Do I need a notary for this application?

No. The application has no notary block; the business owner certifies the information and signs and dates the form.

Who may request a business license tax refund?

The form says the business must have earned less than $32,000 in Belvedere during the previous year. The owner must attach the required earnings documentation.

What documentation must I attach?

A business located in Belvedere must provide its income tax form. A business located outside Belvedere must provide an itemized list of Belvedere clients or customers, including name, address, amount paid, and date of work.

Belvedere, CA · Marin County

No notary required

Business License Tax Refund Application

Belvedere business owners use this application to request a refund of business license tax when their previous-year earnings in the city meet the stated eligibility requirement.

What this form is

The application lets a business owner request a refund of business license tax and asks for account, business, license, tax, gross receipt, and refund information. The form says the business must have earned less than $32,000 in Belvedere during the previous year, and the application must be postmarked or received by January 31. It requires documentation of earnings: an income tax form for businesses located in Belvedere, or an itemized list of Belvedere clients or customers for businesses located elsewhere.

Who needs it

A business owner seeking a refund must have earned less than $32,000 in Belvedere during the previous year and provide the required earnings documentation.

How to submit it

Send the application to the City of Belvedere, 450 San Rafael Avenue, Belvedere, CA 94920-2336. It must be postmarked or received by January 31, with the required earnings documentation attached.

About notarization

This application is signed without a notary; the signer certifies the information and signs and dates the form.

How to submit this form

1
Download The Application
Download the Business License Tax Refund Application.
2
Complete The Form
Provide the requested account and business details, calculate the total refund amount, and sign and date the certification.
3
Gather Earnings Documentation
Attach an income tax form if the business is in Belvedere, or the specified itemized customer list if it is outside the city.
4
Send The Application
Send it to the City of Belvedere address on the form so it is postmarked or received by January 31.

Frequently asked questions

Do I need a notary for this application?: No. The application has no notary block; the business owner certifies the information and signs and dates the form.
Who may request a business license tax refund?: The form says the business must have earned less than $32,000 in Belvedere during the previous year. The owner must attach the required earnings documentation.
How do I submit the refund application?: Send it to the City of Belvedere at 450 San Rafael Avenue, Belvedere, CA 94920-2336. It must be postmarked or received by January 31.
What documentation must I attach?: A business located in Belvedere must provide its income tax form. A business located outside Belvedere must provide an itemized list of Belvedere clients or customers, including name, address, amount paid, and date of work.

Need something notarized?

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