For City of Auburn Staff use only:
Customer # _________________
CITY OF AUBURN, AL
TAX REGISTRATION FORM
TAX/LICENSING INFORMATION:
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Check the taxes for which you are liable:
Sales
Use
Rental/Leasing
Lodging
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Estimated Monthly Tax Liability: $____________
Preferred Filing Status:
Monthly
Quarterly
Annually
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Occasional
One-time
Description of Business Activity: ________________________________________________________________________
First Day Business Activities Will Begin in Auburn: _______________(Month) _________ (Day) ____________ (Year)
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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
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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 # ____________________
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Business Category:
Agriculture
Contractor
Manufacturing
Retail
Service
Wholesale
Not-for-profit
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Business Type:
Limitied Liability Partnership (LLP)
Limited Liability Corporation (LLC)
Corporation
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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.
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Signature of the Person Completing this Registration Form
Date
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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: