Form Reg-8 - Application For Farmer Tax Exemption Permit - Connecticut Department Of Revenue
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2RESET FORM
Form REG-8
Department of Revenue Services
For DRS Use Only
Taxpayer Services Division
Application for
Connecticut Tax Registration Number
25 Sigourney Street
Hartford CT 06106-5032
Farmer Tax Exemption Permit
Approved
Denied
TPS #
REG-8 (Rev. 08/06)
Complete in blue or black ink only.
Read the instructions before
completing this form.
Social Security Number (Individual)
Name of Applicant (Sole Proprietor, Partnership, Corporation, or LLC)
Federal Employer ID Number (Other)
Address
Check One:
Check One:
City, Town, or Post Office
State
ZIP Code
Individual
Purchased
existing farm
Partnership
Changed business
Name of Farm
Telephone Number
Corporation
structure
SMLLC
New applicant
LLC
Location of Farm (Street Address and Town)
Renewal
LLP
Start-up farmer
(See instructions.)
Fiduciary
1. Were you engaged in agricultural production as a trade or
2. You:
Own the farmland
Lease the farmland
business during the preceding taxable year?
Yes
No
(Check one)
Own part and lease part of the farmland
3. Total acreage of farm:
Total acres used in agricultural production by you during the preceding taxable year:
4. What farm products, including livestock, did you raise during
5. What farm products, including livestock, will you raise during
the preceding taxable year?
the next two years?
6. Have you been issued a Sales and Use Tax Permit by the
7. Do you have employees?
Yes
No
Department of Revenue Services (DRS)?
Yes
No
8. If you answered Yes to 6 or 7, enter your Connecticut Tax Registration Number.
(Do not enter Farmer Tax Exemption Permit Number or Federal Employer Identification Number.)
9. State the amount of gross income you derived solely from agricultural production
as reported on your federal income tax return. (See chart in the instructions.)
In 200__ 9a. $
In 200__ 9b. $
0.00
Average (Add Lines 9a and 9b and divide total by 2.) 9c.
$
10. If the amount entered on Line 9b or Line 9c is less than $2,500, but you qualify because you purchased an existing agricultural
business in the current or immediately preceding taxable year, enter the following information. (See instructions.)
Name of Seller
Seller’s Farmer Tax Exemption Permit Number
Declaration: I declare under penalty of law that I have examined this application (including any accompanying schedules and statements)
and, to the best of my knowledge and belief, it is true, complete, and correct. I understand the penalty for willfully delivering a false statement
to DRS is a fine of not more than $5,000, or imprisonment for not more than five years, or both.
Applicant’s Signature
Spouse’s Signature
Date
You and your spouse must both sign the application if you are filing a joint application. (See General Instructions.)
Have you attached the following documents to your application?
A signed copy of your federal income tax return (Pages 1 and 2 for federal form 1040 or Page 1 of federal form 1041, 1065, 1120, or 1120S).
Schedule F or Schedule C of your federal income tax return. Corporations and partnerships must also submit Schedule F even though
the entity does not file one for federal purposes.
GO TO PAGE 2
REG-8 (Rev. 08/06)
Page 1 of 4
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