Richmond, CA · Contra Costa County

No notary required

Disclosure Statement for Limited Liability Companies

This statement identifies the people and entities behind an LLC when the LLC owns property or applies for a city permit or license.

What this form is

Richmond requires an LLC that owns property or applies for a city permit or license to provide this disclosure statement. It asks for names, titles, and business addresses of people and entities connected to the LLC, including beneficial owners; if an owner is another business entity, the information must trace ownership through the organizational chart to individual people. The signer certifies the information and any attachments are true and correct.

Who needs it

An LLC that owns property or applies for a Richmond city permit or license must provide this statement and disclose the required ownership information.

How to submit it

Submit it to the city department named on the form; check the city website for current contact details.

About notarization

This statement is signed and dated without a notary; the signer certifies the information and attachments are true and correct, and no notarized attachment is specified.

How to submit this form

  1. 1

    Download the Statement

    Download the Disclosure Statement for Limited Liability Companies.

  2. 2

    Complete the Ownership Details

    Enter names, titles, and business addresses for the required owners and related people or entities.

  3. 3

    Gather Optional Attachment

    Check the box if additional ownership information is attached.

  4. 4

    Sign and Submit

    Sign and date the statement, then provide it to the City.

Frequently asked questions

Who must provide the LLC Disclosure Statement?
An LLC must provide it when the LLC owns property or is an applicant for a city permit or license.
What ownership information does the statement request?
It requests names, titles, and business addresses for relevant owners and related people or entities, tracing business entities through the organizational chart to individual people.
Do I need a notary for the LLC Disclosure Statement?
No. The signer signs and dates the statement and certifies that the information and attachments are true and correct; no notarized attachment is specified.
How do I submit the LLC Disclosure Statement?
The statement says to provide it to the City. Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

This Disclosure Statement for Limited Liability Companies doesn’t need a notary — but if you have another Richmond form that does, a commissioned online notary can help.