Declaration Of Income Dance Studio
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Declaration Of Income Dance Studio Form. This is a California form and can be use in Special Filings Secretary Of State.
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Tags: Declaration Of Income Dance Studio, NP SFSB-406D, California Secretary Of State, Special Filings
State of California
Secretary of State
DECLARATION OF INCOME
DANCE STUDIO
(Civil Code Section 1812.50 et seq.)
Complete and mail to: Secretary of State, P.O. Box 942877,
Sacramento, CA 94277-0001. (916) 653-3984
(Office Use Only)
The undersigned does hereby state and declare:
That I am the _______________________________________________________________________________________
Title of Officer
of________________________________________________________________________________________________________
Name of Business
developer located at _________________________________________________________________________________________
Street Address
__________________________________________________________________________________________________
City
State
Zip Code
That for the purpose of complying with Section 1812.64 of the Civil Code of the State of California, I hereby state and
declare that the gross income from such dance studio’s business in the State of California
during the previous 12 months from ________________________________to________________________________
Date
Date
was in the sum of $___________________________.
Amount
I further declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct of
my own knowledge.
Executed on __________________________at______________________________________, ____________________
Date
City
State
________________________________________________
Signature of Declarant
________________________________________________
Typed or Printed Name of Declarant
THIS DOCUMENT IS NOT SUBJECT TO PUBLIC INSPECTION
SEC/STATE FORM NP/SF 406D (Rev. 03/2005)
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