MONTEREY COUNTY TAX COLLECTOR
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1 MONTEREY COUNTY TAX COLLECTOR MARY A ZEEB, TREASURER TAX COLLECTOR P.O. BOX 891, SALINAS, CA PHONE ; FAX # BUSINESS.TAX@CO.MONTEREY.CA.US BUSINESS LICENSE APPLICATION Date: Deputy: License # For Internal Use Only Instructions: Please print or type. All fields marked with an (*) are required. Incomplete applications will not be processed. For additional information, please refer to the Business License Application Instruction Form. *Applicant: *Telephone Number: * All persons and/or entities having an interest in the enterprise must be listed. Attach additional sheet if needed. *Agent Name: *Agent Title: *Trade Name (DBA): *Business Mailing Address: * Address: *Business Tax ID: Website: *Business Start Date: *Business Type: [ ] Sole Proprietorship [ ] Corporation [ ] LLC [ ] Partnership [ ] Other: *Agent for Service of Process: *Mailing Address: *Telephone Number: SECTION TWO: BUSINESS LOCATION *Principal Place of Business: *APN: * Owner s Mailing Address: For Leased Properties: *Property Owner: *Expiration Date of Lease: *Lessor s Name, Address & Telephone Number: * Lessee s Name, Address Telephone Number: SECTION THREE: BUSINESS INFORMATION & REQUIRED FEE REQUIRED FEE: Business License $ *Describe the exact nature of the business: Gov. Code Sec $ 4.00 TOTAL DUE: $ **Please make your checks payable to: Monterey County Tax Collector *Number of Employees: SECTION FOUR: ACKNOWLEDGEMENTS & SIGNATURE This application is submitted only after reviewing the Business License Application Instruction Form. This application is submitted with payment of the non-refundable fee of $226 and all applicable required documents identified in Section Four of the Business License Application Instruction Form. Pursuant to Government Code Section 4469 an additional fee of $4.00 will be added to every business license issued and subsequent renewal for a total nonrefundable fee of $230. See the Business License Application Instruction Form for additional information concerning this fee. A license granted pursuant to Monterey County Code, Chapter 7.02 does not permit any occupation or activity of any kind which is prohibited by any other County regulation or by any state statute, law, rule, order or regulation. I declare under penalty of perjury of the laws of the State of California that the information provided herein is true and correct. Signature of Owner/Agent Print Name and Title Date
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3 BUSINESS LICENSE APPLICATION INSTRUCTIONS Applicant: The applicant for the business shall be the operator of the businesses. Every application for a business license required by Monterey County Code, Chapter 7.02, is executed under penalty of perjury, so please take time to ensure accuracy of the information set forth therein. If the applicant is a corporation, the name shall be set forth exactly as it appears on the articles of incorporation. If the applicant is a limited liability company, the name shall be exactly as set forth in its articles of organization. If the applicant is a partnership, the name of each general partner must be stated. If one or more of the partners is a corporation, the provisions of this section as to corporate applicants shall apply. If the individual signing the application is an agent for the operator, the applicant shall submit written, signed authorization by the operator or other equivalent legal instrument authorizing the agent to act on behalf of and assume responsibility for the operator with respect to the business license. The names of all other persons having an interest in the enterprise shall be listed. Please attach additional sheet if needed. Fictitious Names: A license may be issued under a fictitious name, only if all provisions of Section et seq. of the Business and Professions Code have been complied with. Otherwise, all licenses will be issued in the true name of the individual or individuals. Agent: If the individual signing the application is an agent for the operator, the agent's full legal name must be identified. Note: The applicant must submit written, signed authorization by the operator or other equivalent legal instrument authorizing the agent to act on behalf of and assume responsibility for the operator with respect to the business license. Agent Title: If the individual signing the application is an agent for the operator, the agent must identify his/her official title within the enterprise. Trade Name/DBA: Identify any and all names under which the applicant will be doing business within Monterey County. Business Mailing Address: If the applicant is a corporation or company, the mailing address identified must be that of an officer who is duly authorized to accept the service of legal process. Business Tax ID: For sole proprietors, the business identification number may be the same as the individual's social security number (SSN) or individual taxpayer identification number (ITIN). An ITIN is a tax processing number only available for certain nonresident and resident aliens, their spouses, and dependents who cannot get a SSN. A federal tax identification number (FIN or TEIN) is required for all partnerships, corporations, and limited liability companies. This number is obtained from the Internal Revenue Service. Business Start Date: The date business activity began in Monterey County. Business Type: Identify the legal structure of the applicant. Agent for Service of Process/Telephone/Address: If the applicant is a corporation or company, the name and mailing address of an officer who is duly authorized to accept the service of legal process must be identified, along with contact information including mailing address and telephone number. SECTION TWO: BUSINESS LOCATION Principal Place of Business: Identify the exact location of the business including the Assessor s Parcel Number and street address or the route or territory to be covered if no fixed place of business. Assessor s Parcel Number: The assessor s parcel number, or APN, is a number assigned to parcels of real property by the Monterey County Assessor. If you do not know the APN for the principal place of business, you obtain it by contacting the Monterey County Assessor s Office at (831) Property Owner/Address: Identify the name and address of the owner of the property where the business is located. 3
