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CITY OF TRACY FINANCE DEPARTMENT <br /> 325 E. 10th STREET BUSINESS LICENSE TAX APPLICATION <br /> TRACY, CA 95376 TYPE: Contractor <br /> (209)831-4126 <br /> (209) 831-4110 FAX <br /> SEE BELOW FOR TAX SCHEDULE-PLUS INCLUDE$15 APPLICATION!RENEWAL FEE <br /> 0 NOTICE TO APPLICANT <br /> All general contractors, sub contractors or specialty contractors providing services to customers within the City of Tracy are required <br /> to obtain a City of Tracy Business License Tax Certificate "General Contractors" shall mean a person holding an"A" of"B" license <br /> pursuant to Sectlon 7056 and 7057 of the Business and Professions Code of the State of California. "Sub-contractor or Specialty <br /> Contractor'shall mean a person holding a"C" license pursuant to Section 7058, IT IS AN INFRACTION TO CONDUCT BUSINESS <br /> WITHOUT FIRST PAYING THE BUSINESS LICENSE TAXES&FEES. <br /> ! GENERAL INFO ATION <br /> Name of Business <br /> Mailing Addre AL lob S' e: <br /> Telephone No. Business Owner <br /> Cell/Pager/Emergency NAftn lU f-1 UTA J Owner Address <br /> ❑ Corporation ❑ Partnership'�K Sole Owner SSN OR FEIN <br /> State License#AMIAS-_ Class- A!1__�-r_-Exp_ Date State ID# (SEIN) <br /> Business Start Date in Tracy I2r�- /�� v SIC Code <br /> 0 LICENSE FEE (PLUS $15 APPLICATION OR RENEWAL FEE) Annual Fiscal Year (July t -June 3D) <br /> The Business license fee for all contractors is$120 per fiscal year ending $120(plus fees) <br /> June 30th, or$40 per quarter, or fractional part thereof.jrLclude $15 fee 1st Quarter-$40 2nuarta •540 <br /> for quarterly renewals. Please determine which type of license best suits (Jul 1 -Sept 30) (Oct - 31) <br /> your needs. If start and completion of job occurs within 2 quarters, it is <br /> suggested to purchase 2 quarters in advance. It is to your benefit to only 3rd Quarter-$40 <br /> purchase an annual license at the beginning of our fiscal new year, July- (Jan 1 -Mar 31) (Apr 1 -Jun 30) <br /> September. <br /> Type of license desired: ❑ Quarterly ❑ Annual (expires June 30th) <br /> # DECLARATION <br /> Every city or city and county which requires the Issuance of a business license as a condition precedent to engaging,within the city or <br /> city and county, in a business which is subject to regulation under this chapter,shall require that each licensee and each applicant for <br /> issuance or renewal of such license shall file, or have on file, with such a city or city and County, a signed statement that such <br /> licensee or applicant is licensed under the provisions of this chapter and stating that the license is in full force and effect, or, if such <br /> licensee or applicant is exempt from the provisions of this chapter, he shall furnish proof of the facts which entitle him to such <br /> exemption. (Contractor;License Law, Business Profession Code, Division 3, Chapter 9,Article 2; Section 7033) <br /> I am licensed under this code to perform the work,which is permitted under the business license of the City of Tracy for which I am applying. <br /> sPaidd under this code. <br /> r)u that the information provided an this application Is true and correct to the best of my knowledge and <br /> DateE ONLY Business License Tax Certificate# <br />