Free Corporate Officer Registration Update - California

BOE-245-COR-1 (1-09)

STATE OF CALIFORNIA

Corporate offiCer registration Update

BOARD OF EQUALIZATION

BUSINESS NAmE

BOE ACCOUNT NUmBER

CORpORATE ID NUmBER

FEDERAL EmpLOYER IDENTIFICATION NUmBER (FEIN)

BUSINESS TELEphONE NUmBER

FAx NUmBER

CONTACT pERSON

(

)

(

)

EmAIL ADDRESS (of your corporate officer designated to handle tax matters)

Use additional sheets to include information for more than three individuals.

Corporate offiCer
NAmE TITLE DRIVER LICENSE NUmBER

hOmE ADDRESS (street, city, state, zip code)

hOmE TELEphONE NUmBER

( Corporate offiCer
NAmE TITLE

)

DRIVER LICENSE NUmBER

hOmE ADDRESS (street, city, state, zip code)

hOmE TELEphONE NUmBER

( Corporate offiCer
NAmE TITLE

)

DRIVER LICENSE NUmBER

hOmE ADDRESS (street, city, state, zip code)

hOmE TELEphONE NUmBER

( north ameriCan indUstry ClassifiCation system (naiCs)
pLEASE LIST YOUR pRImARY BUSINESS ACTIVITY OR NAICS CODE

)

TYpE OF BUSINESS ARE YOU ENgAgED IN (please check appropriate box)

Retail
WhAT DO YOU SELL?

Wholesale

Construction Contractor

manufacturer

Service

Leasing

Repair

CertifiCation (All Corporate Officers must sign below) I am duly authorized to sign the application and certify that the statements made are correct to the best of my knowledge and belief.
I also represent and acknowledge that the applicant will be engaged in or conduct business as a seller of tangible personal property.

pRINTED NAmE SIgNATURE DATE


pRINTED NAmE SIgNATURE DATE


pRINTED NAmE SIgNATURE DATE


Return this form to your local BOE office.

CLEAR

PRINT