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Appendix A Certification of Permit -- Concessionaires

18 CA ADC § 1699 App. ABarclays Official California Code of Regulations

Barclays California Code of Regulations
Title 18. Public Revenues
Division 2. California Department of Tax and Fee Administration-- Business Taxes (State Board of Equalization-- Business Taxes, See Ch. 6 and 9.9)
Chapter 4. Sales and Use Tax (Refs & Annos)
Article 18. Administration--Miscellaneous
18 CCR § 1699 App. A
Appendix A Certification of Permit -- Concessionaires
Currentness
I certify that I operate an independent business at the premises of the following retailer and that I hold a valid seller's permit to operate at this location, as noted below. I further understand that I will be solely responsible for reporting all sales that I make on those premises and remitting all applicable sales and use taxes due to the Board of Equalization:
Name of retailer on whose premises I operate my business:
 
Location of premises:
 
 
I hereby certify that the foregoing information is accurate and true to the best of my knowledge:
Certifier's Signature:
 
Date:
 
Certifier's Printed Name
 
Certifier's Seller's Permit Number:
 
Certifier's Business Name and Address*
 
 
 
 
Certifier's Telephone Number
 
*Please Note: The certifier must be registered to do business at the location of the retailer upon whose premises he or she is making retail sales.
This database is current through 5/10/24 Register 2024, No. 19.
Cal. Admin. Code tit. 18, § 1699 App. A, 18 CA ADC § 1699 App. A
End of Document