Application For Waiver Of Business License Tax


This application is only for Non-Profit Organizations. For more information, contact Finance Department at (408) 777-3221

Organization Name:
Federal Employer ID #

Address:
City:
State:
Zip Code:


Describe organization's purpose:



Describe type of activities performed. location of activities, and the hours activities will be performed:




List Officers of the Organization:

Name
Title
Address:
City:
State:
Zip Code:
Phone Number (xxx) xxx-xxxx



Application Submitted By:

Name
Title
Address:
City:
State:
Zip Code:
Phone Number (xxx) xxx-xxxx
Email