Pinole, CA · Contra Costa County

No notary required

Business License Exemption Application

Businesses and organizations use this application to request an exemption from Pinole’s business license tax when they meet a listed eligibility criterion.

What this form is

This application lets a business or organization ask Pinole to review and approve an exemption from the business license tax. The form says to submit it with a business license application or renewal and lists charitable purposes, nonprofit activities, disability, and federal or state exemption as criteria. It asks for the business name, the applicant’s name, signature, and date; supporting documentation must be attached.

Who needs it

A business or organization seeking an exemption under one of the listed criteria submits this application with its business license application or renewal.

How to submit it

Submit it with your business license application or renewal. The form does not specify a delivery method; check the city website for current contact details.

About notarization

No notary is required; the applicant signs and dates a declaration under penalty of perjury and attaches appropriate supporting documentation.

How to submit this form

  1. 1

    Download The Application

    Download the Business License Exemption Application PDF.

  2. 2

    Complete The Form

    Enter the business name, select the applicable exemption criterion, and provide the applicant’s name, signature, and date.

  3. 3

    Gather Supporting Documents

    Attach appropriate documentation for the exemption request.

  4. 4

    Submit With Your License Application

    Submit the exemption application with your business license application or renewal.

Frequently asked questions

Who can apply for a Pinole business license exemption?
A business or organization may apply if it meets at least one listed criterion, including charitable purposes, nonprofit activities, disability, or federal or state exemption. The city reviews and approves requests.
What should I attach to the application?
The form requires appropriate documentation to process the application. It does not specify which documents are needed for each exemption criterion.
Do I need a notary for the Business License Exemption Application?
No. The applicant signs and dates a declaration under penalty of perjury; the form does not require notarization. Attach appropriate supporting documentation.
How do I submit the Business License Exemption Application?
Submit it with your business license application or renewal. The form does not specify a delivery method; check the city website for current contact details.

Need something notarized?

This Business License Exemption Application doesn’t need a notary — but if you have another Pinole form that does, a commissioned online notary can help.