HomeMy WebLinkAboutcdtfa1513 SAMS STATE OF CALIFORNIA (a
CALIFORNIA DEPARTMENT OF TAX AND FEE ADMINISTRATION GAVIN NEWSOM
Governor
3737 MAIN ST.,STE.1000 RIVERSIDE,CA 92501
1-951-880-2667•1-951-680-6712 AMY TONG
www.cdtfa.ca.gov Secretary,Government Operations Agency
December 22,2022
NICOLAS MADUROS
Director
City of Elsinore City Hall
Business License Office
130 South Main St.,
Lake Elsinore, CA 92530
City Clerk
Re: 102-806074
ANDLOU,INC
SAMS AUTO GLASS AND TINT
31947 CORYDON ST STE 150
LAKE ELSINORE, CA 92530
To Whom It May Concern:
Government Code section 15570.82 provides the California Department of Tax and Fee Administration
(CDTFA)with the authority to examine books, accounts, and papers of all persons required to report to it,or
having knowledge of the affairs of those required to report. Accordingly,the CDTFA requests that the
following information be furnished:
• Copies of all documents pertaining to the licensee of the above business for periods between 07/01/15 —
12/31/19. If these documents are no longer available,please provide a letter stating to whom the license was
issued for the above business for the periods noted.
• Information on how the license fees are paid. If any payments were made by check,please send a
photocopy of the check or provide the name and address of the bank,bank account and routing number(if
available),the name and address of the account holder, and the name of the person(s) signing the check(s),
in lieu of providing a copy.
Please mail or fax the information to my attention at the address or fax number listed above.No fees should be
billed to the CDTFA for this record request.
If you have any questions or concerns,please contact my office at 1-951-880-2667.
Thank you in advance for your cooperation.
David Hwang
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David Hwang
Tax Compliance Specialist
Riverside Office
david.hwang@cdtfa.ca.gov
CDTFA-1513 REV.3(2-18)
NAME OF PERSON RESPONDING TO THIS REQUEST(please print) TITLE DATE
Business License
Joanne Jackson Technician 12/22/2022
SIGNATURE TELEPHONE NUMBER
UCL✓ NE jae,7fSVN 951 674.3124 x 302
CDTFA-1513 REV.3(2-18)
Administrative Services Division
CITY OF 130 South Main Street
LATE S11 T A0 E Lake Elsinore, California 92530
C LJ 11 1 1 -L PH (951)674-3124 x302 FAX(951)471-0052
-&-:.a DREAM EXTREME www.lake-elsinore.org
1W
BUSINESS LICENSE VERIFICATION
Date: December 22, 2022
Business DBA: SAMS AUTO GLASS&TINT
Business Name:
Location Address: 31947 CORYDON ST#150
LAKE ELSINORE, CA 92530-8531
Business License#: 021594
To Whom it may concern:
This letter serves as notice that the above named business has a current valid business license with the City of Lake
Elisnore,valid through 05/31/2023.
This license has been in effect since 05/21/2014.
If you need additional information, please call our office at(951)674-3124.
Sincerely
City of Lake Elsinore Business License
Printed 12/22/2022:3:54 pm
BUSINESS LICENSE CITY OF LAKE ELSINORE
This business license is issued for revenue purposes only and does not grant authorization Administrative Services-Licensing
to operate a business. This business license is issued without verification that the holder is 130 South Main Street, Lake Elsinore, CA 92530
subject to or exempted from licensing by the state, county, federal government, or any PH (951)674-3124
other governmental agency.
Business Name: SAMS AUTO GLASS&TINT BUSINESS LICENSE NO. 021594
Business Location: 31947 CORYDON ST#150 Business Type: SERVICE/GENERAL-MISC.
LAKE ELSINORE,CA 92530-8531
Owner Name(s): CHRISTOPHER S ALLISON Description: AUTO GLASS AND TINT INSTALLATION
Issue Date: 6/1/2022 Expiration Date: 5/31/2023
SAMS AUTO GLASS&TINT
31947 CORYDON ST#150
LAKE ELSINORE,CA 92530-8531
Starting January 1, 2021, Assembly Bill 1607 requires the prevention of gender-based discrimination of business establishments. A full notice is available in English or other
languages by going to:https://www.dea.ca.gov/publications/
TO BE POSTED IN A CONSPICUOUS PLACE THIS IS YOUR LICENSE • NOT TRANSFERABLE
ACCOUNT SUMMARY LISTING
Business License Division
Business Information
Name: SAMS AUTO GLASS&TINT Current Period ending: 05/31/2023
Account No: 021594
Street Address: 31947 CORYDON ST#150
City, State,ZIP: LAKE ELSINORE, CA 92530-8531
Account Transaction History
Period Ending Fees Penalties Adjustments Payments Balance
05/31/2023 $103.78 $0.00 $0.00 $103.78 $0.00
05/31/2022 $103.78 $0.00 $0.00 $103.78 $0.00
05/31/2021 $103.78 $0.00 $0.00 $103.78 $0.00
05/31/2020 $101.00 $18.00 $0.00 $119.00 $0.00
05/31/2019 $101.00 $0.00 $0.00 $101.00 $0.00
05/31/2018 $98.00 $0.00 $0.00 $98.00 $0.00
05/31/2017 $98.00 $0.00 $0.00 $98.00 $0.00
05/31/2016 $98.00 $0.00 $0.00 $98.00 $0.00
05/31/2015 $73.00 $0.00 $0.00 $73.00 $0.00
TOTAL $880.34 $18.00 $0.00 $898.34 $0.00
Payment History
Date Method Amount Receipt#
05/09/2022 Credit Card $103.78 0035412
04/29/2021 Credit Card $103.78 0032205
05/07/2020 Credit Card $103.78 0029329
07/10/2019 Credit Card $119.00 0027007
05/01/2018 Credit Card $101.00 0024458
05/16/2017 Check $98.00 0022599
05/09/2016 Credit Card $98.00 0020069
05/11/2015 Credit Card $98.00 0017462
05/21/2014 Credit Card $73.00 0015244
TOTAL PAID $898.34
TOTAL CHARGES $898.34
TOTAL PAYMENT $898.34
TOTAL DUE $0.00