4 For Leased Properties: If the property is leased, identify the name and address of the lessor and/or lessees of the property where the business is located, if the location of the business is based on a lease or option to lease the location. SECTION THREE: BUSINESS INFORMATION & REQUIRED FEE Required Fees: The application must be submitted with the nonrefundable fee of $ Applications received without the required fee will not be processed. Number of Employees: Identify the total number of people employed by the business. Describe the Exact Nature of the Business: Provide a detailed description of the exact nature of the business and provide a description of the building. Please attach additional sheets of paper if the space provided is insufficient to accurately detail the business activities and the building description. SECTION FOUR: ACKNOWLEDGEMETNS & SIGNATURE Review Acknowledgments: Review the statements in this section in detail to ensure you understand them. If you have questions about the content of any of these statements, contact the Treasurer-Tax Collector s office. Required Documents: There are a number of documents which must be submitted simultaneously with the Business License Application in order for the Application to be considered complete. Those documents are: 1. For corporations: A copy of the Articles of Incorporation Filed with the State of California. 2. For Individuals signing on behalf of the Applicant: Written, signed authorization by the Applicant or other equivalent legal instrument authorizing the individual to act on behalf of and assume responsibility for the Applicant with respect to the business license. 3. A copy of the driver s license or government issued identification card if the applicant is an individual. 4. A copy of the current sales tax permit issued by the State of California Board of Equalization, as required by Revenue and Taxation Code 6066, as applicable. 5. Copies of all applicable permits and licenses required by the State of California to engage in business. 6. Copies of all applicable permits and licenses required by the County of Monterey to engage in business, both generally and at the specific location of the business. 7. Proof of worker s compensation insurance or basis for exemption. Government Code 4469: 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 ( The Department of Rehabilitation ( The California Commission on Disability Access ( All Business Licenses issued or renewed by the County will include a $4.00 fee pursuant to Gov. Code 4469 to fund increased certified access specialties (CASp) services for the public. Signing the Form: After a careful review of the acknowledgments provided in Section Four of the Application, sign and date the form, then print your name and title in the space provided. ADDITIONAL QUESTIONS: Should you have additional questions, which were not addressed in these instructions, please contact the Treasurer- Tax Collector s Office. 4
5 MONTEREY COUNTY TREASURER-TAX COLLECTOR MARY A ZEEB, TREASURER TAX COLLECTOR P.O. BOX 891, SALINAS, CA PHONE: ; FAX: BUSINESS.TAX@CO.MONTEREY.CA.US WORKERS' COMPENSATION COMPLIANCE AFFIRMATION Instructions: Please print or type. All fields marked with an (*) are required. Applicant/Business Name: Agent Name: Agent Title: Trade Name (DBA): Business Physical Address: (Number & Street) (City, State) (Zip Code) Business Mailing Address: (Number & Street) (City, State) (Zip Code) Telephone Number: address: I understand that this business must comply with the Worker s Compensation laws of the State of California in order to obtain and maintain a valid Business License from the Monterey County Treasurer-Tax Collector. I hereby affirm one of the following declarations: I certify that this business is not subject to requirements of Section 3700 of the Labor Code at this time. I agree that if this business employs any person in any manner so as to become subject to the Worker s Compensation laws of the State of California and the provisions of Section 3700 of the Labor Code, I will comply with those provisions. OR I have and will maintain a CERTIFICATE OF CONSENT TO SELF-INSURE for Worker s Compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this Business License is issued. OR SECTION TWO: AFFIRMATION I have and will maintain a CERTIFICATE OF INSURANCE for which Worker s Compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this Business License is issued. If you have checked this answer, please also indicate: The Worker s Compensation Insurances carrier/provider: Policy Number(s): SECTION TWO: Signature I declare under penalty of perjury of the laws of the State of California that the information provided herein is true and correct. Signature of Owner/Agent Print Name and Title Date Note: The information provided on this form will be shared with the Monterey County District Attorney s office. 5
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