Form Tc-69 - Utah State Business And Tax Registration

Download a blank fillable Form Tc-69 - Utah State Business And Tax Registration in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Form Tc-69 - Utah State Business And Tax Registration with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

TC-69

UTAH STATE BUSINESS AND TAX REGISTRATION

Rev. 10/16

Use form TC-69 to register with the Utah State Tax Commission for the taxes listed below. To register a DBA, use the Business Name Registration /

DBA Application, available at all Department of Commerce registration locations, online at commerce.utah.gov, or by phone at 801-530-4849.

General Instructions

Utah State Tax Commission

210 North 1950 West

• Read the instructions carefully. Type or print clearly. Incomplete or illegible registration forms will be rejected.

Salt Lake City, UT 84134-3310

• Mail or fax the completed form to the Tax Commission (address and fax number at right).

801-297-2200

• Allow us 15 business days to process this form. For faster processing, register online at osbr.utah.gov.

1-800-662-4335

Fax: 801-297-3573

• Contact the proper city or county for business licensing requirements.

tax.utah.gov

If you are a sole proprietor applying for the tax license(s) listed below AND you are not a U.S. citizen, you must apply in person at a Tax

Commission office and bring proof that you are in the United States lawfully under 8 U.S.C. 1641. Bring your employment authorization card and

documentation showing the I-94 (arrival/departure) number and Alien Registration Number issued by the U.S. Citizenship and Immigration Service.

Section 1 – Type of Registration

1a. Check each box that applies

Fee

Complete Sections

Clear form

Print Form

 Employer Withholding License

No Fee

2, 3, 14

USTC Use Only

 Mineral Production Withholding

No Fee

2, 4, 14

 Sales and Use Tax License

No Fee

2, 7, 14

 Cable operator or multi-channel video

or audio service provider

No Fee

2, 7, 14

 Beer Tax (distributor/manufacturer only)

No Fee

2, 13, 14

 Insurance Premium

No Fee

2, 5, 14

 Self-Insured Employer

No Fee

2, 6, 14

 Payroll Service Withholding Submitter

No Fee

2, 14

 Submitter or 3rd Party Preparer

No Fee

2, 14

 Cigarette, Tobacco, E-Cigarette License

$30 per location

2, 12, 14

† You must provide a bond for

(make check payable to Utah State Tax Commission)

cigarette stamping and tobacco

 Cigarette Stamper

License and Bond†

2, 12, 14

wholesale distribution (see

 Tobacco Products Distributor

Section 12 for details).

License and Bond†

2, 12, 14

Get a surety or performance bond

Out of State Cigarette/Tobacco PACT Act

No Fee

2, 12, 14

from an insurance company. Attach

Delivery Shipper

the bond to this form, or forward the

bond after submitting the form.

Natural Gas or Electricity Purchases for

No Fee

2, 7, 14

Resale or Transportation

Fuel Tax License (motor fuel, special fuel,

No Fee

2, 8, 14

aviation fuel, hydrogen, environmental

assurance fee, CNG, LNG)

Mining Severance

No Fee

2, 9, 14



Oil & Gas Conservation and Severance

No Fee

2, 10, 14

Radioactive Waste

No Fee

2, 11, 14

1b. Previous or existing accounts:

Enter all previous or existing Utah tax

_ __ __ _ __ __ __ __ _ __ __ __ _ __ __ _

account numbers for all owners, officers, members, trustees and partners:

__ __ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ __ __ __ __ _ __ __ __ _ __ __ __ _ __ __

If you purchase a business, have the seller provide you with a letter from the Tax Commission stating no sales and use tax is due, or withhold

enough of the purchase money to pay all taxes. You will be held personally liable for the seller's unpaid sales and use tax, including all sales-related

taxes, if neither of these conditions is met (Utah Code §59-12-112).

Sales, withholding and fuel tax licenses are conditional. If an applicant or a fiduciary (officer, member, owner) has a history of filing or paying late, the

applicant must resolve past delinquencies and/or post a bond. Fuel tax bonds may be combined into one bond, and the amount will be the sum of the

required amounts for each fuel tax type. There is an exception to the bond requirement for aviation fuel only; the exception exists if the monthly average tax

liability is less than $500 and retail sales of aviation fuel are made to both federally certificated air carriers and other persons.

NOTE: Skip this paper form! Use TaxExpress to register your business with the Tax Commission, Dept. of Commerce,

Dept. of Workforce Services and select local governments. Go to osbr.utah.gov.

If you need an accommodation under the Americans with Disabilities Act, email taxada@utah.gov,

Page 1

or call 801-297-3811 or TDD 801-297-2020. Please allow three working days for a response.