City of Thousand Oaks Finance Department Please complete the application forms and either mail or fax them back to the Finance Department. Consult the fee schedule below to determine the total amount owing. If this is your first business license do not forget to include the one time applicationprocessing fee. If you are renewing an existing license, include a renewal fee. GROSS RECEIPTS FEE SCHEDULE The business tax fee is for one calendar year. To determine the amount of the fee, find the amount of your actual gross receipts for the prior year and select the quarter in which the business started. If this is a new business, estimate 12 months of gross receipts. 1ST QUARTER 2nd QUARTER 3rd QUARTER 4TH QUARTER $ 0 - $15,000 $ 20.00 15.00 10.00 10.00 18.75 12.50 10.00 15,001 30,000 25.00 22.50 15.00 10.00 30,001 45,000 30.00 26.25 17.50 10.00 45,001 60,000 35.00 30.00 20.00 10.00 60,001 75,000 40.00 33.75 22.50 11.25 75,001 90,000 45.00 37.50 25.00 12.50 90,001 - 105,000 50.00 45.00 30.00 15.00 105,001 - 130,000 60.00 52.50 35.00 17.50 130,001 - 155,000 70.00 60.00 40.00 20.00 155,001 - 180,000 80.00 67.50 45.00 22.50 180,001 - 205,000 90.00 75.00 50.00 25.00 205,001 - 255,000 100.00 82.50 55.00 27.50 255,001 - 305,000 110.00 90.00 60.00 30.00 305,001 - 355,000 120.00 97.50 65.00 32.50 355,001 - 405,000 130.00 405,001 - 455,000 140.00 105.00 70.00 35.00 112.50 75.00 37.50 455,001 - 505,000 150.00 142.50 95.00 47.50 505,001 - 605,000 190.00 605,001 - 705,000 230.00 172.50 115.00 57.50 202.50 135.00 67.50 705,001 - 805,000 270.00 232.50 155.00 77.50 805,001 - 905,000 310.00 262.50 175.00 87.50 905,001 - 1,000,000 350.00 1,000,001 - 2,000,000 350 + .24 per thousand dollars of gross receipts in excess of $1,000,000 2,000,001 - 3,000,000 590 + .20 per thousand dollars of gross receipts in excess of $2,000,000 3,000,001 - 4,000,000 790 + .16 per thousand dollars of gross receipts in excess of $3,000,000 4,000,001 - 5,000,000 950 + .12 per thousand dollars of gross receipts in excess of $4,000,000 5,000,001 – Over 1,070 + .08 per thousand dollars of gross receipts in excess of $5,000,000 Add processing fee: $60.00 - New Applications or $13.00 - Renewing Existing Accounts. American LegalNet, Inc. www.FormsWorkFlow.com Payment Instructions: To pay by credit card (Visa or Master Card only), you may fax the completed application(s). Please provide the credit card number and expiration date by calling (805) 449-2201 (Fax number: 805-449-2289). Fee Worksheet: Business License Fee from schedule above: Certificate of Occupancy Permit New or Renewal Processing Fee: Total Fee: $ ____________ $ 100.00 $ 60.00 or $13.00 $ ____________ Mailing Instructions: Please make checks payable to the City of Thousand Oaks. Mail To: City of Thousand Oaks Finance Department - Business License 2100 Thousand Oaks Blvd. Thousand Oaks, CA 91362 For any questions please call (805) 449-2201 during regular business hours Monday through Thursday 7:30 a.m. to 5:00 p.m. and alternating Fridays 8:00 a.m. to 5:00 p.m. American LegalNet, Inc. www.FormsWorkFlow.com For Office Use Only Location ID ________________ UPDATE ONLY City of Thousand Oaks BUSINESS TAX CERTIFICATE APPLICATION PLEASE COMPLETE ALL FIELDS ON THIS FORM. BUSINESS NAME DATE OPENED AT THIS LOCATION BUSINESS ADDRESS (Physical Address Required) ________________________________________________________________________________________________________________________ CITY STATE ZIP CODE A SUBSIDIARY OF (If Applicable) MAILING ADDRESS _______________________________________________________________________________________________________________ CITY OWNERSHIP TYPE STATE Sole Owner FEDERAL TAX ID Corporation / in what State______ Partnership Limited Liability Corp ZIP CODE BUSINESS EMAIL BUSINESS PHONE Exempt BUSINESS FAX OWNER/OFFICER NAME #1) _____________________________________ TITLE HOME PHONE ADDRESS CITY STATE SOCIAL SECURITY # DATE OF BIRTH ZIP CODE DRIVERS LICENSE # / STATE OWNER/OFFICER NAME #2) _____________________________________ TITLE HOME PHONE ADDRESS CITY STATE SOCIAL SECURITY # DESCRIPTION OF BUSINESS PLEASE DESCRIBE IN DETAIL: Retail DATE OF BIRTH Wholesale Service ZIP CODE DRIVERS LICENSE # / STATE Manufacturing Construction CLASSIFICATION (Office Use Only) GROSS RECEIPTS SALE OF FIREARMS 12 Months Estimated/Actual # OF EMPLOYEES # OF VEHICLES SQ. FOOTAGE Yes No RESALE LICENSE # ***STATE CONTRACTOR LIC. NO. ____________________________________ CLASS_______________ EXPIRATION ____________________________ ***COPY OF VALID STATE CONTRACTOR’S WALLET CARD REQUIRED*** BUSINESS LOCATION Home Office/Retail/Commercial Bldg. Industrial/Manufacturing Out of City Additional Location/Branch For Home Based Businesses Located Within the City of Thousand Oaks A listing of business tax certificate holder’s business name, business address, business telephone number, owner’s name and type of business will be released upon request and payment of appropriate fees. Home-based business owners may elect to exclude their address and telephone number from this listing by indicating such preference in the space provided below. ADDRESS If you wish to EXCLUDE your home-based business address or telephone number, check the appropriate box for exclusion PHONE I DECLARE UNDER PENALTY OF PERJURY THAT THE FOREGOING STATEMENTS ARE TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND UNDERSTAND THAT THE INFORMATION IS SUBJECT TO VERIFICATION. SIGNATURE __________________________________________________ TITLE ___________________________________ DATE _____________________ NO DOOR-TO-DOOR SOLICITATION WITHOUT VENDOR PERMIT FOR OFFICE USE ONLY CONTROL #_________________ PERMIT ACCT. # ____________________ LICENSE # ____________________ RECEIPT # ________________________ STAFF SIG. COMMENTS: 2100 Thousand Oaks Blvd., Thousand Oaks, CA 91362-2903 Telephone (805) 449-2201 FAX (805) 449-2289 12/06 American LegalNet, Inc. www.FormsWorkFlow.com CERTIFICATE OF OCCUPANCY APPLICATION Submit this Application to Finance with your Business License Application For submittal questions, call (805) 449-2201. For application status, call (805) 449-2500. Business Name: Business Owner: Business Address (Include Suite): City: State: Business Phone: ( ) Other: ( ZIP: ) List products and/or services to be provided: Proposed Bldg. Use: Date Business Opening: Floor Area (Sq. Ft.): Number of Employees: Type of Equipment to be Used:  Yes Is There Any Storage or Handling of Hazardous Materials?  No If Yes, Give the Quantities and Nature of Use: I declare under penalty of perjury that the foregoing statements are true and correct to the best of my knowledge and understand that the information is subject to verification. Signature: Department Title: Date Received FOR CITY USE ONLY Same Location/Address Change Finance Department Date: Business License Control #: Yes / No Approved Denied Date Remarks Planning Assessor’s Parcel #: Department Use Zone: Approved Denied Date Remarks Building Occupancy Type: Design Occ. Load: Type of Construction: (7/26/12) American LegalNet, Inc. www.FormsWorkFlow.com