Phone:
Email:
Phone:
Email:
Corporation Sole Proprietor LLP LLC
Retail Service
Manufacturing, Wholesaling, or Processing
Business or Professional
Real Estate
Delivery by Vehicle
Beauty Salon, Nail Salon, or Barber
Add $25 for each vehicle/chair in excess of 1
Apartment, Hotel, or Motel
**SB-1186:
Total Tax:
Cash Check Credit Card Receipt Number
Finance Use Only
Resale Number
Tax ID / FEIN
Alternate Contact
Title
Nature of Business / Business Description
Business Phone Number
Alternate Fax
Los Altos, CA 94022
www.losaltosca.gov
Application Date
License Number (if renewal)
Business Information (bolded fields are required)
Business Address
Mailing Address
City of Los Altos
Business License Tax Application
Business Name
1 North San Antonio Road
(650) 947 - 2760
Name of Owner / Officer
Title
Zip
City
State
Zip
City
State
**On September 19, 2012 Governor Brown signed into law SB-1186 which adds a state fee of $1 to each application for a local business license or similar instrument or
permit, or renewal thereof. You may obtain information about your legal obligations and how to comply with disability access laws at the following agencies:
1.00$
I certify that the information reported on this form is correct.
Date
Title
Signature
Per Los Altos Municipal Code 4.04.490, the maximum business license tax shall not exceed $3,200.
This maximum is set on the tax itself and does not apply to SB-1186, late fees, or zoning fees.
Tax Calculation (choose the category that applies to your business; refer to LAMC 4.04 for an explanation of categories)
Total Tax
Additional Tax
Base Tax
$75.00
Total Number of Employees
Add $10 for each employee in excess of 5
Total Number of Non-Professionals
Add $10 for each in excess of 5
$75.00
$75.00
$180.00
Total number of vehicles/chairs
Total number of Units
Add $5 for each unit in excess of 5
Total Number of Brokers, Agents,
& Professionals
Add $75 for each in excess of 1