Ca Business Application by doriann


									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:

                                      NEW BUSINESS 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.   BUSINESS NAME:___________________________________________________________________________

    2.   BUSINESS LOCATION:_______________________________________________________________________
                                            Number                         Street                                       Suite
    3.   CITY:___________________________________STATE:_______ZIP +4________________________________

    4.   BUSINESS PHONE:(                )______________EXT:_______ CONTACT PHONE: (                                    )______________EXT:_____

         EMAIL/WEB SITE ADDRESS:_________________________________________________________________

    5.   BUSINESS START DATE:                        /     /        6. NO. OF FULL TIME EMPLOYEES:_______________________

    7.   OWNERSHIP TYPE: _________                        8. DO YOU OWN THIS BUSINESS LOCATION? (CHECK ONE)                                 YES     □   NO   □

    9.   MAILING NAME:_______________________________ ATTENTION:_________________________________
    10. MAILING ADDRESS:________________________________________________________________________

                                                                                                                                                                          Payment Type:
                                           Number                            Street                                     Suite

    11. CITY:___________________________________STATE:______ZIP +4________________________________

    12. OWNER’S NAME(S): First, Middle Initial, Last, & Title
         Include all partners; if corporation, list principal officers; if LLC or LLP list all members.
    1.                                                                         4.
    2.                                                                                5.
    3.                                                                                6.

    13. ZONING PERMIT#:_______________________________ 14. CALIF STATE SELLER’S PERMIT #:____________________
    15. SOCIAL SECURITY #:_____________________________ 16. FEDERAL TAX ID #:_________________________________
    17. DRIVERS LICENSE/STATE ID #:_________________________________ STATE:___________ EXP DATE:_____________
    18. CONTRACTOR’S LICENSE #:_____________________________________________________ EXP DATE:_____________

                                                                                                                                                                 Official Use Only
    19. ENTER YOUR 200__ ESTIMATED TAX BASE (Optional) $____________________
    20. REGISTRATION FEE:                                                                                                             $           30.00
    21. ESTIMATED TAX PAYMENT: (SEE INSTRUCTIONS ON HOW TO COMPUTE YOUR ESTIMATED TAX)                                                $_______________

                                                                                                                                                                 Batch #:
    22. PENALTY: 1 – 60 days = 10%; 61 days or more = 25% (if applicable)                                                             $_______________
    23. INTEREST (IF DELINQUENT): 1% per month or fraction thereof, on registration fee , tax &               penalty                 $_______________
    24. TOTAL AMOUNT DUE: (Total of registration fee, estimated tax, penalty & interest)                                              $_______________
    25. PAYMENT ENCLOSED: Payment of registration fee must be included.                    (Enter amount of payment)                 $_______________
                Note: Payment must be made within 30 days of the business start date to avoid penalty and interest.

    26. CREDIT CARD INFORMATION:                         □ Visa          □     MasterCard                      □   Discover

    Credit Card Number:_______________________________________ Expiration Date: _________MO ________YR
    Amount Charged To This Card: $____________________ Signature:_______________________________________________

     □   Convenience Markets □ Fast Food Business                  □ Gasoline Station Markets               □ Liquor Stores
     If you are classified as one of the above, you may be subject to the City of Oakland Excess Litter Fee, Ordinance No. 12727,
     Sections 17.10.345; 17.10.040 & 17.10290; 17.10.345; 1710.300 & 17.10.345., effective February 21, 2006.

