BHFTI Gen App (rev. ) 1 APPLICATION FOR LICENSE - GENERAL INFORMATION Keep this page for your reference. Do not mail with your application It shall be unlawful for any person to engage in a business regulated by the Home Furnishings and Thermal Insulation Act (Act) unless, at the time of doing so, he/she holds a valid license to engage in that business (Business and Professions Code Section 19049). The Act applies to upholstered furniture, bedding, and filling material sold or offered for sale in California regardless of point of origin (Section 19070). To obtain a license, an applicant shall submit a completed application (Section 19050) with an original signature. The application shall be made on the following Application for License form and shall be submitted to the BHFTI Licensing Unit along with the appropriate fee. Applications and Fees sent by courier must be delivered to 4244 S. Market Ct., Ste. D, Sacramento, CA 95834. It is mandatory that you complete this application with all information that pertains to you and your business. Omission of any item of requested information would result in a delay of the application process and issuance of a license. The information on this application is required pursuant to California Business and Professions Code sections 19049 and 19050. The information provided will be used to determine qualifications for licensure as provided by Chapter 3 of Division 8 of the Business and Professions Code. The collection of this information is authorized by the Business and Professions Code Section 30 and the Information Practices Act. Personal information may be disclosed in the following circumstances: a Public Records Act request as allowed by the Information Practices Act (Civil Code Section 1798 and following), another government agency as required by law, or in support to a court or administrative order. You have a right of access to any records containing personal information about you maintained by the Department of Consumer Affairs, unless the records are exempted from disclosure by Section 1798.40 of the California Civil Code. Any individuals may obtain information regarding their records by contacting the Public Records Request Coordinator at the following address and telephone number: P.O. Box 980580, West Sacramento, CA 95798-0580 or (916) 999-2041. Every person who is subject to licensure shall obtain a separate license for each business location. Anyone whose manufacturing plant is located in another state or foreign country, and who is licensed to manufacture upholstered furniture or bedding or filling material for sale in California, may have one wholesale outlet operated in the same name in California, covered by the license issued to the factory (Section 19060). Every person who, on his or her own account, sells either directly or indirectly to any person either at wholesale or retail any merchandise subject to the Act by means of a car, catalog, office or in any other manner, shall obtain the proper license for each method of sale or distribution (Section 19060.5). Disclosure of your social security number (SSN) or Individual Taxpayer Identification Number (ITIN) is mandatory for all sole proprietors and partners. Federal Employer Identification Number (FEIN) is also mandatory for partnerships. Section 30 of the Business and Professions Code and Public Law 94-455 (42 USCA 405(c)(2)(C)) authorizes collection of your SSN. Your SSN, ITIN, or FEIN will be used exclusively for tax enforcement purposes, for the purposes of compliance with any judgment or order for family support in accordance with Section 11350.6 of the Welfare and Institutions Code, or for verification of licensure or examination status by a licensing or examination entity which utilizes a national examination and where licensure is reciprocal with the requesting state. If you fail to disclose the required identification number(s), your application for initial or renewal license will not be processed AND you will be reported to the Franchise Tax Board, which may assess a penalty against you per Section 19528 of the Revenue and Tax Code. NOTICE: Effective July 1, 2012, the State Board of Equalization and the Franchise Tax Board may share taxpayer information with the Bureau. You are obligated to pay your state tax obligation and your license may be suspended if the state tax obligation is not paid. BUSINESS WITH MULTIPLE LOCATIONS If your business has seven (7) or more locations, you may establish your licenses as a chain. All locations in a chain have the same license expiration date. Licenses, renewal notices, renewal invoices and correspondence are mailed to one address of the chain222s designation. No fee is required for the chain application, however, license fees are required for each location in the chain. To establish your businesses as a chain, please contact BHFTI Licensing at (916)999 - 2041 . If you have difficulty accessing any material on this application because of a disability, please contact us in writing or via telephone at the number or e-mail address listed at the top of the application and we will work with you to make the information available. Bureau of Electronic and Appliance Repair, Home Furnishings and Thermal Insulation 4244 South Market Court, Suite D, Sacramento, CA 95834 - 1243 P (916) 999 - 2041 F (916) 921 - 7279 www.bearhfti.ca.gov BUSINESS, CONSUMER SERVICES, AND HOUSING AGENCY 225 GOVERNOR EDMUND G. BROWN JR. American LegalNet, Inc. www.FormsWorkFlow.com BHFTI Gen App (rev. 2 TERM: DEFINITION: Upholstered Furniture (Section 19006) Any furniture, including children222s furniture, movable or stationary, which is made or sold with cushions or pillows, loose or attached, or is itself stuffed or filled in whole or in part with any material, is or can be stuffed or filled in whole or in part with any substance or material, hidden or concealed by fabric or any other covering, including cushions or pillows belonging to or forming a part thereof, together with the structural units, the filling material and its container and its covering which can be used as a support for the body of a human being, or his or her limbs and feet when sitting or resting in an upright or reclining position. This does not include furniture used exclusively for the purpose of physical fitness and exercise. Bedding (Section 19007) Any quilted pad, packing pad, mattress pad, hammock pad, mattress, comforter, quilt, sleeping bag, box springs, studio couch, pillow or cushion made of leather, cloth or any other material, which is or can be stuffed or filled in whole or in part with any concealed substance or material, which can be used by any human being for sleeping or reclining purposes. Filling Material (Section 19007.5) Cotton, wool, polyurethane foam, polystyrene beads, kapok, feathers, down, hair, liquid, or any other material, substance, or any combination thereof, loose or in batting, pads, or any other prefabricated form, concealed or not concealed to be used or that could be used in articles of bedding or upholstered furniture. Registry Number (Title 4, CCR Section 1109) The location of every manufacturer, custom upholsterer, sanitizer, supply dealer or importer who manufactures shall bear a separate registry number. A registry number uniquely identifies each location (branch house) of a licensed manufacturer, custom upholsterer, importer, sanitizer, or supply dealer. The registry number must appear on the law label that is attached to all upholstered furniture, bedding or filling materials. LICENSE TYPE: DESCRIPTION: Furniture and Bedding Manufacturer Manufactures, upholsters, reupholsters, sanitizes, wholesales, retails and supplies filling material and fabrics for upholstered furniture and/or bedding products. Furniture and Bedding Wholesaler Wholesales (for the purpose of resale) or retails upholstered furniture and/or bedding products. Furniture and Bedding Retailer Retails both furniture and bedding products. Furniture Retailer Unless he/she holds one of the combination licenses above, a furniture retailer shall hold a Furniture Retailer222s license to retail furniture products. Bedding Retailer Unless he/she