Fillable Form 40003 - Oklahoma Retail Fireworks Registration Application (Page 4 of 4) in pdf

Form 40003 - Page D

Oklahoma Retail Fireworks Registration Application Instructions

Page A - Part 1: Reasons for Filing this Form

Check the appropriate box:

New Business. Check this box if you are opening a new business and do not have permits or licenses.

Additional licenses/permits. Check this box if you have a license/permit and are applying for other licenses/permits

(Example: You purchased an additional business for which you will need licenses/permits).

C. Other. If you checked “other” explain your reason for filing this form.

Note: Some items above may require a permit fee. Please see Page B, Part 8.

Page A - Part 2: Contact Information

Items 1 through 4. Please provide the business phone, fax number, name and email address where the applicant can be contacted.

Page A - Part 3: Ownership Type

Check the box which indicates how your business is owned.

* Individual (Sole Proprietor): The business is owned by one individual. If you are a Sole Proprietor you must complete the Affidavit

Verifying Lawful Presence in the U.S. (Page C). The affidavit must be signed and notarized. The affidavit must have your Social

Security Number, or Individual Tax Identification Number and Alien Registration Number (A# or I-94). If you are changing entities from

a corporation, LLC, or partnership to a sole proprietor, you must complete the affidavit. If you are a sole proprietor, your registration

application can not be processed without a properly executed affidavit.

Note: The affidavit is required by the Oklahoma Taxpayer and Citizen Protection Act, specifically Title 56 O.S. Supp. 2007, Section 71.

2. Federal Employer Identification Number (FEIN). You must have an FEIN if you:

• Pay wages to one or more employees or;

• Are a corporation, trust, estate, general or limited partnership, limited liability company, or non-profit organization (church, club, etc.).

Name of Owner. If you are a/an:

• Individual ..... Print your last name, first name, middle initial and social security number.

• Partnership…..Print the name of partnership.

• Corporation…..Print the corporate name as it appears on the Articles of Incorporation or Domestication.

• Limited Liability Company…..Print the entity name as it appears on the Articles of Organization.

• Other............. Print the name of the business entity.

Provide the Social Security Number, if individual.

Provide the mailing address of your business.

4. Provide the physical location of the Entity. Use street and number or driving directions. Do not use a post office box or rural route.

5. Name of Partner, Responsible Corporate Officer or Managing Member:

Please Note: Social Security Numbers are required by OTC Rule 710:1-3-6. To list multiple names attach a separate sheet. If a Social

Security Number is not provided, the application will not be processed and will be returned for Social Security Numbers.

Print the first name, middle initial and last name, social security number, title and residence and post office mailing address for one

partner, responsible corporate officer, or managing member responsible for the reporting and remittance of taxes.

Page A - Part 4 Wage Withholding Tax

Items 1 and 2. Complete if your business employs or will employ one or more individuals in the State of Oklahoma. If not, go to Part 5.

Page B:

Enter business name (Part 5, Item 1) and FEIN or SSN at the top of the page.

Page B - Part 5: Physical Location and Classification Information

If you operate more than one location in Oklahoma, separate pages B, Parts 5 and 6 must be completed for each location. In the upper

right corner of page B, indicate the number of copies attached.

1. Enter the trade name or DBA of business (Example: Joe’s Fireworks Stand).

2a. Enter the physical location of the Fireworks Stand, including the county. Do not use post office boxes or rural route addresses.

2b. If the business is inside the city limits, check yes.

Enter the phone, fax number and email address of the business entity.

4 and 5 are the determination for reporting, collecting, and apportionment of city/county sales and use taxes.

Page B - Part 6: Sales Tax

If you hold or have ever held an Oklahoma Sales Tax Permit, enter the number(s). If you need additional space, please attach a

schedule of permits.

2. Provide the date you will begin or began sales in Oklahoma subject to sales tax.

Page B - Part 7: Signature

Application must be signed by the business owner, or, in the case of a partnership, LLC or corporation, etc., the responsible person for

reporting and remitting taxes.

Page B - Part 8: Fees

Please check the appropriate box(es) for each license and/or permit you are applying for and enter the applicable fee amount in the

“Total” column at the far right.

Make Checks Payable to: Oklahoma Tax Commission.

Form 40003 - Oklahoma Retail Fireworks Registration Application Page 4

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