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Print Form CITY OF OAKLAND – FMA, Revenue-Business Tax - 250 Frank H. Ogawa Plaza, Suite 1320 Oakland, CA 94612 Phone: (510) 238-3704 ◊◊ Fax: (510) 238-7128 ◊◊ Business Tax Website: www.oaklandnet.com/BusTax.html INSTRUCTIONS FOR COMPLETING NEW RENTAL APPLICATION: NOTE: Please complete a separate form for each property you are registering. 1. Enter the owner name(s) or name of property. 2. Enter the rental property address as it appears in the Alameda County Tax record 3. City and State preprinted. Enter the appropriate ZIP code. 4. Enter your daytime and contact telephone numbers. 5. Enter the date that you began renting (all or any portion of) your property. 6. Enter appropriate ownership type. 7-9. Enter your current mailing name and address. 10. List the property owner(s) names as they appear on the Alameda County Tax records. 11. Enter your Social Security Number. 12. Enter your Federal Tax Identification Number, (if applicable). 13. Drivers License or State ID Number, State Issued and Expiration Date. 14. Enter Alameda County Assessor’s Information: County Use Code, Assessor’s Parcel Number and Deed Recording Number (if known). 15. Preprinted. The Registration Fee must be paid at the time you register your property with this office. 16. Enter penalty amount (if delinquent). 17. Enter interest amount (if delinquent). 18. Enter your total amount due (add Lines 15-17). 19. Enter the amount of the payment you are enclosing with this form. 20. FOR CREDIT CARD PAYMENTS ONLY: Enter appropriate information. Specify amount of payment to be charged to your credit card. NOTE: Please print credit card numbers clearly and sign on the signature line for authorization. Failure to complete all necessary information will result in non-credit of your payment. 21. Indicate the type of property (Residential or Commercial/Industrial). Be sure to sign and date this form. Remit your payment, along with your New Rental Tax Application to: CITY OF OAKLAND BUSINESS TAX SECTION 250 FRANK H. OGAWA PLAZA, SUITE 1320 OAKLAND, CA 94612 Or, Fax with credit card information to: (510) 238-7128 ■■■■■■ ■■■ ■■ ■ Phone Number: (510) 238-3704 City of Oakland E-mail Address: www.oaklandnet.com Hours of Operation: Mon, Tues, Thurs & Fri 8:00 a.m. – 4:00 p.m., Wed 9:30 – 4:00 p.m. Business Tax Website: www.oaklandnet.com/BusTax.html Revised 07/09:df CITY OF OAKLAND – FMA, Revenue-Business Tax - 250 Frank H. Ogawa Plaza, Suite 1320 Oakland, CA 94612 Phone: (510) 238-3704 ◊◊ Fax: (510) 238-7128 ◊◊ Business Tax Website: www.oaklandnet.com/BusTax.html NEW RENTAL APPLICATION Official Use Only TAX YEAR 200____ Acct#: __________________________ NOTE: Please read all instructions on the other side before completing this application. Industry Code: ____SIC Code________ 1. RENTAL NAME: ____________________________________________________________________________ 2. RENTAL ADDRESS: ________________________________________________________________________ Number Street Suite 3. CITY: OAKLAND STATE: CA ZIP +4: ______________________________ 4. DAYTIME PHONE: ( )______________EXT:_______ CONTACT PHONE: ( )______________EXT:_____ 5. RENTAL START DATE: 6. OWNERSHIP TYPE: ___________________________ S=SOLE OWNERSHIP; P=PARTNERSHIP; C=CORPORATION; L=LIMITED PARTNERSHIP; E=ESTATE;T=TRUST; X=LLC or LLP 7. MAILING NAME: ______________________________ ATTENTION: _________________________________ 8. MAILING ADDRESS: ________________________________________________________________________ Number Street Suite 9. CITY: _________________________________ STATE: ______ZIP +4: ________________________________ 10. OWNER’S NAME (S): First, Middle Initial, Last & Title 1. 4. 2. 5. 3. 6. 11. SOCIAL SECURITY #: ____________________________ 12. FEDERAL TAX ID #: ________________________________ 13. DRIVERS LICENSE/STATE ID #: _________________________________ STATE: _________ EXP DATE:_____________ 14. USE CODE: ________ ASSESSOR’S PARCEL #: ________________________ DEED RECORDING #: _______________ 15. REGISTRATION FEE: $ 30.00 16. PENALTY (IF DELINQUENT): 1 – 60 days = 10%; 61 days or more = 25% $_______________ 17. INTEREST (IF DELINQUENT): 1% per month or fraction thereof, on registration fee, tax & penalty $_______________ 18. TOTAL AMOUNT DUE: (Total of registration fee, estimated tax, penalty & interest) $_______________ 19. PAYMENT ENCLOSED: Payment of registration fee must be included. (Enter amount of payment) $_______________ Note: Registration Fee must be made within 30 days of the rental start date to avoid penalty and interest. 20. CREDIT CARD INFORMATION: □ Visa □ MasterCard □ Discover Credit Card Number:_______________________________________ Expiration Date: _________MO ________YR Amount Charged to This Card: $_____________________ Signature:_______________________________________________ 21. INDICATE TYPE OF PROPERTY: □ RESIDENTIAL □ COMMERCIAL/INDUSTRIAL I declare under penalty of perjury that to the best of my knowledge, all information contained on this application is true and complete. Signature:___________________________________ Title:__________________________________ Date:________________ Date: _______________ Payment Type: ________________ Initials: _____________ Please enclose your check or money order made payable to “Oakland Business Tax.”
"INSTRUCTIONS FOR COMPLETING NEW RENTAL APPLICATION NOTE Please "