BUSINESS REGISTRATION CERTIFICATE APPLICATION
CITY OF SAN BERNARDINO

City of San Bernardino
Business Registration Division
Phone (909) 384-5302

300 N D St
2nd Floor, City Hall

General Business Information







Same as Business Address






RadDatePicker
RadDatePicker
Open the calendar popup.
select





select



RadDatePicker
RadDatePicker
Open the calendar popup.


Contact Information

Owner






RadDatePicker
RadDatePicker
Open the calendar popup.

Additional Contact






RadDatePicker
RadDatePicker
Open the calendar popup.

Renewal Notice Delivery Method

Please select how you would like to receive renewal notices in the future:

Opt for Paper Only Opt for Email Only

Agreement

Items marked with a † are confidential information. State law requires the city to obtain information from the businesses it registers and transmit it to the state franchise tax board. Your completion of the information requested on this application is appreciated, and will eliminate the need for a franchise tax board investigator to contact you to obtain this information. The items marked may be released only to a taxing authority or anyone with a court order demanding same (San Bernardino municipal code section 5.04.021).

By submitting this application, I, declare, under the penalty of perjury, that this application has been examined by me and to the best of my knowledge and belief is a true, correct and complete statement of facts. (Please note: application cannot be accepted or processed without signature.) I understand that building code or property maintenance violations may result in the revocation of this business registration certificate. I further understand that it is unlawful to demand or receive payment of rent for any rental property which has not been issued a business registration certificate.

Executed the .

Please sign your name below, using the mouse or your touch screen enabled device.