"New Business License Application Form" - City of Berkeley, California

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New Business License Application Form is a legal document that was released by the Finance Department - City of Berkeley, California - a government authority operating within California. The form may be used strictly within City of Berkeley.

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________

Date this business became active under your ownership:

□

Check here if this business was already active and you are a new owner

□

Check here if you have an ownership interest in another business in Berkeley

________________

Name/s of other business/es in which you have an ownership interest:

NEW BUSINESS LICENSE APPLICATION FORM

Please read all instructions on the other side before completing this application.

Business Type _____________________________________________

To be completed by Finance Department

Location in Berkeley ________________________________________

Business License # _______________________

Business Name (DBA) ______________________________________

Sic Code _________________________________

Owner Name _______________________________________________

Tax Code_________________________________

Location Verified circle one: Yes or No

Mailing Address ____________________________________________

City, State & Zip____________________________________________

Date business started in Berkeley __________

If you have not already done so: please go to the Permit Service Center (PSC) at 2120 Milvia Street and obtain all

necessary permits for your business license. For additional information, contact the PSC at 510.981.7500.

PLEASE COMPLETE THE FOLLOWING INFORMATION

1. Business Phone________________________________

8. # of Employees_____________________________

2. Emergency Phone ______________________________

9. # of Business Vehicles _______________________

3. Fed ID or Soc Sec # ____________________________

10. Female Owned circle one: Yes or No

11. Minority Owned circle one: Yes or No

4. Partnership, Corporation or Sole Owner (circle one)

5. State Resale # If applicable_______________________

12. Date Fiscal Year Ends _______________________

6. Contractors Lic #/Exp Dt _________________________

13. Email Address _____________________________

7. Do you sell tobacco products? circle one: Yes or No

COMPUTING THE PAYMENT AMOUNT FOR YOUR NEW BUSINESS LICENSE

14. New Business License Tax: $51 for most businesses; $77 for rental property (See note)

$ _____________

25.00

15. New Business License Registration Fee

16. TOTAL AMOUNT DUE FOR NEW BUSINESS LICENSE

PLEASE REMIT $ _____________

NOTE: Some businesses require different fees for a new license. Please contact Customer Service for more information.

PLEASE MAKE YOUR CHECK PAYABLE TO: City of Berkeley and mail or deliver to Finance – Customer Service.

Under penalty of perjury, I declare I am authorized to make this application and that to the best of my

knowledge and belief it is a true, correct and complete statement made in good faith for the period stated,

in compliance with the provisions of the Berkeley Business License Ordinance.

Signature/Title ______________________________________________________ Date ________________

See the other side for important information and instructions before completing this application.

Finance Customer Service Center • 1947 Center Street, Berkeley, California 94704

Tel: 510.981.7200 • TDD: 510.981.6903 • Fax: 510.981.7210 • E-mail: BusLic@ci.berkeley.ca.us