(All Corporate Officers must sign below)
(BOE ACCOUNT NUmBER)
(BUSINESS NAmE)
(CLEAR) CLEAR
(CONTACT pERSON)
(CORpORATE ID NUmBER)
(DATE)
(DATE)
(DRIVER LICENSE NUmBER)
(DRIVER LICENSE NUmBER)
(EmAIL ADDRESS (of your corporate officer designated to handle tax matters))
(FEDERAL EmpLOYER IDENTIFICATION NUmBER (FEIN))
(hOmE ADDRESS (street city state zip code))
(hOmE ADDRESS (street city state zip code))
(NAmE)
(NAmE)
(pLEASE LIST YOUR pRImARY BUSINESS ACTIVITY OR NAICS CODE)
(PRINT) PRINT
(pRINTED NAmE)
(pRINTED NAmE)
(TITLE)
(TITLE)
(WhAT DO YOU SELL?)
area code
area code
area code
BOE 245 COR 1 (1 09) STATE OF CALIFORNIA
BOE ACCOUNT NUmBER
BUSINESS NAmE
CertifiCation
Construction Contractor
CONTACT pERSON
CORpORATE ID NUmBER
Corporate offiCer
Corporate offiCer
Corporate offiCer registration Update BOARD OF EQUALIZATION
DRIVER LICENSE NUmBER
DRIVER LICENSE NUmBER
EmAIL ADDRESS (of your corporate officer designated to handle tax matters)
FEDERAL EmpLOYER IDENTIFICATION NUmBER (FEIN)
hOmE ADDRESS (street city state zip code)
hOmE ADDRESS (street city state zip code)
I also represent and acknowledge that the applicant will be engaged in or conduct business as a seller of tangible personal property
I am duly authorized to sign the application and certify that the statements made are correct to the best of my knowledge and belief
Leasing
manufacturer
north ameriCan indUstry ClassifiCation system (naiCs)
pLEASE LIST YOUR pRImARY BUSINESS ACTIVITY OR NAICS CODE
pRINTED NAmE
pRINTED NAmE
Repair
Retail
Return this form to your local BOE office
Service
signature hand
signature hand
TITLE
TITLE
TYpE OF BUSINESS ARE YOU ENgAgED IN (please check appropriate box)
Use additional sheets to include information for more than three individuals
WhAT DO YOU SELL?
Wholesale
