Form BOE-345-QP Fillable Qualified Purchaser ? Registration Update
(all forms fillable on Windows, Mac, Android tablets, and iPad using Adobe Reader XI)

A listing is located on our website under "Field Office" at www boe ca gov BOE 345 QP WEB REV 1 (2 11) BUSINESS EMAIL (to receive email reminders to efile) BUSINESS FAX NUMBER BUSINESS TELEPHONE NUMBER BUSINESS TRADE NAME [DBA] (if any) BUSINESS TYPE BUSINESS WEB ADDRESS Check one UPDATE ADD DROP Check one UPDATE ADD DROP CLEAR PRINT CONTACT TELEPHONE NUMBER CORPORATE LLC LLP OR LP NUMBER (if applicable) Corporation DATE CLOSED WAS THE BUSINESS SOLD? IF YES BUYER'S NAME AND TELEPHONE NUMBER FEDERAL EMPLOYER IDENTIFICATION NUMBER (FEIN) (if applicable) FULL NAME (first middle last) TITLE FULL NAME (first middle last) TITLE General Partnership HOME ADDRESS (street city state zip code) HOME TELEPHONE NUMBER HOME ADDRESS (street city state zip code) HOME TELEPHONE NUMBER Limited Liability Company (LLC) Limited Liability Partnership (LLP) Limited Partnership (LP) Mail to: Married Co ownership NAME OF PRIMARY CONTACT (include title) NEW CALIFORNIA BUSINESS ADDRESS (street city state zip code) (do not list PO Box or mailing service) NEW MAILING ADDRESS (street city state zip code) Other (describe) OWNERSHIP NAME ACCOUNT NUMBER (example: SU KH xxx xxxxxx) PRINTED NAME TITLE QUALIFIED PURCHASER REGISTRATION UPDATE Registered Domestic Partnership SECTION I: TYPE OF OWNERSHIP (check one) SECTION II: UPDATE NAME ADD A PARTNER/CO OWNER DROP A PARTNER/CO OWNER SECTION III: ADDRESS CHANGES AND CONTACT INFORMATION SECTION IV: SELL/CLOSE OUT SECTION V: COMPLETED BY SIGNATURE EMAIL DATE SOCIAL SECURITY NUMBER (corporate officers excluded) DRIVER LICENSE NUMBER STATE EMAIL SOCIAL SECURITY NUMBER (corporate officers excluded) DRIVER LICENSE NUMBER STATE EMAIL Sole Owner TELEPHONE NUMBER TIN # TIN # Unincorporated Business Trust (registered to practice law accounting or architecture) Use additional sheets to include information for more than three individuals YES NO Your local BOE field office