Iowa Business Tax Permit Registration
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1
2Iowa Department of Revenue
Iowa Business Tax Permit Registration
Please type or print legibly. Complete both pages. Incomplete
4. Previous Owner
applications will delay processing. You are allowed to conduct
If purchasing an existing business, provide prior owner’s name.
business after you submit your application. It may take up to six
weeks before you receive your permit number.
5. Type of Products or Services Sold:
1. Location Name/Address
Product/Service
You must provide the street address where your business is located.
Federal Employer Identification Number (FEIN)
(If you have applied but not yet received an FEIN, write “applied for”)
6. Sales Tax Permit
(no fee)
Start date for selling at retail (MM/DD/YY)
Social Security Number (SSN)
(Required for sole proprietor or individual single member LLC)
Filing frequency (must check one)
Annually – collect less than $120 tax/year
Legal name (
Quarterly – collect less than $500 tax/month
Sole proprietor or individual single member LLC fill in last name, first name)
Monthly – collect more than $500 tax/month
Trade name
(doing business as)
Semi-monthly – collect more than $5,000 tax/month
(electronic payment required)
Location address
( Must be a street address. Do not write PO Box.)
Sales related taxes and permits (check box if applicable)
Hotel/Motel (no fee)
City
State
ZIP+4
Check this box if your business is a hotel, motel, inn, bed
and breakfast, or cabin with sleeping quarters.
A list of Iowa counties is available at
IA county name
IA county number
Automobile Rental Tax (no fee)
If you rent automobiles to customers, you must collect this
Phone 1
Ext.
tax. Automobile rental tax is always filed quarterly.
)
Phone 2
Ext.
Household Hazardous Material Permit (HHM) (fee
See Information
Section or
for
Fax #
explanation of HHM permits.
❑
Regular ($25 fee) ❑ Special ($125 fee or more)
Email
When you pay by check, you authorize the Department to convert
.
Date business established
your check to a one-time electronic banking transaction
Consolidated? See Information Section 6
State in which established
Check box if you have more than one location and want to
file consolidated returns.
2. Mailing Name/Address
Enter the number of locations to file consolidated.
Send mail to the address provided below. If you want mail sent to
0-00-
Enter your current consolidated permit number if
different addresses for different tax types, include a separate sheet
you want to add a new location.
listing the mailing addresses by tax type.
Name
7. Consumer’s Use Tax
Permit (no fee)
Mailing address
This permit is for those located in Iowa who purchase taxable goods
or services consumed in Iowa for which sales tax is not paid when the
City
State
ZIP+4
purchases are made.
Phone 1
Ext.
Start date for making purchases (MM/DD/YY)
Phone 2
Ext.
Filing frequency (must check one)
Annually – owe less than $120 tax/year
Email
Quarterly – owe more than $120 tax/year
8. Out-of-State Retailer’s Use Tax
3. Type of Ownership (must check only one)
(no fee)
See Information Section 3
Retailers making taxable sales in Iowa from an out-of-state location
must register to collect retailer’s use tax.
Corporation
Start date for selling in Iowa (MM/DD/YY)
Partnership
Association
Filing frequency (must check one)
Government
Annually – collect less than $120 tax/year
Limited liability co (LLC) filing on corporation, S corporation, or
Quarterly – collect less than $1,500 tax/month
partnership income return
Monthly – collect more than $1,500 tax/month
Individual single-member LLC filing on individual income return
Sole proprietor (One person and not an LLC)
78-005a(11/17/14)
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