    28. Please Provide A Detailed Description Of Your Business: ____________________________________

            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:________________

                              Please enclose your check or money order made payable to “Oakland Business Tax.”
                                          INSTRUCTIONS FOR COMPLETING NEW BUSINESS APPLICATION:
1.  Enter your business name (if you do not have a fictitious business name, enter your name; no more than 40 characters).
2-3.Enter your business location (do not use a post office box or private mail box).
4.  Enter your business and contact telephone numbers, (if different from your business telephone number).
5.  Enter the date your business started. Note: For those businesses that are located outside of Oakland, enter the date in which you first started
    your business activity in Oakland.
6. Enter the number of full-time employees.
7. Enter the appropriate ownership type.
8. Do you own the business location? Check YES or NO.
9-11Enter your current mailing name and address. (If same as business address, write “SAME AS ABOVE.”)
12. Enter the owner(s) names, include all partners; if corporation, list principal officers; if LLC or LLP list all members.
13. Enter your Zoning Permit Number (if applicable). If your business is located in Oakland, you are required to obtain a zoning clearance from
    the Zoning Division prior to obtaining a business tax account. The Zoning Division is located at 250 Frank H. Ogawa Plaza, 2nd floor,
    Oakland, CA 94612. Phone (510) 238-3911.
14. Enter California State Seller’s Permit Number, if your business involves any buy and sell activity.
15. Enter your Social Security Number.
16. Enter your Federal Tax ID Number.
17. Enter your Driver’s License or State ID Number.
18. Enter your California State Contractor’s License Number and expiration date (if applicable).
19. You may estimate your tax base and pay the Estimated Tax or wait until the end of the year and pay on your actual gross receipts. If you elect
    to estimate your tax base, enter your Estimated Tax Base for the first year. Check the TAX RATE SCHEDULE (included with this form) for
    the appropriate Industry Code and associated tax base for your business activity.
20. Preprinted. The Registration Fee must be paid at the time you register your business with this office and within 30 days of the start of
    business. The registration fee is non refundable.
21. Figure your Estimated Tax.
         If your Industry Code is:              Your Estimated Tax is $60.00 if                       How to calculate your Estimated Tax:
                                                the Tax Base is:                           $1.20       x   $55,000 = 66,000 ÷ 1,000 = $66.00
                                                                                           Tax base         Gross Receipts                        Tax Due
                                                                                           .0120 x      $55,000          =    $66.00 Tax Due
         A, C, D, I, J, K, T, W                 $0.00   -   $ 50,000.00                  $ 50,001.00 or more:                  $ 1.20 per $1,000.00
         B                                      $0.00   -   $100,000.00                  $100,001.00 or more:                  $ .60 per $1,000.00
         E, H, O, P                             $0.00   -   $ 33,335.00                  $ 33,336.00 or more:                  $ 1.80 per $1,000.00
         F                                      $0.00   -   $ 16,666.00                  $ 16,667.00 or more:                  $ 3.60 per $1,000.00
         G                                      $0.00   -   $ 13,335.00                  $ 13,336.00 or more:                  $ 4.50 per $1,000.00
         U                                      $0.00   -   $ 60,000.00                  $ 60,001.00 or more:                  $ 1.00 per $1,000.00
         Z                                      $0.00   -   $ 2,500.00                   $ 2,501.00 or more:                   $24.00 per $1,000.00
       Industry Codes L, X, and Y only: Refer to the Tax Rate Schedule to figure your Estimated Tax.

22. Enter the penalty amount (if applicable).
23. Enter the interest amount.
24. Enter the total amount due (add Lines 20-23).
25. Enter amount of payment you are enclosing with this form.
26. 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.
27. Check appropriate box if applicable to your business. If your business is a Convenience Market, Fast Food Business, Gasoline Station Market,
       or Liquor Store your business may be subject to the City of Oakland Excess Litter Fee, Ordinance No. 12727, Sections 17.10.345; 17.10.040 & 17.10.290;
       17.10.345; 17.10.300 & 17.10.345, effective February 21, 2006. Eligible businesses must file an Excess Litter Fee declaration annually, on or before
       August 31st of each year. For additional information please contact City of Oakland, Business Tax Section-EXCESS LITTER FEE, 250 Frank H. Ogawa Plaza,
       Suite 1320, Oakland, CA 94612, Phone: (510) 238-3360, Fax: (510) 238-7128.
28. Describe your business activity (this is necessary to classify your business correctly and determine the appropriate industry code).

       Be sure to sign and date this form.

                        Remit your payment, along with your New Business Tax Application and Business Tax Questionnaire 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:           Hours of Operation: 8:00 a.m. – 4:00 p.m.
                                                    Business Tax Website:
New Business Application:Rev:07/2007:DF

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