor Powered By Docstoc
					THE FOLLOWING FORM IS TO BE
   USED BY STATE LICENSED
BUILDING CONTRACTORS DOING
 BUSINESS WITHIN THE CITY OF
         SAN MATEO
                       CITY OF SAN MATEO                                                        FOR OFFICE USE
                       BUSINESS TAX DIVISION                                      Parcel #: ____________________
                       330 WEST 20TH AVENUE                                          Zone: ____________________
                       SAN MATEO, CA 94403                                Approved/Date: ____________________
                       (650) 522-7113                                            Tax Paid: $___________________
                                                                          Classification #: ____________________
 BUILDING CONTRACTOR                                                State Lic. Verified by: ____________________
 APPLICATION FOR BUSINESS TAX CERTIFICATE                                  State SB 1186: ____________________
 This is not a license to operate.
                                                                                                     BC
 DATE: __________________________                                                               10-9811-313401

 PLEASE PRINT OR TYPE INFORMATION

 *Business Name and Address:                               Mailing Address (if different from business):
 _______________________________________                   _________________________________________
 _______________________________________                   _________________________________________
 _______________________________________                   _________________________________________
 *Phone: _________________________________                 (Certificate is mailed to business address for posting.)

 *Name of Owners OR Officers of business:
                 Name                        Title                       Address                          Phone




 *Type of Business: ________________________________________________________________________

 Federal Tax ID # OR Social Security #:________________________________________________________

 Ownership Type: __________ (S = Sole Proprietor, P = Partnership, C = Corporation, T = Trust)

 *Contractor's License #: _____________________________

        * For State compliance, please either show your Contractors State License Card (if in person) or
                                            attach a copy (if mailing). *
I declare under penalty of perjury, that to the best of my knowledge and belief, the statements made herein are true:

 Signature x_____________________________________________ Title _____________________________

 Name (Print) ___________________________________________ Date _____________________________
                                                SCHEDULE OF TAXES




           TYPE OF BUSINESS                                               Month of Application Submittal
                                                        Jan, Apr,                      Feb, May,                       Mar, Jun,
                                                         Jul, Oct                      Aug, Nov                        Sep, Dec
   General Contractor (A or B class              $125.00 ($124 tax plus $1    $117.00 ($116 tax plus $1       $109.00 ($108 tax plus $1
   State Contractors’ License)
                                                State Fee*)                   State Fee*)                     State Fee*)


   Specialty Contractor (C class State          $50.00 ($49 tax plus $1       $47.00 ($46 tax plus $1 State   $44.00 ($43 tax plus $1 State
   Contractors’ License or Pest control Lic.)
                                                State Fee*)                   Fee*)                           Fee*)




   1. Enter amount due based on type of business and month of submittal: $__________________.

   2. Make checks payable to the City of San Mateo.

   3. Enclose a copy of your current Contractor’s State License Card if mailing or show card in person.

   4. Send this completed application with your check to:
                                                        Business Tax Division
                                                        City of San Mateo
                                                        330 West 20th Avenue
                                                        San Mateo, 94403

   New Business Tax Certificate expiration dates are as follows:
          Applications processed in Jan, Feb or Mar expire: March 31st of the next year.
          Applications processed in Apr, May or Jun expire: June 30th of the next year.
          Applications processed in Jul, Aug or Sep expire: September 30 of the next year.
          Applications processed in Oct, Nov or Dec expire: December 31st of the next year.

*On September 19, 2012 Governor Brown signed into law SB 1186 which adds a state fee of $1 on any applicant for a
local business tax certificate, or renewal thereof. The purpose is to increase disability access and compliance with
construction-related accessibility requirements and to develop educational resources for businesses in order to facilitate
compliance with federal and state disability laws, as specified.

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.

				
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