Application For Sales/use Tax Registration - Montgomery County Revenue Commissioner

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Montgomery County Revenue Commissioner
Sales Tax Division
P.O. Box 4779
Montgomery, AL 36103-4779
APPLICATION FOR SALES/USE TAX REGISTRATION
Complete and Mail to:
Applicant Complete this Box
(CONFIDENTIAL)
Sarah G. Spear, Revenue Commissioner
6. FEIN
State of Alabama Tax No.:
Sales Tax Division
7. FORM OF OWNERSHIP (Check one)
P.O. Box 4779
Sole Prop
Partnership
Montgomery, AL 36103-4779
Corporation
Prof Assoc
LLC
Other
(334) 832-1697
8.Date Business Started
PLEASE PRINT OR TYPE
1. Legal Business Name:
Trade Name (if different from above):
Physical Address:
(Street)
(City)
(State)
(ZIP)
1a. Mailing Address:
(Street)
(City)
(State)
(ZIP)
Telephone:
(Business)
(Fax)
(Person to contact)
(E-mail)
2. Identify current owners, partners, corporate officers, members, or trustees including social security numbers or FEIN:
(Attach additional page if necessary):
NAME
TITLE
SOCIAL SECURITY NO.
HOME PHONE
HOME ADDRESS
CITY
STATE
ZIP
NAME
TITLE
SOCIAL SECURITY NO.
HOME PHONE
HOME ADDRESS
CITY
STATE
ZIP
3.
Nature of Business:
__ Retail
__ Wholesale
__ Contractor
__ Service
__ Professional
__ Manufacturer
__ Rental
__ Other: _________________
4. Business Activities:
)
(Brief description - ex: retail clothing sales, wholesale food sales, equip rental, computer consulting, etc
5. Physical Location:
__ City - within corporate limits
__ Outside Corporate Limits
Signature:
Date
Instructions:
FAX A COPY OF THIS APPLICATION TO (334) 832-1223 AND A
TAXPAYER ID# WILL BE ISSUED AND A SUPPLY OF TAX FORMS
1.
State legal name of applicant; trade name; complete mailing
WILL BE MAILED TO YOU FOR FUTURE FILINGS. MAIL THE
address for your business and a business telephone
ORIGINAL APPLICATION ALONG WITH YOUR TAX RETURN FOR
number, including the area code.
YOUR FIRST REMITTANCE.
2.
Provide name(s), addresses, and social security number(s) of
each owner or corporate office or member. See Sections
40-29-72 and 40-29-73, Code of Alabama 1975.
3.
Provide your 9-digit Federal Employer Identification Number.
(FEIN).
4.
Corporations must attach a copy of certificate of incorporation.

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