Tax Registration Form - City Of Auburn

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For City of Auburn Staff use only:
Customer # _________________
CITY OF AUBURN, AL
TAX REGISTRATION FORM
TAX/LICENSING INFORMATION:
Check the taxes for which you are liable:
Sales
Use
Rental/Leasing
Lodging
Estimated Monthly Tax Liability: $____________
Preferred Filing Status:
Monthly
Quarterly
Annually
Occasional
One-time
Description of Business Activity: ________________________________________________________________________
First Day Business Activities Will Begin in Auburn: _______________(Month) _________ (Day) ____________ (Year)
How will goods be delivered into the City?
Common-carrier
Company-owned vehicle
Leased vehicle
Will you have any sales representatives, delivery personnel, or agents representing your company performing work or conducting
business activities in the City?
Yes
No If yes, do not complete this form—complete a Business Registration form.
BUSINESS INFORMATION:
Business Name:_____________________________________________________________________________________
Federal Identification # ________________________
State of Alabama Sales/Use Tax # ____________________
Business Category:
Agriculture
Contractor
Manufacturing
Retail
Service
Wholesale
Not-for-profit
Business Type:
Limitied Liability Partnership (LLP)
Limited Liability Corporation (LLC)
Corporation
Proprietorship (one owner)
Partnership (two or more owners)
Church
ADDRESS INFORMATION:
Physical Address: _____________________________________________, ___________________, _______ _________
Street Address
City
State
Zip Code
Mailing Address, if Different: : ________________________________________, _______________, _______ _________
Street Address or PO Box
City
State
Zip Code
CONTACT INFORMATION: (Person who can answer tax questions about this business)
Name/Title: ____________________________________________________________________________
Business Phone # ________________
Fax # _________________
Email # __________________________________
OWNER/PARTNER/OFFICER INFORMATION: (Person(s) legally responsible for business) –Attach additional sheet if necessary
Name/Title: ___________________________________________________________________________________
Address: ________________________________________________, _____________________, _______ ___________
Home Address
City
State
Zip Code
SSN: _______________________ DOB: _______________________ DL#/STATE: _______________________
Business Phone # ________________
Fax # _________________
Email # _________________________________
Under penalties of perjury, I declare that I have examined this form and to best of my knowledge and belief, it is true, correct, and
complete. My signature indicates that I take full responsibility for the information presented on this form and any tax liability of the
business that might occur.
_________________________________________________________
__________________________
Signature of the Person Completing this Registration Form
Date
_________________________________________________________
Print Name of the Person Completing this Registration Form
Mail Completed Form To: City of Auburn-Revenue Office at 144 Tichenor Avenue∙Suite 6∙Auburn, AL 36830
Office: (334) 501-7239 ∙ Fax: (334) 501-7297 ∙ Website:

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