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    Business License App

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    api-312577404
    This document is a business tax certificate application for the City of Fountain Valley. It requests information such as the business name, address, owner name, type of ownership, description of business, number of employees, and contact information. The application notes that some owner information will remain confidential. It must be signed under penalty of perjury to declare that the provided information is true and correct. Additional details may be required depending on the type of business, such as the number of fuel pumps, units, or amusement devices.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Business License App

    Uploaded by

    api-312577404
    80 views1 page
    This document is a business tax certificate application for the City of Fountain Valley. It requests information such as the business name, address, owner name, type of ownership, description of business, number of employees, and contact information. The application notes that some owner information will remain confidential. It must be signed under penalty of perjury to declare that the provided information is true and correct. Additional details may be required depending on the type of business, such as the number of fuel pumps, units, or amusement devices.

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    This document is a business tax certificate application for the City of Fountain Valley. It requests information such as the business name, address, owner name, type of ownership, description of business, number of employees, and contact information. The application notes that some owner information will remain confidential. It must be signed under penalty of perjury to declare that the provided information is true and correct. Additional details may be required depending on the type of business, such as the number of fuel pumps, units, or amusement devices.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    80 views1 page

    Business License App

    Uploaded by

    api-312577404
    This document is a business tax certificate application for the City of Fountain Valley. It requests information such as the business name, address, owner name, type of ownership, description of business, number of employees, and contact information. The application notes that some owner information will remain confidential. It must be signed under penalty of perjury to declare that the provided information is true and correct. Additional details may be required depending on the type of business, such as the number of fuel pumps, units, or amusement devices.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    City of Fountain Valley

    10200 Slater Avenue BUSINESS TAX


    Fountain Valley, CA 92708
    CERTIFICATE APPLICATION
    (714) 593-4421 / Fax (714) 593-4498

    BUSINESS NAME (DBA): F.V. BUSINESS LIC. # TYPE OF OWNERSHIP (Check One)

    CORPORATION/LLC

    BUSINESS ADDRESS BUSINESS TELEPHONE # Year of Incorporation _______

    PARTNERSHIP

    CITY, STATE, ZIP FEDERAL TAX ID. # (EIN)

    SOLE OWNER

    BUSINESS OWNER OR CORPORATION NAME: STATE EMPLOYERS ID. # OTHER - Explain

    DESCRIPTION OF BUSINESS CONTRACTOR # & CLASS

    TOTAL NUMBER OF EMPLOYEES

    MAILING ADDRESS (Street, City, Zip Code) STATE LICENSE NO.

    HOURS OF OCCUPANCY

    CA. SELLERS PERMIT #.

    The following confidential information helps your city plan for the future of the business community & assists you in emergencies
    1 BUSINESS OWNER OR OFFICER HOME INFORMATION REQUIRED (Remains Confidential) TELEPHONE NO.:

    NAME/TITLE: DRIVERS LICENSE NO.:

    STREET: SOCIAL SECURITY NO.:

    CITY, STATE, ZIP:

    2 SECOND BUSINESS OWNER OR OFFICER HOME INFORMATION REQUIRED TELEPHONE NO.:

    NAME/TITLE: DRIVERS LICENSE NO.:

    STREET: SOCIAL SECURITY NO.:

    CITY, STATE, ZIP:

    3 THIRD BUSINESS OWNER OR OFFICER HOME INFORMATION REQUIRES TELEPHONE NO.:

    NAME/TITLE: DRIVERS LICENSE NO.:

    STREET: SOCIAL SECURITY NO.:

    CITY, STATE, ZIP:

    I DECLARE, UNDER PENALTY OF PERJURY, THAT THE INFORMATION IN THIS APPLICATION IS TRUE AND CORRECT:

    AUTHORIZED SIGNATURE: ________________________________________________________ DATE: ____________________________________


    TO BE COMPLETED BY IN-TOWN BUSINESS
    BUSINESS OPENING DATE: ___________________________________ No. of work related vehicles: _____________
    (Base fee includes owner and one vehicle)
    GIVE DETAILS IF APPLICABLE
    Number of Fuel Pumps: ______________ Number of units, rooms, washers, dryers: _________________
    Number of amusement devices: __________________________
    Number of coin-operated /vending machines: _______________________
    TO BE COMPLETED BY CONTRACTORS
    Average number of employees working in the city of Fountain Valley: ______________________
    No of work-related vehicles in the city of Fountain Valley: ______________________ (Base fee includes owner and one vehicle)
    E-MAIL ADDRESS
    Your e-mail address helps us keep you informed of various city business services. E-MAIL ADDRESS_____________________________________________________

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