Form Reg-1 - Business Taxes Registration Application
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Department of Revenue Services
Form REG-1
State of Connecticut
PO Box 2937
Business Taxes Registration Application
Hartford CT 06104-2937
(Rev. 10/11)
1. Reason for Filing Form REG-1
Check the applicable box:
DRS use only Connecticut Tax Registration Number
Opening a new business including but not limited to:
a. An existing out-of-state business opening a location in Connecticut;
b. Selling at a craft show, fl ea market, fair, or other venue in Connecticut or selling over the Internet; or
c. An existing out-of-state business having employees in Connecticut (including nonresident contractors and loan-out companies).
Opening a new location. Enter your Connecticut Tax Registration No: _________________________________
Registering for additional taxes. Enter your Connecticut Tax Registration No: _________________________________
Reopening a closed business.
Enter Connecticut Tax Registration No. of the closed business: ____________________________
Purchasing an ongoing business. The buyer of an existing business may be responsible for tax liabilities of the previous owner.
See the Informational Publication on Successor Liability for Sales and Use
Taxes,
Admissions and Dues
Tax, and Connecticut
Income Tax
Withholding, on the DRS website.
Enter Connecticut Tax Registration No. of the previous owner: _____________________________
Forming a business entity under Connecticut law or a non-Connecticut entity required to register with or to obtain a
certifi cate of authority from the Connecticut Secretary of the State before transacting business in Connecticut.
Establishing a passive investment company (PIC).
Changing organization type. Enter your current Connecticut Tax Registration No: _________________________________
Hiring household employees and intend to withhold Connecticut income tax.
Other (explain); see Who Needs to Complete REG-1. ____________________________________________________________
2. Business Information:
Type of organization
Sole proprietorship
Limited liability company (LLC)
S Corporation
Check if taxed as a corporation
Check if taxed as an S corporation
General partnership
Single member LLC (SMLLC)
Limited partnership
Check if taxed as a corporation
Check if taxed as a corporation
Check if taxed as an S corporation
Limited liability partnership (LLP)
Corporation
Other (explain): _______________
3. Nature of Business Activity
Check the box(es) that best describe your business:
Retailer
Wholesaler
Manufacturer
Service provider
Other (explain): ___________________________
4. Major Business Activity
Describe your major business activities: __________________________________________________________________________
__________________________________________________________________________________________________________
5. Business Name and Address
Organization name: Enter the name of the sole proprietor, partnership, corporation, or LLC.
Federal Employer Identifi cation Number, if applicable
Business trade name
CT Secretary of the State Business ID No., if applicable
Business Location: Enter the physical address of the business. A post offi ce box or rural route number is not acceptable. Home-based businesses and
fl ea market or craft show vendors must enter a home address.
Address line 1
Address line 2
City
State
ZIP code
Mailing address line 1 (Street or PO Box)
Address line 2
City
State
ZIP code
Business telephone number
Email address
Bank name
(
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Parent category: Financial